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Evaluation of the anti-arrhythmic effects of 3 oral dosages of S 44121 versus placebo in patients with chronic heart failure and left ventricular systolic dysfunction at risk for ventricular arrhythmia. A 12-week, randomized, double-blind, parallel-group, placebo controlled, international multicentre study.

Phase 1
Conditions
Chronic Heart Failure and left ventricular systolic dysfunction at risk for ventricular arrhythmia
MedDRA version: 12.1Level: LLTClassification code 10007558Term: Cardiac failure chronic
MedDRA version: 12.1Level: LLTClassification code 10049694Term: Left ventricular dysfunction
MedDRA version: 12.1Level: LLTClassification code 10047281Term: Ventricular arrhythmia
Registration Number
EUCTR2009-014940-12-HU
Lead Sponsor
Institut de Recherches Internationales Servier
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
160
Inclusion Criteria

- Male or female patients.
- Aged between 18 and 75 years (inclusive).
- ICD for primary or secondary prevention of ventricular arrhythmia for at least 3 months before selection.
- Symptomatic CHF for at least 6 months before selection.
- NYHA functional class II or III.
- Ischemic disease or idiopathic dilated cardiomyopathy as main cause for CHF.
- Treatment with a beta-blocker for at least 3 months before selection.
- An average number of at least 100 premature ventricular complexes (PVCs) per hour on a 48-hour Holter ECG recording.
- LVEF = 40% at echocardiographic examination.
- Sinus rhythm.

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

Exclusion Criteria

- Unstable condition within 4 weeks before selection.
- Recent (less than 3 months before selection) myocardial infarction, unstable angina or coronary revascularisation.
- History of stroke or cerebral transient ischemic attack within 3 months before selection.
- Severe primary aortic or mitral stenosis or regurgitation.
- Congenital heart disease.
- Hypertrophic obstructive cardiomyopathy.
- Cardiac resynchronisation therapy (CRT) started within 6 months before selection.
- Episode of reverted ventricular fibrillation or Torsade de Pointes within 4 weeks before selection.
- Atrio-ventricular block of second or third degree.
- Corrected QT interval duration (Bazett’s formula) > 480 ms.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the anti-arrhythmic efficacy of S 44121 versus placebo administered orally for a total of 12 weeks in patients with chronic heart failure (CHF) and left ventricular systolic dysfunction who received an implanted cardioverter defibrillator (ICD) for primary or secondary prevention of ventricular arrhyhthmia.;Secondary Objective: To evaluate the safety profile of S 44121.;Primary end point(s): Average rate of PVCs per hour during 48 hours Holter ECG recording.
Secondary Outcome Measures
NameTimeMethod
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