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临床试验/EUCTR2012-003219-77-DK
EUCTR2012-003219-77-DK进行中(未招募)1 期

Effects on Exercise Hemodynamics of Vasopressin Blockade by Conivaptan Infusion in Heart Failure

Copenhagen University Hospital, Rigshospitalet0 个研究点目标入组 20 人开始时间: 2012年12月20日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
20

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

  • -Age > 18 years
  • -LVEF < 45 %
  • -Treatment with beta-blockers and ACE-inhibitors for at least 1 month
  • -NYHA-class II-III
  • -Given informed consent
  • Women, who have not yet entered menopause (defined as no menstrual bleeding in the last 12 months), will provide a negative urine HCG before entering the study
  • 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 15
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 5

排除标准

  • -Signs of symptomatic or ongoing myocardial ischemia
  • -Presence of hypovolemic hyponatremia (as judged by the investigator)
  • -Clinical signs of volume depletion or dehydration
  • -Hypernatremia (P-Na+) > 145 mmol/L
  • -Chronic obstructive pulmonary disease (FEV1 < 1L)
  • -Supine systolic blood pressure < 85 mmHg
  • -Significant orthostatic hypotension
  • -standing blood pressure < 80 mmHg or a blood pressure drop > 20 mmHg when changing from a supine to a standing position
  • -Uncontrolled hypertension
  • -Uncontrolled cardiac arrhythmias
  • -Untreated serious hypothyroidism
  • -Adrenal insufficiency
  • -Poor echocardiographic window
  • -Not able to perform exercise testing
  • -Permanent atrial fibrillation or atrial fluttering
  • -Planned coronary by-pass surgery
  • -Moderate hepatic impairment (ALAT/ASAT > 3 UNL)
  • -Presence of other diseases affecting treatment with conivaptan or the evaluation of safety
  • -Severely decreased kidney function (eGFR < 20 ml/min)
  • -Serum K+< 3.5 or > 5.5 mmol/L
  • -Conivaptan intolerability
  • -Corn allergy
  • -Treatment with potent CYP3A-inhibitors (ketoconazole, otrakonazole, clarithromycin, ritonavir, indinavir)
  • -Treatment with arginine vasopressin, oxytocin, desmopressin and other medications for the treatment of hyponatremia (lithium salts, urea and demeocycline)
  • -Warfarin treatment
  • -Presence of infection or active bleeding
  • -Need of inotropic circulatory support within the last 30 days
  • -Pregnant women or fertile women not taking safe contraception
  • -Women who are breastfeeding
  • -Hemodynamically significant heart valve disease estimated by echocardiography
  • -The ability to understand written and oral Danish
  • -Contraindication to insertion of Swan-Ganz catheter

研究者

发起方
Copenhagen University Hospital, Rigshospitalet

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