EUCTR2015-002928-53-IE进行中(未招募)1 期
Personalised prospective comparison of ARni with ArB in patients with natriuretic peptide eLEvation (PARABLE) - PARABLE
The Heartbeat Trust0 个研究点目标入组 250 人开始时间: 2015年9月10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
- 250
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 > 40yrs with cardiovascular risk factor(s) including at least one of:
- •a. History of hypertension (medicated for greater than one month);
- •b. History of diabetes;
- •BNP between 20 and 280pg/ml or NT-proBNP values between 100 pg/ml and 1,000 pg/ml within 6 months prior to screening
- •LAVI > 28 mL/m2 obtained during Doppler Echocardiography within 6 months prior to screening
- •Subjects must give written informed consent to participate in the study and before any study related assessments are performed
- •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 125
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 125
排除标准
- •1.A history of heart failure.
- •2.Asymptomatic left ventricular systolic dysfunction defined as LVEF <50% on most recent measurement.
- •3.Systolic blood pressure <100mmHg
- •4.Persistent atrial fibrillation.
- •5.History of hypersensitivity, allergy or intolerance to LCZ696, ARB or neprilysin therapy or to any of the excipients or other contraindication to their use.
- •6.Previous history of intolerance to recommended target doses for ARBs
- •7.Subjects who require treatment with both an ACE inhibitor and an ARB
- •8.Presence of haemodynamically significant mitral and /or aortic valve disease.
- •9.Presence of hemodynamically significant obstructive lesions of left ventricular outflow tract, including aortic stenosis.
- •10.Conditions that are expected to compromise survival over the study period.
- •11.Serum potassium level > 5.2 mmol/L at screening.
- •12.Severe renal insufficiency (eGFR <30 mL per minute per 1.73 m2).
- •13.Hepatic dysfunction (AST or ALT > 3 times the upper limit of normal (ULN))
- •14.Concomitant use of aliskiren
- •15.History of angioedema.
- •16.History or evidence of drug or alcohol abuse within the last 12 months
- •17.Malignancy or presence of any other disease with a life expectancy of < 2 years
- •18.Women who are pregnant, breast-feeding, or women of child bearing potential not using estro-progestative oral or intra-uterine contraception or implants, or women using estro-progestative oral or intra-uterine contraception or implants but who consider stopping it during the planned duration of the study. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause. (Contraception must be continued for one week following discontinuation of study drug).
- •19.Concomitant participation in other intervention trials
- •20.Participation in any investigational drug trial within one month of visit 1.
- •21.Refusal to provide informed consent
- •22.Subjects with contraindications to MRI
- •a)Brain aneurysm clip
- •b)Implanted neural stimulator
- •c)Implanted cardiac pacemaker or defibrillator
- •d)Cochlear implant
- •e)Ocular foreign body (e.g. metal shavings)
- •f)Other implanted medical devices: (e.g. Swan-Ganz catheter)
- •g)Insulin pump
- •h)Metal shrapnel or bullet.
- •23.Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of study drugs, including but not limited to any of the following:
- •a)History of major gastrointestinal tract surgery including gastrectomy, gastroenterostomy, or bowel resection.
- •b)Inflammatory bowel disease during the 12 months prior to Visit 1.
- •c)Any history of pancreatic injury, pancreatitis or evidence of impaired pancreatic function/injury as indicated by abnormal lipase or amylase.
- •d)Evidence of hepatic disease as determined by any one of the following: SGOT or SGPT values exceeding 3 x ULN at Visit 1, a history of hepatic encephalopathy, a history of oesophageal varices, or a history of portocaval shunt.
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