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临床试验/NCT00328809
NCT00328809撤回4 期

Subjects With Severe Heart Failure and End-Stage Renal Disease on Hemodialysis: A Pilot Study to Assess Safety and Tolerability of Spironolactone

State University of New York - Upstate Medical University1 个研究点 分布在 1 个国家开始时间: 2013年6月30日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
撤回
发起方
试验地点
1
主要终点
risk of hyperkalemia

研究概览

简要总结

Cardiovascular disease is the leading cause of death and disproportionately prevalent in patients with kidney disease. Spironolactone has been shown to improve survival in the general population with heart failure by up to 30%. We wish to study the safety and tolerability of aldosterone blockade with spironolactone on cardiac function in a high risk population of patients on hemodialysis. We will study and closely monitor subjects over a period of 12 months, during which they will be receiving spironolactone for a period of 6 months.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • They must be at least 18 years of age.
  • They must understand the study purpose and give their written informed consent.
  • They must have been stable on chronic hemodialysis for at least three months before enrollment into the study.
  • Hemodialysis subjects will be included if they have had a left ventricular ejection fraction measured within the past six months with a value no more than 45 percent. A repeat, standardized echocardiogram will be used to confirm left ventricular ejection fraction.

排除标准

  • Subjects with primary operable valvular heart disease.
  • Subjects with a congenital heart disease.
  • Subjects with unstable angina.
  • Subjects with primary hepatic failure.
  • Subjects with active cancer or any life-threatening disease (other than heart failure or end-stage renal disease).
  • Subjects who have undergone heart transplantation or who are awaiting heart transplantation are also ineligible.
  • Subjects on a renal transplant list will be accepted into the study until the time of successful renal transplantation and termination of dialysis.
  • Subjects with habitually difficult to control hyperkalemia (serum potassium >6.0 meq/L) in the previous month while on dialysis will be excluded.
  • The inability to complete the 6-minute walk test will not be a reason to exclude subjects from this study.

研究组 & 干预措施

Spirnolactone

Experimental

干预措施: spironolactone (Drug)

结局指标

主要结局

risk of hyperkalemia

时间窗: 6 months

次要结局

未报告次要终点

研究者

发起方
State University of New York - Upstate Medical University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Sri Narsipur

Associate Professor of Medicine and Pediatrics

State University of New York - Upstate Medical University

研究点 (1)

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