Effect of NT-proBNP Guided Treatment of Chronic Heart Failure
Can Pro-brain-natriuretic Peptide Guided Therapy of Chronic Heart Failure Improve Heart Failure Morbidity and Mortality?
1 other identifier
interventional
N/A
1 country
1
Brief Summary
The purpose of this study is to determine whether NT-proBNP guided treatment of chronic congestive heart failure will reduce heart failure related morbidity and mortality compared to therapy guided by standard clinical judgement.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Jun 2004
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2004
CompletedFirst Submitted
Initial submission to the registry
September 6, 2005
CompletedFirst Posted
Study publicly available on registry
September 8, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2009
CompletedFebruary 9, 2010
August 1, 2008
4.6 years
September 6, 2005
February 8, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Difference in total number of days alive and outside the hospital between the NT-proBNP guided and the clinical guided group.
minimum of one year
Secondary Outcomes (9)
All cause mortality
at least one year
Cardiovascular mortality
at least one year
All cause hospitalization
at least one year
Cardiovascular related hospitalization
at least one year
Total number of hospitalizations and mortality
at least one year
- +4 more secondary outcomes
Study Arms (2)
NT-proBNP guided treatment group
ACTIVE COMPARATORIn this group, management was guided by an individually set NT-proBNP, defined by the lowest level at discharge or 2 weeks thereafter. If NT-proBNP levels were elevated above the individually set NT-proBNP interventions were performed according to the ESC heart failure guidelines.
Clinically guided arm
PLACEBO COMPARATORHeart failure treatment guided by clinical assessment.
Interventions
Eligibility Criteria
You may qualify if:
- Admission because of congestive heart failure
- Elevated NT-proBNP levels on admission
You may not qualify if:
- Life-threatening cardiac arrhythmias
- Urgent intervention
- Severe lung disease
- Presence of life threatening disease
- Signed informed consent for other study
- Mental or physical status not allowing written informed consent.
- Unwillingness to give informed consent
- Patients undergoing haemodialysis or continuous ambulatory peritoneal dialysis (CAPD)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Universtiy Hospital Maastricht
Maastricht, Limburg, 5800, Netherlands
Related Publications (1)
Eurlings LW, van Pol PE, Kok WE, van Wijk S, Lodewijks-van der Bolt C, Balk AH, Lok DJ, Crijns HJ, van Kraaij DJ, de Jonge N, Meeder JG, Prins M, Pinto YM. Management of chronic heart failure guided by individual N-terminal pro-B-type natriuretic peptide targets: results of the PRIMA (Can PRo-brain-natriuretic peptide guided therapy of chronic heart failure IMprove heart fAilure morbidity and mortality?) study. J Am Coll Cardiol. 2010 Dec 14;56(25):2090-100. doi: 10.1016/j.jacc.2010.07.030.
PMID: 21144969DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dave JW van Kraaij, MD
Maastricht University Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 6, 2005
First Posted
September 8, 2005
Study Start
June 1, 2004
Primary Completion
January 1, 2009
Study Completion
April 1, 2009
Last Updated
February 9, 2010
Record last verified: 2008-08