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临床试验/JPRN-jRCTs021210046
JPRN-jRCTs021210046招募中4 期

Program of Angiotensin-Neprilysin Inhibition in Admitted Patients with Worsening Heart Failure - PREMIER study

ode Koichi0 个研究点目标入组 400 人开始时间: 2021年11月15日最近更新:
适应症

试验速览

阶段
4 期
状态
招募中
发起方
入组人数
400

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
>= 20age old 至 ot applicable(—)
性别
All

入选标准

  • 1)Patients must provide written informed consent themselves to participate in this study
  • 2)Aged 20 or older at consent (male or female)
  • 3)Hospitalized due to worsening heart failure with both signs of congestion (such as edema, moist rales, and congestion on chest X-ray) and symptoms of heart failure (such as dyspnea on mild exertion or at rest) (any level of left ventricular ejection fraction)
  • 4)NYHA class II-IV
  • 5)Taking an ACE inhibitor or an ARB
  • 6)Can undergo randomization within 7 days of current hospitalization
  • 7)Patients who meet the following criteria of hemodynamic stability
  • I.Systolic blood pressure >100 mm Hg
  • II.No dose increase of intravenous diuretic within 6 hours before randomization
  • III.No intravenous administration of vasodilator (such as carperitide or nitrates) or positive inotropic agent
  • 8)Patients who meet the following reference range for natriuretic peptide level from 48 hours before current hospitalization to the time of eligibility determination
  • NT-proBNP >-1200 pg/mL or BNP >-300 pg/m

排除标准

  • 1)Currently taking oral sacubitril valsartan or have taken it within 30 days prior to randomization
  • 2)History of hypersensitivity to ingredients in ARB, ACE inhibitor, or sacubitril valsartan; or expected to be contraindicated for or intolerant to any of these drugs
  • 3)History of angioedema
  • 4)Severe renal dysfunction (5)Severe liver dysfunction (Child-Pugh class C)
  • 6)Diabetic patients who are currently taking aliskiren fumarate
  • 7)Serum potassium >5.3 mEq/L or more
  • 8)Cardiogenic shock
  • 9)On cardiopulmonary support, with a left ventricular assist device, or on a ventilator
  • 10)Onset of stroke or acute coronary syndrome within 30 days prior to randomization
  • 11)History of surgical or percutaneous treatment of cardiovascular disease within 30 days prior to randomization
  • 12)Patients with an advanced plan for surgical or percutaneous treatment of cardiovascular disease or for coronary artery revascularization during an observation period
  • 13)Patients with an advanced plan for pacemaker implantation, cardiac resynchronization therapy, or electrical cardioversion during an observation period
  • 14)History or comorbidity of hypertrophic obstructive cardiomyopathy or infiltrative cardiomyopathy such as amyloidosis or sarcoidosis
  • 15)Active pericardial disease
  • 16)History of or awaiting heart transplant
  • 17)Severe chronic respiratory disease or active infectious disease
  • 18)Patients who are or might become pregnant or who are breastfeeding
  • 19)Patients whom a study investigator determined to be unsuitable for the study (such as patients with comorbid active malignancy)

研究者

发起方
ode Koichi

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