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临床试验/NCT02154269
NCT02154269已完成2 期

Prospective, Double-blind, Randomized, Placebo-controlled Phase II Clinical Trial for Evaluation of G-CSF in Patients With Chronic Chagas Cardiomyopathy

Hospital Sao Rafael1 个研究点 分布在 1 个国家目标入组 70 人开始时间: 2015年9月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
入组人数
70
试验地点
1
主要终点
NYHA (New York Heart Association) functional class improvement

研究概览

简要总结

The purpose of this study is to evaluate the effectiveness of treatment with G-CSF in patients with chronic heart failure secondary to Chagas disease.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
20 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Diagnosis of Chagas' disease confirmed by two serological tests with different methodologies;
  • Diagnosis of Chagas' cardiomyopathy in NYHA functional classes II, III and IV of heart failure;
  • Availability and willingness to participate, given the schedule of the study;
  • Agreement and signing the written form.

排除标准

  • Acute systemic infections
  • Solid neoplasms, myelodysplastic syndrome, acute or chronic myeloid leukemia, confirmed by imaging studies or past medical history;
  • Valvulopathies with hemodynamic consequences;
  • Autoimmune, pulmonary, or degenerative diseases, confirmed by imaging studies or past medical history;
  • Severe renal, hepatic or thyroid dysfunction, confirmed by imaging studies or past medical history;
  • Pregnancy (confirmed by examination of β HCG) or lactation;
  • Known hypersensitivity to G-CSF or to other components of the formula and / or hypersensitivity to proteins derived from E. coli.

研究组 & 干预措施

G-CSF

Experimental

Subjects will be randomly assigned to receive treatment with G-CSF (10mg/kg/day) for five days, during 4 cicles.

干预措施: Treatment with G-CSF (Granulocyte colony stimulating factor) (Drug)

Saline

Placebo Comparator

Subjects will be randomly assigned to receive saline for five days, during 4 cicles.

干预措施: Placebo saline (Drug)

结局指标

主要结局

NYHA (New York Heart Association) functional class improvement

时间窗: 6, 9 and 12 months after the therapy with G-CSF

All patients will undergo periodic clinical evaluations in order to identify improvement on NYHA classification for heart failure.

次要结局

  • Assessment of cardiovascular function measured by transthoracic echocardiography(6 and 12 months after the therapy)
  • Evaluation of improvement of quality of life(6 and 12 months after the therapy)
  • Assessment of cardiovascular function measured by cardiac magnetic resonance imaging(12 months after therapy)
  • Evaluation of functional capacity assessed by treadmill test and by 6-minute walk test(12 months after the therapy)
  • Determination of tolerability(1, 5, 13, 17, 25, 29, 37 and 41 days and 3, 6, 9 and 12 months after the therapy)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Milena Botelho Pereira Soares

PhD

Hospital Sao Rafael

研究点 (1)

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