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临床试验/jRCT1051230206
jRCT1051230206招募中不适用

Vericiguat on Heart Failure with reduced Ejection Fraction with Pulmonary Hypertension

未提供0 个研究点目标入组 35 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
招募中
入组人数
35
主要终点
-

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Single Arm Study
干预模型
Single Assignment
主要目的
Treatment Purpose
盲法
Open(masking Not Used)

入排标准

年龄范围
18age old over 至 No limit(—)
性别
All

入选标准

  • Patients must meet all of the following criteria at the time of consent.
  • Left ventricular ejection fraction (LVEF) less than 40% on echocardiography performed within 12 months.
  • Patients must be on standard treatment for chronic heart failure, with stable doses within 1 week before catheterization and during the screening period before enrollment.
  • Patients with combined post- and pre-capillary pulmonary hypertension (CpcPH: mean pulmonary artery pressure > 20 mmHg, pulmonary wedge pressure > 15 mmHg, pulmonary vascular resistance > 160 dynes-sec-cm-5) at a right heart catheterization performed within 28 days.
  • Patients must be at least 18 years of age (as of the date written consent is obtained).
  • Written consent has been obtained from the patient before enrollment.

排除标准

  • Patients must not be in conflict with any of the following criteria at the time consent is obtained.
  • Patients with a clinically unstable condition at the time of enrollment as defined below
  • a) Received an intravenous therapeutic agent within 24 hours, or
  • b) Systolic blood pressure less than 100 mmHg or symptomatic hypotension.
  • Patients who must receive concomitant long-acting nitrates or NO donors.
  • Patients requiring use of phosphodiesterase 5 inhibitors.
  • Patients requiring use of other pulmonary vasodilators (endothelin receptor antagonists, prostacyclines, prostacyclin receptor agonists).
  • Patients requiring use of other sGC stimulants.
  • Patients with known allergy or hypersensitivity to sGC stimulants.
  • Patients awaiting heart transplantation, receiving continuous intravenous inotropic infusion, or who have or will have a ventricular assist device implantation.
  • Patients with acute coronary syndrome within 60 days before enrollment or patients who have undergone coronary revascularization within 60 days before enrollment.
  • Patients with serious complications (severe liver dysfunction such as hepatic encephalopathy, patients with severe pulmonary disease requiring continuous home oxygenation, eGFR less than 15 mL/min/1.73 m2 or patients undergoing dialysis, patinets with life expectancy less than 6 months due to malignancy or extra-cardiac disease).
  • Pregnant or lactating women, or women of childbearing potential (within 12 months of last menstrual period) who are unable to consent to contraception during the study period.
  • Patients who plans to participate in a study involving another intervention during the study period.
  • Patients who plans to undergo catheter intervention or surgery during the study period after enrollment.
  • For other safety reasons, the principal investigator or subinvestigator determines that participation in this study is inappropriate.

结局指标

主要结局

-

Change in pulmonary vascular resistance (PVR)

次要结局

未报告次要终点

研究者

发起方
未提供

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