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临床试验/EUCTR2020-005878-10-PL
EUCTR2020-005878-10-PL进行中(未招募)1 期

A Double-Blind, Placebo-Controlled, Randomized, Multicenter, Phase 2 Study assessing the Safety, Tolerability and Efficacy of IONIS-AGT-LRX, an Antisense Inhibitor of Angiotensinogen Production, Administered Subcutaneously over 12 Weeks in Patients with Chronic Heart Failure with Reduced Ejection Fraction - ASTRAAS-HF (ASO Targeting the RAAS System for Heart Failure)

Ionis Pharmaceuticals0 个研究点目标入组 72 人开始时间: 2021年4月23日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
72

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

性别
All

入选标准

  • 1. Satisfy the following:
  • Females must be non-pregnant and non-lactating and of non-childbearing potential. Males must be surgically sterile or, abstinent or, if engaged in sexual relations with a woman of child-bearing potential (WOCBP), she must be willing to use a highly effective contraceptive method
  • 2. Screening NT-proBNP = 600 picograms per milliliter (pg/mL) and less than (<) 8500 pg/mL. For participants in atrial fibrillation at screening the eligibility NT-proBNP value is = 1200 pg/mL and < 10200 pg/mL.
  • 3. Established diagnosis of heart failure (HF) with reduced systolic function for at least 6 months prior to the screening visit (left ventricular ejection fraction, [LVEF] = 40%
  • 4. New York Heart Association class I-III
  • 5. Participants should receive background standard of care for HFrEF. Therapy should have been individually optimized and stable for = 4 weeks before screening and include:
  • a. An angiotensin-converting-enzyme inhibitor (ACEi), or angiotensin II receptor blockers (ARBs) or sacubitril/valsartan (mandatory);
  • b. A beta-blocker (unless contraindicated or not tolerated).
  • c. A mineralocorticoid receptor antagonist (MRA, unless contraindicated or not tolerated).
  • d. A sodium glucose co-transporter 2 inhibitor(SGLT2i) (unless contraindicated or not tolerated).
  • 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 25
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 47

排除标准

  • 1. HF due to restrictive cardiomyopathy, active myocarditis, chemotherapy, hypertrophic cardiomyopathy, primary cardiac valve disease, non-compaction cardiomyopathy and takotsubo cardiomyopathy
  • 2. Acute decompensated HF requiring intravenous (IV) diuretics, IV inotropes or IV vasodilators with discharge date within 30 days of screening or acute mechanical support (e.g., intra-aortic balloon pump, endotracheal intubation, mechanical ventilation, or any ventricular assist device) with discharge date within 90 days of screening.
  • 3. Symptomatic hypotension or systolic blood pressure (SBP) = 90 millimeters of mercury (mmHg) at screening.
  • 4. Heart transplant, and/or Left Ventricular Assist Device (LVAD) prior to screening or anticipated heart transplant or LVAD during the study.
  • 5. Implantation of a cardiac resynchronization therapy device (CRT) within 3 months prior screening or intent to implant a CRT within 3 months after screening.
  • 6. Acute coronary syndrome, unstable angina, stroke, transient ischemic attack (TIA), coronary revascularization, cardiac device implantation, cardiac valve repair, carotid or other major surgery within 3 months of screening.
  • 7. Coronary, valve or carotid artery disease likely to require surgical or percutaneous intervention within the 3 months after screening.
  • 8. Screening laboratory results as follows, or any other clinically significant abnormalities in screening laboratory values that would render a participant unsuitable for inclusion in the opinion of the investigator.
  • a. Estimated glomerular filtration rate (eGFR) < 30 milliliters/minute /1.73 m^2 (mL/min/1.73 meter^2) at screening [Chronic kidney disease epidemiology collaboration (CKD-EPI formula)
  • b. Serum potassium > 5.1 millimoles per liter (mmol/L) at screening.
  • 9. Requirement of treatment with both ACEi and ARBs.
  • 10. Previous history of intolerance to ACEi or ARBs or history of hyperkalemia as per Investigator's judgement.

研究者

发起方
Ionis Pharmaceuticals

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