A Pharmacogenomic Study of Candesartan in Heart Failure
Effect of ACE Inhibitor Plus High Dose Candesartan on BNP and Inflammation in Patients With LV Dysfunction: Impact of Renin-angiotensin-aldosterone System Genetic Polymorphisms
2 other identifiers
interventional
300
1 country
1
Brief Summary
The purpose of this study is to evaluate the impact of genetic variations on the response to candesartan in patients with heart failure who are already treated with an ACE inhibitor.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 heart-failure
Started Nov 2006
Typical duration for phase_4 heart-failure
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
November 1, 2006
CompletedFirst Submitted
Initial submission to the registry
November 15, 2006
CompletedFirst Posted
Study publicly available on registry
November 17, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2010
CompletedJuly 22, 2011
July 1, 2011
3.4 years
November 15, 2006
July 20, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
BNP and NT-proBNP
16 weeks
Secondary Outcomes (7)
Blood pressure
16 weeks
CRP
16 weeks
Renin
16 weeks
Aldosterone
16 weeks
Insulin resistance/ glucose
16 weeks
- +2 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Male or female \> or = 18 years old.
- Symptomatic CHF corresponding to NYHA class II-IV symptoms for at least 4 weeks prior randomization.
- LVEF \< or = 40%
- Treatment with an optimal and stable dose of ACE inhibitor for at least 4 weeks prior to enrolment in the study.
You may not qualify if:
- Treatment with an ARB within 8 weeks prior to randomization.
- Known hypersensitivity to ARBs or ACE inhibitors.
- Creatinine clearance \< 30 ml/min or serum creatinine \> 221
- Current serum potassium \> or = 5.0 mmol/L or a history of marked ACE inhibitor or ARB induced hyperkalemia.
- Known bilateral renal artery stenosis.
- Current symptomatic hypotension and/or systolic B.P. \< 90 mmHg.
- Decompensated heart failure described as hospitalization or I.V. administration of medication in emergency room or heart failure clinic within 4 weeks
- Stroke, acute coronary syndrome, PCI within the last 4 weeks before randomization.
- Connective tissue disease or chronic inflammatory condition
- Acute inflammatory process such as an infection or gout attack in the last 2 weeks.
- Pregnant or lactating women or women of childbearing potential who are not protected from pregnancy by an accepted method of contraception.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Montreal Heart Institutelead
- AstraZenecacollaborator
Study Sites (1)
Montreal Heart Institute
Montreal, Quebec, H1T 1C8, Canada
Related Publications (1)
de Denus S, Dube MP, Fouodjio R, Huynh T, LeBlanc MH, Lepage S, Sheppard R, Giannetti N, Lavoie J, Mansour A, Provost S, Normand V, Mongrain I, Langlois M, O'Meara E, Ducharme A, Racine N, Guertin MC, Turgeon J, Phillips MS, Rouleau JL, Tardif JC, White M; CANDIID II investigators. A prospective study of the impact of AGTR1 A1166C on the effects of candesartan in patients with heart failure. Pharmacogenomics. 2018 May;19(7):599-612. doi: 10.2217/pgs-2018-0004. Epub 2018 Apr 27.
PMID: 29701105DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Michel White, MD
Montreal Heart Institute
- PRINCIPAL INVESTIGATOR
Simon de Denus, B. Pharm, MSc,PhD
Montreal Heart Institute/ Faculty of Pharmacy, University of Montreal
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 15, 2006
First Posted
November 17, 2006
Study Start
November 1, 2006
Primary Completion
April 1, 2010
Study Completion
April 1, 2010
Last Updated
July 22, 2011
Record last verified: 2011-07