Published finding — does the expert body still believe it?
LCZ696 reduces all-cause mortality by 16% compared to enalapril in patients with NYHA class II–IV heart failure and reduced ejection fraction, with a hazard ratio of 0.84 (95% CI 0.76–0.93).
TL;DR · AI-generated
LCZ696 was superior to enalapril in reducing the risks of death and of hospitalization for heart failure and decreased the symptoms and physical limitations of heart failure.
Author-implied confidence
94%
Status
DRAFT
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Evidence stream
1 event · 1 snapshot
posterior drift
98% → 98% (0pp · 1 point)
Peer-reviewed paper
Apr 18, 2026
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Source publication
Angiotensin-neprilysin inhibition versus enalapril in heart failure.
· openalex W2113698123 · s2 9ca73cac
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LCZ696 reduces cardiovascular mortality by 20% compared to enalapril in HFrEF patients, with a hazard ratio of 0.80 (95% CI 0.71–0.89).
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LCZ696 reduces the risk of hospitalization for heart failure by 21% compared to enalapril in patients with NYHA class II–IV HFrEF.
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LCZ696 (sacubitril/valsartan) 200 mg twice daily reduces the composite of cardiovascular death or heart failure hospitalization by 20% compared to enalapril 10 mg twice daily in patients with HFrEF (EF ≤40%), with a hazard ratio of 0.80 (95% CI 0.73–0.87).
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LCZ696 will demonstrate superiority over enalapril in reducing cardiovascular death or heart failure hospitalization across diverse real-world HFrEF populations, including those underrepresented in PARADIGM-HF.
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Compared to enalapril, LCZ696 is associated with higher rates of hypotension and non-serious angioedema but lower rates of renal impairment, hyperkalemia, and cough in HFrEF patients.
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Dapagliflozin reduces cardiovascular mortality (HR 0.82; 95% CI 0.69–0.98) in patients with HFrEF compared to placebo.