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. 2020 Oct 14;134(19):2623–2643. doi: 10.1042/CS20200230

Table 3. Neuregulins studied as therapies for systolic heart failure.

Recombinant forms of NRG Commercial name Domains Examples of in vivo studies Human studies Results of human studies
Human recombinant Neuregulin 1 (rhNRG1β) Neucardin β-Isoform of the growth factor domain (EGF- domain) of NRG-1 Liu et al. [83], Gu et al. [180], Guo et al. [181], Fang et al. [182] Jabbour et al. [116], Gao et al. [117] Both phase 1 and 2 trials have been completed finding sustained improvement in LVEF in systolic heart failure patients at 90-day follow-up. A phase 3 trial is currently on going.
Human recombinant Neuregulin 1 (rdNRG1β) None β-Isoform of the growth factor domain (EGF- domain) of NRG-1 with Ig domain Bersell et al. [89] None. None
Human recombinant glial growth factor 2 isoform of NRG1β (GGF2) Cimaglermin Alfa β-isoform of the growth factor domain (EGF- domain), type 2 isoform of NRG-1 gene, containing IgG and kringle domains Bian et al [183], Hill et al. [184], Galindo et al. [95] Lenihan et al. [118] A phase 1 trial was completed finding sustained improvement in LVEF in systolic heart failure patients. There was a dose limiting side effect at the highest planned dose. See the text for details.
Engineered bivalent NRG1β (bivNRG) None 2 β-Isoform of the growth factor domain (EGF- domain) of NRG-1 connected by a linking peptide Jay et al. [145] None None