Effects of Aliskiren on Patient With Heart Failure and a Normal Ejection Fraction
Aliskiren
A Randomized, Blinded, Placebo-Controlled Six Month Treatment Trial of Aliskiren to Improve Exercise Tolerance in Older Patients With Heart Failure and Normal Ejection Fraction
3 other identifiers
interventional
52
1 country
1
Brief Summary
The primary objective of this study is to determine whether treatment with aliskiren (300 mg) compared to placebo will improve treadmill exercise time in older (age ≥ 55 years) patients with heart failure and normal ejection fraction (HFNEF).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 heart-failure
Started Jul 2009
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
Study Start
First participant enrolled
July 1, 2009
CompletedFirst Submitted
Initial submission to the registry
September 18, 2009
CompletedFirst Posted
Study publicly available on registry
September 22, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedResults Posted
Study results publicly available
March 22, 2017
CompletedFebruary 27, 2019
February 1, 2019
2.2 years
September 18, 2009
October 31, 2016
February 12, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Exercise Treadmill Time
Treadmill exercise time to exhaustion on the modified naughton protocol. LS-mean is in effect, within-group means appropriately adjusted for the other effects in the model.
Baseline, 24 week visit
Study Arms (2)
Aliskiren
ACTIVE COMPARATOR50 % of subjects participating in this trial will be on the active medication, Aliskiren 300mg qd, the other 50% will be on placebo.
Placebo
PLACEBO COMPARATOR50% of subjects will be randomized to placebo.
Interventions
Eligibility Criteria
You may qualify if:
- Male or female ≥ 55 years of age
- Symptomatic HFNEF of at least 1 month duration.
- Reduced early diastolic mitral annular velocity by tissue Doppler
- Left ventricular ejection fraction (LVEF ≥ 0.50)
- Baseline exercise intolerance
- Patients who are able to provide written informed consent
- Stable medical therapy for 30 days prior to screening
You may not qualify if:
- Seated blood pressure ≥ 160/90 mmHg at Visit 1 (screening)
- Clinically significant pulmonary disease
- Known history of documented EF \< 0.45 at any time
- Clinically unstable heart failure, medication changes for worsening heart failure symptoms within the past 4 weeks
- Severe anemia (Hgb \<10 mg/dL)
- Clinical evidence of uncontrolled hypo or hyperthyroidism
- Clinically significant valvular heart disease
- Surgical correction of valvular heart disease within the last year
- Known familial hypertrophic cardiomyopathy or hypertrophic obstructive cardiomyopathy
- Known restrictive cardiomyopathy or systemic illness known to be associated with infiltrative myocardial disease (e.g. amyloidosis, sarcoidosis, hemachromatosis)
- Pericardial restriction or hemodynamically significant pericardial effusion
- Cor pulmonal or other causes of right heart failure not related to LV dysfunction
- Extreme obesity (weight \> 325 pounds)
- Acute coronary syndrome within past 3 months
- Coronary artery revascularization within past 3 months
- +14 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Wake Forest University Health Scienceslead
- Novartis Pharmaceuticalscollaborator
Study Sites (1)
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157, United States
Related Publications (2)
Scott JM, Haykowsky MJ, Eggebeen J, Morgan TM, Brubaker PH, Kitzman DW. Reliability of peak exercise testing in patients with heart failure with preserved ejection fraction. Am J Cardiol. 2012 Dec 15;110(12):1809-13. doi: 10.1016/j.amjcard.2012.08.015. Epub 2012 Sep 13.
PMID: 22981266RESULTUpadhya B, Brubaker PH, Morgan TM, Eggebeen JD, Jao GT, Stewart KP, Kitzman DW. The effect of Aliskiren on exercise capacity in older patients with heart failure and preserved ejection fraction: A randomized, placebo-controlled, double-blind trial. Am Heart J. 2018 Jul;201:164-167. doi: 10.1016/j.ahj.2018.03.019. Epub 2018 Apr 4.
PMID: 29910050DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dalane W. Kitzman, M.D.
- Organization
- Wake Forest School of Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Dalane W Kitzman, MD
Wake Forest University Health Sciences
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 18, 2009
First Posted
September 22, 2009
Study Start
July 1, 2009
Primary Completion
September 1, 2011
Study Completion
December 1, 2011
Last Updated
February 27, 2019
Results First Posted
March 22, 2017
Record last verified: 2019-02