HFSA 2026 at a glance

At HFSA 2026, the question is where competition in heart failure will shift next. From heart failure with preserved ejection fraction (HFpEF) and transthyretin amyloid cardiomyopathy (ATTR-CM) to precision cardiomyopathy treatments and connected care, HFSA 2026 is set to spotlight emerging opportunities for clinical differentiation.

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Key Heart Failure Treatment Trends to Watch at HFSA 2026

HFpEF Treatment Expansion: MRAs, SGLT2 Inhibitors and Devices

Nonsteroidal mineralocorticoid receptor antagonists (MRAs), SGLT2 inhibitors, metabolic interventions and device-based approaches could broaden treatment strategies for HFpEF.

Earlier ATTR-CM Diagnosis and Treatment

Screening, amyloid imaging and disease-modifying therapies may reshape earlier diagnosis and longitudinal management of ATTR-CM.

Cardiac Myosin Inhibition: Aficamten and ACACIA-HCM

ACACIA-HCM readouts will examine aficamtens potential in nonobstructive hypertrophic cardiomyopathy (HCM).

Cardiogenic Shock: Mechanical Circulatory Support Strategies

Mechanical support timing, device selection and patient stratification are expected to influence treatment strategies in cardiogenic shock.

Competitor and Industry Signals at HFSA 2026

Alnylam, BridgeBio and Pfizer: ATTR-CM Competition

Vutrisiran, transthyretin (TTR) stabilization and evolving diagnostic pathways highlight increasing competition in ATTR-CM treatment.

Cytokinetics and Bristol Myers Squibb: HCM Treatment Differentiation

Aficamten data and HCM evidence-to-practice discussions could inform therapeutic differentiation in hypertrophic cardiomyopathy.

Affinia Therapeutics: AFTX-201 Gene Therapy for BAG3-Associated DCM

Investigational AFTX-201, through the UPBEAT trial, signals growing interest in gene-targeted treatment for BAG3-associated dilated cardiomyopathy (DCM).

Emerging Heart Failure Therapies: Tovinontrine, STM-01 and Cardiac Microcurrent

Tovinontrine Phase 2, STM-01 first-in-human cell therapy and cardiac microcurrent approaches warrant attention as emerging development directions.

Artificial Intelligence and Machine Learning at HFSA 2026

ARPA-H ADVOCATE: AI for Heart Failure Clinical Decision Support

AI-enabled approaches could advance clinical decision support and heart failure care workflows.

TAILORD and Remote Monitoring in Heart Failure

Digital interventions and remote monitoring may improve treatment optimisation and earlier identification of worsening heart failure.

What We Are Watching After HFSA 2026

  • Whether tovinontrine demonstrates sufficient efficacy and safety to support further development.
  • Whether aficamten strengthens the evidence for cardiac myosin inhibition in nonobstructive HCM.
  • Whether AFTX-201, STM-01 and AI-enabled monitoring demonstrate clinically actionable benefits.

Download the HFSA 2026 Preview Report

Download LucidQuest’s HFSA 2026 Preview for deeper analysis of emerging heart failure therapies, clinical developments and competitive signals.

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📥 Download the HFSA 2026_Preview_by_LucidQuest

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