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临床试验/EUCTR2015-004402-42-IT
EUCTR2015-004402-42-IT进行中(未招募)1 期

A pilot study assessing the effects of Ranolazine on coronary microvascular dysfunction in patients with hypertrophic cardiomyopathy - Ranolazine microvascular dysfunction HCM

OSPEDALE SAN RAFFAELE0 个研究点目标入组 24 人开始时间: 2021年9月9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
24

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

  • 1.Male and female gender.
  • 2.Patients who fulfil conventional echocardiographic criteria for the diagnosis of HCM: maximum LV wall thickness = 15 mm;
  • 3.Patients aged > 18 years and < 80 years;
  • 4.Absence of severe resting LV outflow tract obstruction (peak gradient = 50 mmHg);
  • 5.Sinus rhythm; accepted isolated Supraventricular and Ventricular Premature Beats (VPB);
  • 6.Females of childbearing potential must be using highly effective contraceptive precautions such as implants, injectables, combined oral contraceptives, intrauterine devices, sexual abstinence or vasectomised partner);
  • 7.Females of childbearing potential or within two years from the menopause must have a negative urine pregnancy test;
  • 8.Ability to give written informed consent prior to enrolment into 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 20
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 4

排除标准

  • 1.severe resting LV outflow tract obstruction (peak gradient > 50 mmHg)
  • 2.Females of childbearing potential not using highly effective contraception;
  • 3.Presence of known coronary artery disease (CAD);
  • 4.Presence of Chronic Obstructive Airways Disease;
  • 6.Other causes of microvascular dysfunction including long-standing history of arterial hypertension, diabetes, uncontrolled dyslipidemia;
  • 7.Body mass index >32 kg/m2; < 17 kg/m2
  • 8.Overt LV systolic dysfunction with end-stage progression (LV-EF <50%);
  • 9.Concomitant administration of potent CYP3A4 inhibitors (e.g. itraconazole, ketoconazole, voriconazol, posaconazol, HIV protease inhibitors, clarithromycin, telithromycin, nefazodone);
  • 10.Patients treated with sotalol, dronedarone, class I antiarrhythmics or other QT-prolonging drugs; stable treatment with amiodarone is permitted;
  • 11.Patients with QTc (Bazett’s formula) at baseline = 450 ms males; = 470 msec females
  • 12.Any clinically relevant haematological or biochemical abnormality on routine screening, according to Investigator’s judgment;
  • 13.Severe concurrent pathology, including terminal illness (cancer, AIDS, etc.);
  • 14.Severe renal impairment defined as GFR < 29 mL/min/1.73 m2 or creatinine level > 2.5 mg/dL or BUN >60 mg/dL;
  • 15.Moderate or severe hepatic impairment or hepatic insufficiency defined as SGOT or SGPT > 2 times greater than upper limit of normal of the local laboratory or total serum bilirubin > 1.5 times greater than normal upper limit of the local laboratory;
  • 16.Dementia, psychosis, alcoholism (>350 g ethanol/week) or chronic abuse of medicaments, drugs or psychoactive substances;
  • 17.Claustrophobia;
  • 18.Females who are pregnant or lactating;
  • 19.Conditions which in the Investigator’s opinion may interfere with the study’s execution or due to which the patient should not participate for safety reasons;
  • 20.Risk of poor patient cooperation;
  • 21.Participation into a clinical study = 2 months before enrolment;
  • 22.Inability or unwillingness to issue the informed consent;
  • 23.Concomitant use of >20 mg daily dose of Simvastatin during the study (in case of patients taking simvastatin > 20 mg daily, the switch to other statins not metabolized by the CYP3A4 could be considered);
  • 24.Concomitant use of Atorvastatin (>80 mg daily);
  • 25.Concomitant use of >1000 mg daily dose of metformin during the study.

研究者

发起方
OSPEDALE SAN RAFFAELE

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