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临床试验/EUCTR2016-003410-28-ES
EUCTR2016-003410-28-ES进行中(未招募)1 期

A 24-week, randomized, double-blind, multi-center, parallel group, active controlled study to evaluate the effect of LCZ696 on NT-proBNP, symptoms, exercise function and safety compared to individualized medical management of comorbidities in patients with heart failure and preserved ejection fraction

ovartis Farmacética S.A.0 个研究点目标入组 2,200 人开始时间: 2017年4月7日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
2,200

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • - Left ventricular ejection fraction (LVEF) =45% by echo within 6 months prior to study entry or during the screening epoch
  • - Symptom(s) of heart failure (HF) requiring treatment with diuretics (including loop, or thiazide diuretics, or mineralocorticoid antagonist [MRAs]) for at least 30 days prior to study entry
  • - NYHA class II-IV
  • - Structural heart disease (left atrial enlargement or left ventricular hypertrophy) documented by echocardiogram.
  • - NT-proBNP > 220 pg/mL for patients with no atrial fibrillation/atrial flutter (AF) or >600 pg/mL for patients with AF
  • - KCCQ clinical summary score < 75
  • - Patients on ACEi or ARB therapy must have a history of HTN
  • Other protocol-defined inclusion criteria may apply.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 440
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 1760

排除标准

  • - Any prior measurement of LVEF < 40%
  • - Acute coronary syndrome (including MI), cardiac surgery, other major CV surgery within 3 months , or urgent percutaneous coronary intervention (PCI) within 3 months or an elective PCI within 30 days prior to study entry
  • - Any clinical event within the 6 months prior to Visit 1 that could have reduced the LVEF (e.g. MI, coronary artery bypass graft [CABG]), unless an echo measurement was performed after the event confirming the LVEF to be = 40% and EF = 45% by the time of screening
  • - Current acute decompensated HF requiring therapy.
  • - Current use of renin inhibitor(s)
  • - History of hypersensitivity to LCZ696 or its components
  • - Patients with a known history of angioedema
  • - Walking distance primarily limited by non-cardiac comorbid conditions
  • - Alternative reason for shortness of breath such as: significant pulmonary disease or severe COPD, hemoglobin (Hgb) <10 g/dL males and < 9.5 g/dL
  • females, or body mass index (BMI) > 40 kg/m2.
  • - Systolic blood pressure (SBP) = 180 mmHg at study entry, or SBP >150 mmHg and <180 mmHg at study entry unless the patient is receiving 3 or more
  • antihypertensive drugs, or SBP < 110 mmHg at study entry.
  • - Patients with HbA1c > 7.5% not treated for diabetes
  • - Patients with prior major organ transplant or intent to transplant (ie on transplant list)
  • - eGFR < 30 ml/min/1.73 m2 as measured by MDRD at screening
  • - Serum potassium > 5.2 mmol /L at study entry
  • - History or presence of any other disease with a life expectancy of < 3 years
  • - Pregnant or nursing women or women of childbearing potential unless they are using highly effective methods of contraception.
  • Other protocol-defined exclusion criteria may apply.

研究者

发起方
ovartis Farmacética S.A.

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