- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01157481
Diastolic Heart Failure Management by Nifedipine (DEMAND)
January 21, 2016 updated by: Demand Investigators
Patients with heart failure with preserved ejection fraction have a equally high risk for mortality and re-hospitalization as those with reduced ejection fraction.
Effective management strategies are critically needed to be established for this type of heart failure.
These patients have more hypertensive and ischemic etiology than those with reduced ejection fraction.
The investigators hypothesis is that Ca channel blocker nifedipine can improve the heart failure clinical composite response endpoint compared with the conventional treatment in patients with heart failure with hypertension and/or coronary artery disease and preserved ejection fraction (>=50%) by echocardiography.
This study is multi-center, prospective, randomized, open-label, and blinded-endpoint design.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
226
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Sapporo, Japan, 060-8638
- Hokkaido Univestity Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- 20 years and older
- Heart failure with history of hypertension and/or coronary artery disease
- LVEF > or = 50% on echocardiography
Exclusion Criteria:
- Valvular heart diseases with significant regurgitation and/or stenosis
- Hypertrophic cardiomyopathy, restrictive cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, and active myocarditis
- Constrictive pericarditis
- Cardiogenic shock
- Planned coronary artery bypass grafting or percutaneous coronary intervention within 3 months
- History of acute coronary syndrome or stroke within 3 months
- Pregnancy or breastfeeding
- Hypersensitivity or contraindication to nifedipine
- Inability to obtain informed consent
- Any conditions not suitable for the participation in this trial judged by the investigator
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Conventional therapy
|
Conventional therapy
|
Experimental: Conventional therapy plus nifedipine
|
Participants will receive 10 to 60 mg of sustained-release nifedipine once a day until December 2014
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Heart failure clinical composite response endpoint
Time Frame: up to 53 months
|
up to 53 months
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Death
Time Frame: up to 53 months
|
up to 53 months
|
Cardiovascular death
Time Frame: up to 53 months
|
up to 53 months
|
Hospital admission
Time Frame: up to 53 months
|
up to 53 months
|
Hospital admission for cardiovascular disease
Time Frame: up to 53 months
|
up to 53 months
|
Hospital admission for worsening heart failure
Time Frame: up to 53 months
|
up to 53 months
|
Hospital admission for acute myocardial infarction, angina, coronary artery bypass grafting and percutaneous coronary intervention
Time Frame: up to 53 months
|
up to 53 months
|
Stroke
Time Frame: up to 53 months
|
up to 53 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 2010
Primary Completion (Anticipated)
December 1, 2016
Study Completion (Anticipated)
December 1, 2016
Study Registration Dates
First Submitted
July 1, 2010
First Submitted That Met QC Criteria
July 6, 2010
First Posted (Estimate)
July 7, 2010
Study Record Updates
Last Update Posted (Estimate)
January 25, 2016
Last Update Submitted That Met QC Criteria
January 21, 2016
Last Verified
January 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Heart Diseases
- Cardiovascular Diseases
- Heart Failure
- Heart Failure, Diastolic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Membrane Transport Modulators
- Calcium-Regulating Hormones and Agents
- Reproductive Control Agents
- Calcium Channel Blockers
- Tocolytic Agents
- Nifedipine
Other Study ID Numbers
- DEMAND-01
- UMIN000003856 (Other Identifier: University hospital Medical Information Network)
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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