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临床试验/NL-OMON53498
NL-OMON53498尚未招募2 期

Evaluation of GeranylGeranylAcetone in heart failure with preserved ejection fraction - GLADIATOR-HFpEF

Amsterdam UMC0 个研究点目标入组 40 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
尚未招募
发起方
入组人数
40

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • To be eligible to participate in this study, a subject must meet all of the
  • following criteria:
  • 1. Age>= 50 years
  • 2. Patients with a diagnosis of symptomatic chronic heart failure (New York
  • Heart Association class II or III) AND preserved systolic LV function (LV
  • ejection fraction or LVEF >= 50%) documented within the last 6 months AND
  • evidence of diastolic LV dysfunction with at least 1 out of the following 4
  • - HFA-PEFF score >=5
  • - H2FPEF score >=6
  • - HFpEF according to the 2021 ESC HF Guidelines (NT-proBNP>125 pg/ml AND either
  • LV mass indexed or LVMI >95 g/m2 for women and >115 g/m2 for men OR left atrial
  • volume indexed or LAVI >34 ml/m2 OR mean e; septal/lateral < 9 cm/s) OR E/e*
  • >13) OR TR velocity at rest > 2.8 m/s.
  • - Pulmonary capillary wedge pressure (PCWP) >15 mmHg and/or >25 mmHg during

排除标准

  • 1. Current acute decompensated heart failure, requiring hospitalization or
  • augmented therapy with intravenous diuretics, vasodilators, and/or inotropic
  • 2. Acute coronary syndrome, transient ischemic attack/cerebrovascular accident,
  • major surgery within the previous 3 months
  • 3. Hemoglobin <9 g/dl at screening
  • 4. LVEF <40% measured at any time point in the history of the patient
  • 5. History of mitral valve repair or replacement
  • 6. Presence of significant valvular disease defined as mitral valve
  • regurgitation defined as grade >= 3+ MR; tricuspid valve regurgitation defined
  • as grade >= 2+ TR; aortic valve disease defined as >= 2+ AR or > moderate AS
  • 7. Acute myocarditis within 3 months prior to randomization
  • 8. Infiltrative cardiomyopathy
  • 9. Genetic cardiomyopathy
  • 10. Severe pulmonary disease requiring home oxygen or chronic oral steroid
  • 11. Precapillary pulmonary hypertension
  • 12. BMI >40 kg/m2
  • 13. Estimated glomerular filtration rate (GFR) <20 ml/min or >90 ml/min
  • 14. History of solid organ transplantation including kidney transplantation
  • 15. Atrial fibrillation or atrial flutter with resting ventricular rate >110 bpm
  • 16. Not able to undergo the complete study protocol
  • 17. Doubt about compliance
  • 18. Pre-menopausal women who are nursing, pregnant, or of child-bearing
  • potential and not practicing an acceptable method of birth control
  • 19. Chronic absorption problems
  • 20. Proven allergy for lactose products or cow-milk.
  • 21. Proven allergy for Iodide-containing contrast, Iohexol or PAH.
  • 22. Any documented or suspected malignancy or history of malignancy within 1
  • year prior to screening, except appropriately treated basal cell carcinoma of
  • the skin or in situ carcinoma of the cervix
  • 23. Currently enrolled in another investigational device or drug trial
  • 24. Estimated life expectancy <1 year

研究者

发起方
Amsterdam UMC

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