Allopurinol in Chronic Heart Failure
Phase 4
Completed
- Conditions
- Chronic Heart FailureHyperuricemia
- Interventions
- Drug: Placebo
- Registration Number
- NCT00997542
- Lead Sponsor
- National Heart and Lung Institute
- Brief Summary
The purpose of this study is to discover whether the inhibition of the xanthine oxidase with allopurinol leads to a reduction of the production of oxygen free radicals in patients with CHF and thereby improves characteristics of oxydative metabolism, peripheral blood flow, immune function and functional status.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Male
- Target Recruitment
- 16
Inclusion Criteria
- The patient is a male and at least 21 years of age.
- The patient has clinical evidence of heart failure: a) reduced ejection fraction (≤40%) or cardiomegaly on CXR or left ventricular impairment on echocardiography (LVEDD ≥60mm), b) stable clinical condition and medication for at least 1 month prior to the study.
- No history of unstable angina, myocardial infarction or stroke within 3 months prior to the study.
- The patient is receiving full conventional medical therapy for heart failure (ACE inhibitor or angiotensin II blocker, diuretics etc.).
- The patient is willing and capable of complying with the requirements of this protocol.
- The patient has provided written informed consent .
Exclusion Criteria
- The patient has any life-threatening disease, other than heart failure (including patients with known, or suspected, myocarditis or with automatic implantable cardioverter/defibrillators).
- The patient has an active malignancy of any type, or history of a malignancy (Patients who have a history of basal cell carcinoma that has been surgically removed are acceptable). Patients with a history of other malignancies that have been surgically removed and who have no evidence of recurrence for at least five years prior to study enrolment are also acceptable.
- The patient has had a heart transplant.
- The patient has severe renal disease (S-Creatinine >300 μmol/l), severe liver disease (ASAT or ALAT > 3 times of upper limit of normal range), rheumatoid arthritis, or complains of gout.
- The patients has received allopurinol therapy previously or if he is known to suffer from gout (acutely or chronically).
- The patient has an exercise capacity of > 20 ml/kg/min (treadmill, Bruce protocol) or is in functional NYHA class I.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Placebo Placebo - Allopurinol Allopurinol -
- Primary Outcome Measures
Name Time Method postischemic peak peripheral blood flow
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms link allopurinol to improved oxidative metabolism in chronic heart failure patients?
How does allopurinol compare to standard-of-care treatments in reducing oxidative stress in advanced CHF?
Which biomarkers correlate with allopurinol response in patients with CHF and hyperuricemia?
What are the potential adverse events of allopurinol in chronic heart failure and how are they managed?
Are there combination therapies involving allopurinol that enhance peripheral blood flow in CHF patients?
Trial Locations
- Locations (1)
Royal Brompton Hospital
🇬🇧London, United Kingdom
Royal Brompton Hospital🇬🇧London, United Kingdom