ISSN 0303-5212
 

Review Article 


Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials

Darmadi Darmadi, Herwindo Ahmad, Cennikon Pakpahan, Sem Samuel Surja.


Abstract
Objective: This meta-analysis evaluates its efficacy and safety of Vericiguat, an oral soluble guanylate cyclase stimulator
Methodology: A systematic search was conducted using PubMed, Scopus, and Cochrane databases through May 31, 2024. Randomized controlled trials (RCTs) comparing vericiguat to placebo in heart failure patients were included. Pooled risk ratios (RR) for cardiovascular death, heart failure hospitalization, and adverse events were calculated using a fixed-effects model. Risk of bias was assessed using the Cochrane ROB 2.0 tool.
Results: Four RCTs comprising 3,564 patients were included, with overall low to unclear risk of bias. Vericiguat showed no statistically significant reduction in cardiovascular death (RR 0.90; 95% CI 0.75–1.07; p=0.23) or heart failure hospitalization (RR 0.92; 95% CI 0.85–1.01; p=0.06). Adverse event rates were similar between groups (RR 1.00; 95% CI 0.98–1.03; p=0.86).
Conclusion: Vericiguat appears to be a well-tolerated treatment for heart failure; however, current evidence does not confirm significant clinical benefit in reducing cardiovascular death or hospitalizations. Further large-scale trials are warranted to clarify its therapeutic role.

Key words: Vericiguat, placebo, heart failure, efficacy, safety.


 
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How to Cite this Article
Pubmed Style

Darmadi D, Ahmad H, Pakpahan C, Surja SS. Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials. RMJ. 2025; 50(3): 825-830. doi:10.5455/rmj.20241215082320


Web Style

Darmadi D, Ahmad H, Pakpahan C, Surja SS. Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials. https://www.rmj.org.pk/?mno=233030 [Access: October 30, 2025]. doi:10.5455/rmj.20241215082320


AMA (American Medical Association) Style

Darmadi D, Ahmad H, Pakpahan C, Surja SS. Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials. RMJ. 2025; 50(3): 825-830. doi:10.5455/rmj.20241215082320



Vancouver/ICMJE Style

Darmadi D, Ahmad H, Pakpahan C, Surja SS. Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials. RMJ. (2025), [cited October 30, 2025]; 50(3): 825-830. doi:10.5455/rmj.20241215082320



Harvard Style

Darmadi, D., Ahmad, . H., Pakpahan, . C. & Surja, . S. S. (2025) Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials. RMJ, 50 (3), 825-830. doi:10.5455/rmj.20241215082320



Turabian Style

Darmadi, Darmadi, Herwindo Ahmad, Cennikon Pakpahan, and Sem Samuel Surja. 2025. Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials. Rawal Medical Journal, 50 (3), 825-830. doi:10.5455/rmj.20241215082320



Chicago Style

Darmadi, Darmadi, Herwindo Ahmad, Cennikon Pakpahan, and Sem Samuel Surja. "Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials." Rawal Medical Journal 50 (2025), 825-830. doi:10.5455/rmj.20241215082320



MLA (The Modern Language Association) Style

Darmadi, Darmadi, Herwindo Ahmad, Cennikon Pakpahan, and Sem Samuel Surja. "Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials." Rawal Medical Journal 50.3 (2025), 825-830. Print. doi:10.5455/rmj.20241215082320



APA (American Psychological Association) Style

Darmadi, D., Ahmad, . H., Pakpahan, . C. & Surja, . S. S. (2025) Efficacy of Vericiguat in patients with heart failure: A systematic review and meta- analysis of randomized controlled trials. Rawal Medical Journal, 50 (3), 825-830. doi:10.5455/rmj.20241215082320