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A multicenter, randomized, double-blind, controlled study to evaluate the efficacy and safety of dantrolene on ventricular arrhythmia as well as mortality and morbidity in patients with chronic heart failure and reduced ejection fractio

Not Applicable
Conditions
Patients with chronic heart failure who are at least 20 years, New Tork Heart Association (NYHA) class II and III, and LVEF&lt
40% during treatment according to JCS and/or ACC/AHA and/or ESC heart failure guidelines.
Registration Number
JPRN-UMIN000028766
Lead Sponsor
Yamaguchi University Graduate School of Medicine
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
300
Inclusion Criteria

Not provided

Exclusion Criteria

1)patients with severe cardiac dysfunction (NYHA IV): eg. during administration of intravenous catecholamine and/or PDE III inhibitor and/or vasodilator and/or diuretics. 2)patients wit COPD and severe dysfunction of repiratory funcion 3)patient diagnosed with myasthenia gravis 4)patients with severe liver dysfunction 5)patients with ileus 6)patients who could not receive oral meadication 7)during pregnancy or lactation 8)history of allergy and hypersensitivity for dantrolene 9)History of )Acute coronary syndrome, stroke, transient ischemic attack within the 3 months prior obtaining informed concent. 10) cardiac, carotid or other major CV surgery, percutaneous coronary intervention (PCI) or carotid angioplasty within the 3 months prior to obtaining informed consent. 11)Coronary or carotid artery disease likely to require surgical or percutaneous intervention within 2 years after starting oral administration of dantrolene or placebo. 12)Coronary or carotid artery disease likely to require surgical or percutaneous intervention within the6 months after obtaining informed consent. 13)Implantation of a cardiac resynchronization therapy device (CRTD) within 3 months prior obtaining informed consent or intent to implant a CRTD. 14)Diagnosis of peripartum or chemotherapy induced cardiomyopathy within the 12 months prior to obtaining informed consent. 15)History of heart transplant or on a transplant list or with left ventricular assistance device (LVAD). 16)Symptomatic bradycardia or second or third degree heart block without a pacemaker. 17)patients with severe valvular heart disease and severe HOCM 18)patients with severe inflammatory disease such as sepsis and pneumonia et al. 19)patients with active cardiac sarcoidosis 20)patients with amyloidosis 21)patients with Fabry disease 22)dialysis patients 23)cancer patients 24)patients who primary investigator and investigators consider as unsuitable for the present study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
a composite of death (cardiovascular and non-cardiovasclar death), lethal arrhythmia (ventricular tachycardia(VT) storm, sustained VT, ventricular fibrillation)or a first hospitalization for exacerbation of heart failure 2 years after starting administration of dantrolene or placebo
Secondary Outcome Measures
NameTimeMethod
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