- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01580553
The Clinical Study of the Efficacy and Safety of L-Carnitine Injection in Treatment of Heart Failure
The Clinical Study of the Efficacy and Safety of L-Carnitine Injection in Treatment of Heart Failure -A Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Study
The purpose of this study is to evaluate the efficacy and safety of L-carnitine injection in treatment of Chinese patients with heart failure.
A prospective, multicenter, randomized, double-blind, parallel, placebo-controlled clinical study was performed.
Treatment period: 7 days, follow-up: 1 month
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Shanghai, China, 200433
- Shanghai Pulmonary Hospital affiliated to Tongji University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The subject aged ≥ 18 years, men or women.
- The subject has a diagnosis of chronic left heart or right heart failure (a past medical history of left heart failure caused by coronary heart disease, hypertension and dilated cardiomyopathy, or a medical history of right heart failure caused by pulmonary artery hypertension (the 1st type of diagnostic classification, WHO conference, Venice, 2003) and left heart disease (the 2nd type) ;the case number of right heart failure is about 30% of the total case number).
- The subject needs hospitalization because of heart failure and will stay in hospital for more than 7 days.
- NYHA-FC is Class II- IV (Class II cases < 20%, except the refractory terminal heart failure patients).
- The subject's UCG shows that LVEF ≤ 45% (left heart failure).
- CI < 2.5 L/min/m2 or CO < 4L/min (right heart failure)
- The subject has signed the ICF.
Exclusion Criteria:
- Subjects with medical history of heart failure caused by valvular heart disease, mechanical obstruction, pericardial disease and myocardial amyloidosis.
- Subjects with heart function Class IV that have unstable hemodynamics and need final stage cardiac transplantation and intravenous vasoactive drugs.
- Subjects will leave the hospital in 7 days.
- Subjects with severe cerebral apoplexy (life threatening).
- Subjects with AMI or acute pulmonary embolism.
- Subjects with uremia and did not undergo dialysis.
- Subjects with COPD.
- Subjects with severe anemia (Hb≤60g/l).
- Subject who is receiving other metabolism improving drugs within one month (such as trimetazidine dihydrochloride tablets and 1, 6- fructose diphosphate.
- Subject with other severe disease and his/her life expectancy <12 months.
- Subject who has participated in other clinical trial within 3 months or is participating in other study.
- Subject who has received L-carnitine treatment within 1 month.
- Subject who is allergic to L-carnitine and its derivatives.
- Subject is receiving other cardiotoxic drugs.
- Subjects with medical history of epilepsy.
- Subject who is a drug or alcohol abuser.
- Subject who has received PCI, CABG or vascular remodeling.
- Subject with arrhythmia that the investigator thinks unsuitable to include.
- The subject who is pregnant or lactating, and the woman of childbearing age has not taken contraception measures.
- The subject has not signed the ICF.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Levocarnitine
|
L-Carnitine injection placebo (5ml:1g)
|
Active Comparator: L-carnitine
|
Levocarnitine Injection:5ml:1g
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
NYHA cardiac functional grading
Time Frame: 7 days treatment
|
The cardiac functional changes between the end of medication (within 24 hrs) and baseline (prior to medication) are evaluated by the three-grade criteria (excellent, effective and no response). And calculate the effective rate. Excellent: cardiac function improved for 2 grades and above Effective: cardiac function improved for one grade No response: failed to achieve the effective criteria. |
7 days treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Other efficacy evaluations
Time Frame: 7 days treatment
|
6-Minute Walk Test (6MWT)
|
7 days treatment
|
Other efficacy evaluations
Time Frame: 7 days treatment
|
2.Incidence of major cardiovascular events when follow-up (within 1 month)
|
7 days treatment
|
Other efficacy evaluations
Time Frame: 7 days treatment
|
Plasma L-carnitine level (acyl-carnitine/free carnitine)
|
7 days treatment
|
Other efficacy evaluations
Time Frame: 7 days treatment
|
ultrasound echocardiography to measure left ventricular ejection fraction (LVEF)
|
7 days treatment
|
Other efficacy evaluations
Time Frame: 7 days treatment
|
measure the N-Terminal-pro brain natriuretic peptide level in serum
|
7 days treatment
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- LeesPharm_LC-HF
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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