Sacubitril-valsartan in Patients With Heart Failure.
Clinical Study Evaluating Efficacy and Safety Sacubitril-valsartan in Patients With Heart Failure.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
- A 3-month, prospective interventional study, which will include 60 patients with heart failure reduced ejection fraction, patients, will be consecutively randomized into two groups, the first group (n=30) will be given Sacubitril-valsartan twice daily and the second group (n=30) on standard treatment of heart failure.
- Approval will be obtained from Research and Ethics Committee of Faculty of Pharmacy, Damanhour University. Patients will provided written informed consent and will be checked for inclusion and exclusion criteria.
- All patients will undergo analysis of inflammatory biomarkers such as: NT-proBNP, Galectin-3 and GDF-15 at beginning of the study and after 3 months of the study.
- Echocardiography study before and after the study focusing on:
Measurement of parameters such as: Left atrial diameter (LAD), basic left ventricular dimensions (EDD and ESD), Ejection fraction (EF%).
- Follow up will be performed for assessing:
- MACE such as MI, stroke, HF, or death.
- LV Echocardiography improvements of any of basic Echo parameters.
- Assessment of New York Heart association (NYHA) class.
Outcomes: all patients will be followed up for 3 months for:
- 1ry outcomes: A.Major Adverse Cardiovascular Events (MACE) such as MI, stroke or death. B.Heart failure hospitalization C.LV Echocardiography improvements of any of basic Echo parameters such as: Left atrial diameter (LAD), basic left ventricular dimensions (EDD and ESD), Ejection fraction (EF%).
- 2ry outcomes: Change in inflammatory markers such as: NT-proBNP, GDF-15 and Galectin-3.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Rehab H Werida, Ass. Prof.
- Phone Number: 01005359968
- Email: rehabwrieda@pharm.dmu.edu.eg
Study Contact Backup
- Name: Yasser E. Bahnacy, Ass. Prof.
- Email: yasserbahnacy@hotmail.com
Study Locations
-
-
Elbehairah
-
Damanhūr, Elbehairah, Egypt, 31527
- Damanhur Medical National Institute
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years old for both genders.
- LV ejection fraction (LVEF) ≤40%.
- Heart failure patients with NYHA grade II-IV.
Exclusion Criteria:
- CKD with GFR < 20 ml/min/1.73
- Serum potassium < 5.5 mmol / L.
- Pregnant or lactating women
- Active infection.
- Congenital heart disease.
- Autoimmune disorders or connective tissue disorders.
- Severe hepatic dysfunction.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Sacubitril-valsartan group
group (n=30) will be given Sacubitril-valsartan twice daily plus standard treatment.
|
patients (n=30) will be given Sacubitril-valsartan 50 mg twice daily.
Other Names:
|
|
Placebo Comparator: Control group
Control group (n=30) on standard treatment of heart failure.
|
Control group (n=30) on standard treatment of heart failure.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
MACE incidence
Time Frame: 3 months
|
Major Adverse Cardiovascular Events (MACE) such as MI, stroke or death.
|
3 months
|
|
Ejection fraction (EF%)
Time Frame: 3 months
|
Ejection fraction (EF%) improvement.
|
3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
NT-proBNP level (pg/ml)
Time Frame: 3 months
|
Change in NT-proBNP level
|
3 months
|
|
Galectin-3 level (pg/ml)
Time Frame: 3 months
|
Change in Galectin-3 level
|
3 months
|
|
GDF-15 level (pg/ml)
Time Frame: 3 months
|
Change in GDF-15 level
|
3 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Nouran A. Abu Shaara, Bachlore, Damanhour University
Publications and helpful links
General Publications
- Lu H, Claggett BL, Packer M, Lam CSP, Swedberg K, Rouleau J, Zile MR, Lefkowitz M, Desai AS, Jhund P, McMurray JJV, Solomon SD, Vaduganathan M. Effects of Sacubitril/Valsartan on All-Cause Hospitalizations in Heart Failure: Post Hoc Analysis of the PARADIGM-HF and PARAGON-HF Randomized Clinical Trials. JAMA Cardiol. 2024 Nov 1;9(11):1047-1052. doi: 10.1001/jamacardio.2024.2566.
- Lee YH, Lin PL, Chiou WR, Huang JL, Lin WY, Liao CT, Chung FP, Liang HW, Hsu CY, Chang HY. Combination of ivabradine and sacubitril/valsartan in patients with heart failure and reduced ejection fraction. ESC Heart Fail. 2021 Apr;8(2):1204-1215. doi: 10.1002/ehf2.13182. Epub 2021 Jan 6.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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 (Actual)
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
- Cardiovascular Diseases
- Heart Diseases
- Heart Failure
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Neurotransmitter Agents
- Adrenergic Agents
- Adrenergic Antagonists
- Pharmacologic Actions
- Chemical Actions and Uses
- Adrenergic beta-Antagonists
- sacubitril and valsartan sodium hydrate drug combination
Other Study ID Numbers
Other Study ID Numbers
- sacubitril-valsartan
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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