Effects of Amlodipine in the Management of Chronic Heart Failure
Regional and Systemic Hemodynamic Effects of a Long-term Administration of Amlodipine in Patients With Chronic Heart Failure Treated With a Combination of Enalapril, Furosemide and Digoxin
3 other identifiers
interventional
7
1 country
2
Brief Summary
Patients with congestive heart failure are usually treated with a combination of an ACE inhibitor (or an AT1 blocking agent), a diuretic and a beta-blocker. However, some patients remain symptomatic despite an optimal treatment with these drugs. In patients who also have coronary heart disease, nitrates or some calcium-channel blockers could help to relieve symptoms. Therefore, the aim of our study is to evaluate the additional benefit induced by a second generation calcium-channel blocker, amlodipine, in patients with chronic heart failure who remain symptomatic despite an optimal treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
2 active sites
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
February 10, 1999
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 6, 2001
CompletedFirst Submitted
Initial submission to the registry
September 8, 2005
CompletedFirst Posted
Study publicly available on registry
September 9, 2005
CompletedMarch 26, 2019
March 1, 2019
2.6 years
September 8, 2005
March 25, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Humeral blood flow
Secondary Outcomes (13)
Systemic hemodynamics:
- Systolic and diastolic arterial pressures
- Heart rate and cardiac output
- Systolic and diastolic left ventricular diameters
- Ambulatory measure of arterial pressure
- +8 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Patients over 18 years
- Chronic heart failure with New York Heart Association class III or IV.
- Ischemic or dilated cardiopathy known for at least 3 months
- Systolic arterial pressure \> 110 mmHg under treatment
- Stroke volume between 20 and 40% under treatment
- Informed written consent
You may not qualify if:
- History of allergy to one of the studied pharmaceutical classes
- History of troubles in ventricular rythm (tachycardia, fibrillation) or acute heart failure
- Chronic renal, hepatic or respiratory failure
- Diabetes
- Valvulopathy
- Myocarditis,constrictive pericarditis
- Life prognosis \< 6 months due to a non cardiac pathology
- Absence of woman contraception, pregnancy, breast-feeding
- Treatment with calcium channel blockers or antiarrythmics class IC
- Unstable patient under standardized treatment
- Unable to do a stress test
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Service de Réanimation Médicale - Hôpital Raymond Poincaré
Garches, 92380, France
Service de Réadaptation Cardio-Vasculaire - Clinique St Yves
Rennes, 35044, France
Related Publications (3)
Elkayam U, Shotan A, Mehra A, Ostrzega E. Calcium channel blockers in heart failure. J Am Coll Cardiol. 1993 Oct;22(4 Suppl A):139A-144A. doi: 10.1016/0735-1097(93)90478-j.
PMID: 8376684BACKGROUNDCohn JN, Johnson G, Ziesche S, Cobb F, Francis G, Tristani F, Smith R, Dunkman WB, Loeb H, Wong M, et al. A comparison of enalapril with hydralazine-isosorbide dinitrate in the treatment of chronic congestive heart failure. N Engl J Med. 1991 Aug 1;325(5):303-10. doi: 10.1056/NEJM199108013250502.
PMID: 2057035BACKGROUNDPacker M, O'Connor CM, Ghali JK, Pressler ML, Carson PE, Belkin RN, Miller AB, Neuberg GW, Frid D, Wertheimer JH, Cropp AB, DeMets DL. Effect of amlodipine on morbidity and mortality in severe chronic heart failure. Prospective Randomized Amlodipine Survival Evaluation Study Group. N Engl J Med. 1996 Oct 10;335(15):1107-14. doi: 10.1056/NEJM199610103351504.
PMID: 8813041BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eric Bellissant, MD, PhD
CHU Rennes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 8, 2005
First Posted
September 9, 2005
Study Start
February 10, 1999
Primary Completion
September 6, 2001
Last Updated
March 26, 2019
Record last verified: 2019-03