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临床试验/EUCTR2015-002928-53-IE
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.

研究者

发起方
The Heartbeat Trust

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