Survival Study of the Recombinant Human Neuregulin-1β in Subjects With Chronic Heart Failure.
A Multi-center, Randomized, Double-blined, Placebo Parallel Controlled Phase III Clinical Trial to Evaluate the Effect of Injectable Neucardin on the Mortality of Subjects With Chronic Systolic Heart Failure on Standard HF Therapy.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Xiaorui Wang, Ph.D
- Phone Number: 196 86-21-50802627
- Email: wangxiaorui@zensun.com
Study Contact Backup
- Name: Runlin Gao, Ph.D,MD
Study Locations
-
-
Beijing
-
Beijing, Beijing, China, 100048
- Recruiting
- Navy General Hospital
-
Contact:
- Tianchang Li
-
Principal Investigator:
- Tianchang Li
-
Beijing, Beijing, China, 100010
- Recruiting
- Beijing Hospital of Traditional Chinese Medicine
-
Contact:
- Hongxu Liu
-
Principal Investigator:
- Hongxu Liu
-
Beijing, Beijing, China
- Recruiting
- Beijing Jingmei Group General Hospital
-
Contact:
- Jianping Luo
-
Principal Investigator:
- Jianping Luo
-
Beijing, Beijing, China
- Recruiting
- Fuwai Hospital and Cardiovascular Institute, Chinese Academy of Medical Sciences
-
Contact:
- Jian Zhang, MD, Ph.D
- Phone Number: 86-10-88398772
-
Principal Investigator:
- Jian Zhang, MD, Ph.D
-
-
Chongqing
-
Chongqing, Chongqing, China, 404000
- Recruiting
- Affiliated Hospital of Chongqing Three Gorges Medical College
-
Contact:
- Gang Xiong
-
Principal Investigator:
- Gang Xiong
-
Chongqing, Chongqing, China
- Recruiting
- Chongqing Emergency Medical Center
-
Contact:
- Ying Zhang
-
Chongqing, Chongqing, China
- Recruiting
- Chongqing Three Gorges Central Hospital
-
Contact:
- Xiaohua Pang
-
Principal Investigator:
- Xiaohua Pang
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510120
- Recruiting
- Sun Yai-Sen Memorial Hospital Sun Yai-Sen University
-
Contact:
- Jingfeng Wang
-
Principal Investigator:
- Jingfeng Wang
-
Guangzhou, Guangdong, China, 510317
- Recruiting
- Guangdong second provincial central hospital
-
Contact:
- Yuhui Li
-
Principal Investigator:
- Yuhui Li
-
Guangzhou, Guangdong, China, 511400
- Recruiting
- Guangzhou Panyu Central Hospital
-
Contact:
- Guoqin Chen
-
Principal Investigator:
- Guoqin Chen
-
Zhanjiang, Guangdong, China, 524001
- Not yet recruiting
- Affiliated Hospital of Guangdong Medical University
-
Contact:
- Jianying Chen
-
Principal Investigator:
- Jianying Chen
-
Zhuhai, Guangdong, China
- Recruiting
- The Fifth Affiliated Hospital Sun Yat-Sen University
-
Contact:
- Xiufang Lin
-
-
Guizhou
-
Zunyi, Guizhou, China, 133012
- Recruiting
- The First People'S Hospital of Zunyi
-
Contact:
- Qianfeng Jiang
-
Principal Investigator:
- Qianfeng Jiang
-
-
Hainan
-
Haikou, Hainan, China
- Recruiting
- Haikou People's Hospital
-
Contact:
- Shijuan Lu
-
Principal Investigator:
- Shijuan Lu
-
Sanya, Hainan, China
- Recruiting
- The Third People's Hospital of Hainan Province
-
Contact:
- Ling Lin
-
Principal Investigator:
- Ling Lin
-
-
Hebei
-
Handan, Hebei, China, 056001
- Recruiting
- HanDan Central Hospital
-
Contact:
- Hongsen Tian
-
Principal Investigator:
- Hongsen Tian
-
Handan, Hebei, China, 056002
- Recruiting
- First Hospital of Handan
-
Contact:
- Xiufeng Zhao
-
Principal Investigator:
- Xiufeng Zhao
-
Shijiazhuang, Hebei, China, 05000
- Recruiting
- 980 Hospital of PLA Joint Logistics Support Force (Bethune International Peace Hospital)
-
Contact:
- Ru Leisheng
-
Principal Investigator:
- Ru Leisheng
-
Xingtai, Hebei, China, 054000
- Recruiting
- The Second Affiliated Hospital of Xingtai Medical College
-
Contact:
- Dongmei Gao
-
Principal Investigator:
- Dongmei Gao
-
Xingtai, Hebei, China, 054000
- Recruiting
- Xingtai People's Hospital
-
Contact:
- Qingmin Wei
-
Principal Investigator:
- Qingmin Wei
-
-
Heilongjiang
-
Qiqihar, Heilongjiang, China, 161002
- Recruiting
- The Third Affiliated Hospital of Qiqihar Medical University
-
Contact:
- Haifeng Shao
-
Principal Investigator:
- Haifeng Shao
-
-
Henan
-
Kaifeng, Henan, China, 475000
- Recruiting
- Huaihe Hospital of Henan University
-
Contact:
- Ruili He
-
Principal Investigator:
- Ruili He
-
Luoyang, Henan, China
- Recruiting
- The First People's Hospital of Luoyang
-
Contact:
- Qunsheng Zhang
-
Principal Investigator:
- Qunsheng Zhang
-
Puyang, Henan, China, 457001
- Recruiting
- Puyang Oilfield General Hospital
-
Contact:
- Fuxian Ren
-
Principal Investigator:
- Fuxian Ren
-
Sub-Investigator:
- Yu Zhao
-
Xinxiang, Henan, China
- Recruiting
- The First People's Hospital of Xinxiang
-
Contact:
- Guiye Zhao
-
Principal Investigator:
- Guiye Zhao
-
Xinzheng, Henan, China, 451150
- Recruiting
- Pepole's Hospital of Xinzheng
-
Contact:
- Yanhong Li
-
Principal Investigator:
- Yanhong Li
-
Zhengzhou, Henan, China, 450004
- Recruiting
- Zhengzhou First People's Hospital
-
Contact:
- Hongwei Yu
-
Principal Investigator:
- Hongwei Yu
-
Zhengzhou, Henan, China, 471099
- Recruiting
- Luoyang Center Hospital
-
Contact:
- Shouyan Zhang
-
Principal Investigator:
- Shouyan Zhang
-
Zhengzhou, Henan, China
- Recruiting
- Henan Provincial Chest Hospital
-
Contact:
- Juan Chen
-
Principal Investigator:
- Juan Chen
-
-
Hunan
-
Changsha, Hunan, China, 410008
- Recruiting
- Xiangya Hospital Central South University
-
Contact:
- Zaixin Yu
-
Changsha, Hunan, China
- Recruiting
- Hunan Provincial People's Hospital
-
Contact:
- Jianqiang Peng
-
Principal Investigator:
- Jianqiang Peng
-
Hengyang, Hunan, China, 421001
- Recruiting
- The Second Hospital. University of South China
-
Contact:
- Gaofeng Zeng
-
Principal Investigator:
- Gaofeng Zeng
-
-
Inner Mongolia
-
Baotou, Inner Mongolia, China
- Recruiting
- The First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of Science & Technology
-
Principal Investigator:
- Xuefeng Lin
-
Contact:
- Xuefeng Lin
-
Chifeng, Inner Mongolia, China, 024000
- Recruiting
- Chifeng Municipal Hospital
-
Contact:
- Xiandong Sun
-
Principal Investigator:
- XIANDONG SUN
-
-
Jiangsu
-
Xuzhou, Jiangsu, China
- Recruiting
- The Affiliated Hospital of Xuzhou Medical College
-
Contact:
- Yong Xia
-
Principal Investigator:
- Yong Xia, MD,Ph.D
-
-
Jiangxi
-
Jiujiang, Jiangxi, China, 332000
- Recruiting
- Jiujiang Hospital Affiliated to Nanchang University
-
Contact:
- Xihu Yin
-
Principal Investigator:
- Xihu Yin
-
-
Jilin
-
Chang Chun, Jilin, China, 130021
- Recruiting
- Jilin Academy of Traditional Chinese Medicine
-
Contact:
- Shurong Liu
-
Principal Investigator:
- Shurong Liu
-
Changchun, Jilin, China, 130021
- Recruiting
- Affiliated Hospital of Changchun University of Chinese Medicine
-
Contact:
- Yue Deng
-
Principal Investigator:
- Yue Deng
-
Changchun, Jilin, China
- Recruiting
- Jilin University Sino-Japanese Friendship Hospital
-
Contact:
- Fanbo Meng
-
Principal Investigator:
- Fanbo Meng
-
Changchun, Jilin, China
- Recruiting
- The first Affiliated Hospital of Jilin University
-
Contact:
- Yushi Wang
-
Principal Investigator:
- Yushi Wang
-
Meihekou, Jilin, China, 135000
- Recruiting
- Meihekou Central Hospital
-
Contact:
- Jinliang Zhang
-
Principal Investigator:
- Jinliang Zhang
-
Siping, Jilin, China
- Recruiting
- Siping Central People's Hospital
-
Contact:
- Zhihua Fang
-
Principal Investigator:
- Zhihua Fang
-
Tonghua, Jilin, China, 134000
- Recruiting
- Tonghua Central Hospital
-
Contact:
- Xuxia Zhang
-
Principal Investigator:
- Xuxia Zhang
-
-
Liaoning
-
Shenyang, Liaoning, China
- Recruiting
- Shengjing Hospital affiliated to China Medical University
-
Contact:
- Shumei Ma
-
Principal Investigator:
- Shumei Ma
-
Shenyang, Liaoning, China, 110016
- Recruiting
- The People's Hospital of Liaoning Province
-
Contact:
- Zhanquan Li
-
Principal Investigator:
- Zhanquan Li
-
-
Shaanxi
-
Xianyang, Shaanxi, China, 712000
- Recruiting
- The Affiliated Hospital of Shaanxi University of Chinese Medicine
-
Contact:
- Ling Chen
-
Principal Investigator:
- Ling Chen
-
-
Shandong
-
Jinan, Shandong, China, 250013
- Recruiting
- Jinan Central Hospital
-
Contact:
- Wei Miao
-
Principal Investigator:
- Wei Miao
-
Jinan, Shandong, China
- Recruiting
- Qilu Hospital of Shandong University
-
Contact:
- Ming Zhong, MD,Ph.D
-
Principal Investigator:
- Ming Zhong, MD,Ph.D
-
-
Shanghai
-
Shanghai, Shanghai, China
- Recruiting
- Shanghai Oriental Hospital
-
Contact:
- Huimin Fan
-
Principal Investigator:
- Huimin Fan
-
Shanghai, Shanghai, China, 200000
- Recruiting
- Central Hospital of Minhang District
-
Principal Investigator:
- Wei Hu
-
Contact:
- Wei Hu
-
Shanghai, Shanghai, China, shanghai
- Recruiting
- The Sixth People's Hospital, Shanghai Jiaotong University
-
Contact:
- Jingwei Pan
-
Principal Investigator:
- Jingwei Pan
-
Shanghai, Shanghai, China
- Recruiting
- Shanghai Yangpu District Central Hospital
-
Contact:
- Jiahong Wang
-
Principal Investigator:
- Jiahong Wang
-
Shanghai, Shanghai, China
- Recruiting
- The Central Hospital of Putuo District, Shanghai
-
Contact:
- Zongjun Liu, MD,Ph.D
-
Principal Investigator:
- Zongjun Liu, MD,Ph.D
-
-
Shanxi
-
Taiyuan, Shanxi, China, 030001
- Recruiting
- Second Hospital of Shanxi Medical University
-
Contact:
- Zhiming Yang
-
Principal Investigator:
- Zhiming Yang
-
Taiyuan, Shanxi, China, 030024
- Recruiting
- Shanxi Cardiovascular Disease Hospital
-
Contact:
- Huiyuan Han
-
Principal Investigator:
- Huiyuan Han
-
Taiyuan, Shanxi, China
- Suspended
- Taiyuan City Central Hospital
-
-
Sichuan
-
Deyang, Sichuan, China, 618000
- Recruiting
- Pepole's hospital of DeYang city
-
Contact:
- Xiaojian Deng
-
Principal Investigator:
- Xiaojian Deng
-
Neijiang, Sichuan, China
- Recruiting
- The Second People's Hospital of Neijiang
-
Contact:
- Quanwei Liu
-
Principal Investigator:
- Quanwei Liu
-
-
Tianjing
-
Tianjing, Tianjing, China, 300000
- Recruiting
- Wuqing pepole's hospital
-
Contact:
- Feng Ling
-
Principal Investigator:
- Feng Ling
-
-
Xinjiang
-
Xinjiang, Xinjiang, China, 830054
- Recruiting
- Fourth Affiliated Hospital of Xinjiang Medical University
-
Contact:
- Peng Li
-
Principal Investigator:
- Peng Li
-
-
Yunnan
-
Kunming, Yunnan, China, 650011
- Recruiting
- The Third People's Hospital of Yunnan Province
-
Contact:
- Yunfei Hong
-
Kunming, Yunnan, China
- Recruiting
- The Second Hospital of Kunming Medical College
-
Contact:
- Wenwei Bai
-
Principal Investigator:
- Wenwei Bai
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310000
- Recruiting
- Shulan (Hangzhou) Hospital
-
Contact:
- Liping Ma
-
Principal Investigator:
- Liping Ma
-
Linhai, Zhejiang, China
- Recruiting
- Taizhou Hospital of Zhejiang Province
-
Contact:
- Jianjun Jiang
-
Principal Investigator:
- Jianjun Jiang
-
Quzhou, Zhejiang, China
- Recruiting
- Quzhou people's Hospital
-
Contact:
- Xiaoming Tu
-
Principal Investigator:
- Xiaoming Tu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 1. Age between 18 and 75, gender balance (no more than 960 subjects of either gender in total 1600 subjects).
- 2. Left ventricular ejection fraction (LVEF)≤40% (ECHO).
- 3. Subjects with chronic heart failure (NYHA class II OR III ).
- 4. 600 pg/ml ≤NT-proBNP≤1700 pg/ml ( by Roche assay Kit in central lab).
- 5. Diagnosed as chronic systolic heart failure (history, symptoms, signs), and in stable condition in the last one month.
- 6. Receiving standard therapy for chronic heart failure, reach target dose or max tolerable dose for one month, or has not changed the dose for one month before randomization.
- 7. Capable of signing the informed consent form.
Exclusion Criteria:
- 1. New chronic heart failure patients, or patients receiving standard therapy on chronic heart failure for less than 3 months.
- 2. NYHA functional class I OR IV.
- 3. NT-proBNP < 600 pg/ml OR NT-proBNP>1700 pg/ml (by Roche assay Kit in central lab).
- 4. Patients with hypertrophic cardiomyopathy, rheumatic heart disease, constrictive pericarditis, significant valvular pathological change or congenital heart diseases, primary or secondary severe pulmonary artery hypertension.
- 5. Ischemic heart failure without recanalization or with recanalization in recent six months.
- 6. Acute MI in the last 3 months.
- 7. Unstable angina.
- 8. Patients with acute pulmonary edema or acute hemodynamic disorder.
- 9. Chronic heart failure patients with acute hemodynamic disorder or acute decompensation in the last 1 month (symptoms and signs suggest worsening chronic heart failure and may require intravenous drug therapy).
- 10. Patients with right heart failure caused by pulmonary disease.
- 11. Patients diagnosed with pericardial effusion (>50 ml) or pleural effusion(>200 ml), or evidenced by Echocardiogram.
- 12. Cardiac surgery or cerebrovascular accident within recent six months.
- 13. Preparing for heart transplantation or CRT, or has received CRT.
- 14. Serious ventricular arrhythmia (sustained ventricular tachycardia or frequent paroxysmal ventricular tachycardia).
- 15.Diagnosis of perinatal or chemotherapy-induced cardiomyopathy in last 12 months.
- 16. Serious hepatic or renal dysfunction (bilirubin 1.5 times above the normal upper limit, AST or ALT 2 times above the normal upper limit, serum creatinine>2.0mg/dL, HBV or HCV positive).
- 17. Serum potassium <3.2 mmol/L or >5.5 mmol/L.
- 18. Systolic blood pressure <90mmHg or >160mmHg.
- 19. Women of childbearing age who have a pregnancy plan within 2 years (women of childbearing age are defined as women who have a pregnancy physiology).
- 20. Pregnant or lactating women.
- 21. Patients who participated in any clinical trial in the recent three months.
- 22. Subject with a life expectancy less than 6 months as assessed by the investigator.
- 23. Serious nervous system diseases (Alzheimer's disease, advanced Parkinsonism),lower limb defects, or deaf-mute.
- 24. History of any malignancy or suffering from cancer, or biopsy proven pre-malignant condition (e.g., DICS or cervical atypia).
- 25. Evidence (physical examination, chest X-ray (CXR), ECHO or other tests) shows some active malignancy or adenoidal hypertrophy or neoplasm that has an effect on heart function or the endocrine system, e.g., pheochromocytoma or hyperthyroidism (Thyroid nodules with normal thyroid function do not need to be excluded).
- 26. As judged by the investigator that the subject cannot complete the study or adhere to the study requirements (due to the management reasons or others).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Placebo in addition to standard therapy
|
10 hours per day i.v drip for the first 10 days (0ug/kg/day), followed by weekly 10 minutes i.v bolus (0ug/kg/day), from the 3rd week for 23 weeks
|
|
Experimental: rhNRG-1
rhNRG-1 in addition to standard therapy
|
10 hours per day i.v drip for the first 10 days (0.6ug/kg/day), followed by weekly 10 minutes i.v bolus (0.8ug/kg/day), from the 3rd week for 23 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All-cause mortality
Time Frame: 1 year
|
Including deaths from cardiovascular and non-cardiovascular causes, Log-Rank test was used for comparison between groups, and Kaplan-Meier survival curves were plotted; COX proportional hazard model was used to estimate the HR and its 95% confidence interval.
|
1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mortality caused by cardiovascular events
Time Frame: 1 year
|
Log-Rank test was used for comparison between groups, and Kaplan-Meier survival curves were plotted; COX proportional hazard model was used to estimate the HR and its 95% confidence interval.
|
1 year
|
|
All-cause mortality of female subjects
Time Frame: 1 year
|
Log-Rank test was used for comparison between groups, and Kaplan-Meier survival curves were plotted; COX proportional hazard model was used to estimate the HR and its 95% confidence interval.
|
1 year
|
|
All-cause mortality of male subjects
Time Frame: 1 year
|
Log-Rank test was used for comparison between groups, and Kaplan-Meier survival curves were plotted; COX proportional hazard model was used to estimate the HR and its 95% confidence interval.
|
1 year
|
|
Percentage of all-cause re-hospitalization
Time Frame: 1 year
|
The Kaplan-Meier curve was used to describe the cumulative incidence rate of the first re-hospitalization, and the differences between the two groups were compared using Log-Rank.
|
1 year
|
|
Percentage of Participants with re-hospitalization caused by worsening heart failure
Time Frame: 1 year
|
The Kaplan-Meier curve was used to describe the cumulative incidence rate of the first re-hospitalization, and the differences between the two groups were compared using Log-Rank.
|
1 year
|
|
Change of NT-proBNP level at the 25th week and 52th week
Time Frame: 1 year
|
The paired t test or signed rank sum test was used to compare the changes before and after treatment in each group, and the comparison between groups was performed by analysis of variance or Wilcoxon rank sum test.
|
1 year
|
|
New York Heart Association (NYHA) functional classification
Time Frame: 1 year
|
For the NYHA cardiac functional grading after administration, summarize the number and percentage of subjects by different study visit period, compare the efficacy differences among test groups and control groups.
In addition, calculate the changes of NYHA cardiac functional grade from baseline of the subjects.
The intragroup changes will be analyzed by signed-rank sum test, intergroup comparison will be conducted by Wilcoxon test.
|
1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Runlin Gao, Ph.D,MD, Fuwai Hospital and Cardiovascular Institute, Chinese Academy of Medical Sciences
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ZS-01-306
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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