Comparing the Effects of Conivaptan and Diuretics on Plasma Neurohormones and Renal Blood Flow in Patients With Chronic Congestive Heart Failure
Comparative Effects of Conivaptan and Loop Diuretics on Plasma Neurohormones and Systemic and Renal Hemodynamics in Subjects With Chronic Congestive Heart Failure
2 other identifiers
interventional
8
1 country
1
Brief Summary
The purpose of the study is to compare the effects of conivaptan and diuretics on renal blood flow and neurohormones.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable heart-failure
Started Jul 2009
Shorter than P25 for not_applicable heart-failure
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 17, 2009
CompletedFirst Posted
Study publicly available on registry
June 18, 2009
CompletedStudy Start
First participant enrolled
July 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2010
CompletedJune 18, 2009
June 1, 2009
5 months
June 17, 2009
June 17, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
renal hemodynamics renal blood flow and glomerular filtration rate
measured on days 1, 2, 3
Secondary Outcomes (1)
measure plasma neurohormone levels
predose, 1 hour and 4 hours post dose measured on day 1, 2, 3
Study Arms (3)
Conivaptan
ACTIVE COMPARATORConivaptan will be given via IV bolus
Furosemide
ACTIVE COMPARATORFurosemide will be given via IV bolus
conivaptan and furosemide
ACTIVE COMPARATORon day 3 subjects will receive both study drugs
Interventions
Conivaptan 20 mg IV bolus followed by a 4 hour infusion at 1.2 mg/hr
Furosemide will be given IV at the subjects usual oral dose up to 80 mg. If the dose is 80 mg or more only 1/2 the dose will be given IV.
Furosemide bolus first; conivaptan 20 mg IV bolus/infusion at 1.2 mg/hour for a total of 4 hours
Eligibility Criteria
You may qualify if:
- Have a diagnosis of chronic congestive heart failure of any etiology
- Be between 18-80 years of age
- Able to provide consent
- Have a documented left ventricular ejection fraction within the last year of \< 40%
- On a stable dose (no changes within 2 weeks) of 40 mg or greater daily dose of furosemide or its equivalent
- On standard HF therapy medications (ACEI or ARB and beta-blocker unless contraindicated)
- Have an estimated glomerular filtration rate (GFR) of 30 ml/minute or greater (based on the Cockcroft Gault calculation)
- Have a hemoglobin of \> 10 grams/dl
- Have a negative urine pregnancy for women of childbearing years only
You may not qualify if:
- Acute coronary syndrome within 1 month
- Systolic blood pressure less than or equal to 90 mmHg at time of enrollment
- Poor peripheral venous access
- Severe concomitant disease which deemed by the investigator would render them unsuitable for this trial
- Allergy or contraindication to the use of iothalamate, PAH - Specifically any allergies to iodine or iodine containing products, history of asthma and hay fever which deemed by the investigator would render them unsuitable for this trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hennepin County Medical Center, Minneapolislead
- Astellas Pharma Inccollaborator
Study Sites (1)
Hennepin county Medical Center
Minneapolis, Minnesota, 55404, United States
Related Publications (1)
Goldsmith SR, Gilbertson DT, Mackedanz SA, Swan SK. Renal effects of conivaptan, furosemide, and the combination in patients with chronic heart failure. J Card Fail. 2011 Dec;17(12):982-9. doi: 10.1016/j.cardfail.2011.08.012. Epub 2011 Oct 6.
PMID: 22123359DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Steven R Goldsmith, MD
Hennepin County Medical Center, Minneapolis
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
June 17, 2009
First Posted
June 18, 2009
Study Start
July 1, 2009
Primary Completion
December 1, 2009
Study Completion
March 1, 2010
Last Updated
June 18, 2009
Record last verified: 2009-06