EUCTR2009-015638-31-NL进行中(未招募)不适用
An open-label, blinded-endpoint, randomized, prospective trial investigating the effects of vitamin D administration on plasma renin activity in patients with stable chronic heart failure. - VitD-CHF
适应症
相关药物
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
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
- •The study population will consist of patients with chronic heart failure (NYHA Class II), = 18 years of age with LVEF = 45 %.
- •Inclusion criteria
- •Out patients = 18 years of age, male or female.
- •Patients with a diagnosis of chronic heart failure (NYHA Class II)
- •LVEF = 45% at visit 1 (local measurement, measured within the past 6 months assessed by echocardiogram, MUGA or ventricular angiography)
- •Patients must be treated with an ACE-i at a stable dose (at least enalapril 10 mg daily or any other ACE-i, e.g. ramipril, quinapril, lisinopril, fosinopril, perindopril, trandolapril; on equivalent doses, or maximum tolerated dose) or if intolerant to ACE-i with ARB therapy (Candesartan 8 mg daily or any other ARB in equivalent dose, or maximum tolerated dose) for at least 4 weeks prior to visit 1.
- •Patients must be treated with a beta blocker unless contraindicated or not tolerated at a stable dose for at least 4 weeks prior to visit 1 (for patients not on target dose or in absence of that medication, the reason should be documented).
- •Patients must not be treated with an aldosteron receptor antagonist.
- •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
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
排除标准
- •Exclusion criteria
- •Concomitant use of ACEi and ARB.
- •Use of aldosteron receptor antagonist.
- •History of hypersensitivity to any of the study drugs.
- •Patients with phenylketonuria.
- •Patients with fructose intolerance.
- •Current acute decompensated heart failure.
- •Hypercalcemia (>2.65 mmol/l, corrected for albumin).
- •Hypercalciuria.
- •Estimated glomerular filtration fraction (GFR) between 30 and 60 ml/min/1.73m2 as measured by the modified of diet in renal disease (MDRD) formula.
- •Nephrolithiasis.
- •Sarcoidosis.
- •Use of the following medication: corticosteroids, thyroxin, anti epileptic drugs, tetracyclines, quinolones
- •Intake of supplements containing vitamin D and/or calcium.
- •Acute coronary syndrome, stroke, transient ischemic attack, cardiac, carotid or major vascular surgery, percutaneous coronary intervention (PCI) or carotid angioplasty, within the past 3 months.
- •Coronary or carotid artery disease likely to require surgical or PCI.
- •Right heart failure due to severe pulmonary disease.
- •Diagnosis of peripartum or chemotherapy induced cardiomyopathy within the last year.
- •Patients with a history of heart transplant or who are on a transplant list or with LVAD device (left ventricular assistance device).
- •Documented ventricular arrhythmia with syncopal episodes within past 3 months that is untreated.
- •Documented history of ventricular tachycardia or ventricular fibrillation without ICD (internal cardiac defibrillator).
- •Symptomatic bradycardia, or second or third degree heart block without a pacemaker.
- •Implantation of a CRT (cardiac resynchronization therapy) device within prior 3 months.
- •Presence of hemodynamically significant mitral and /or aortic valve disease, except mitral regurgitation secondary to left ventricular dilatation.
- •Presence of hemodynamically significant obstructive lesions of left ventricular outflow tract, including aortic stenosis.
- •Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of study drugs.
- •Any history of pancreatic injury, pancreatitis or evidence of impaired pancreatic function/injury as indicated by abnormal lipase or amylase.
- •Primary liver disease considered to be life threatening.
- •Currently active gastritis, duodenal or gastric ulcers, or gastrointestinal/rectal bleeding during the 3 months prior to Visit 1.
- •History or presence of any other diseases (i.e. including malignancies) with a life expectancy of < 5 years.
- •Current double-blind treatment in heart failure (HF) trials.
- •Participation in an investigational drug study at the time of enrollment or within the past 30 days or 5 half lives of enrollment whichever is longer.
- •Any surgical or medical condition that in the opinion of the investigator or medical monitor would jeopardize the evaluation of efficacy or safety.
- •History of noncompliance to medical regimens and patients who are considered potentially unreliable.
- •Pregnant or lactating women.
- •Treatment with any of the following drugs within the past 4 weeks prior to Visit 1 (T0): direct renin inhibition including Aliskiren and intravenous vasodilator and/or inotropic drugs.
研究者
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