- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01936844
Interleukin (IL)-1 Blockade in Acute Heart Failure (Anakinra ADHF)
Interleukin-1 Blockade in Acute Decompensated Heart Failure
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
Virginia
-
Richmond, Virginia, United States, 23298
- Virginia Commonwealth University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
All 5 criteria need to be met for enrollment of the patient in the study
Primary diagnosis of acute decompensated heart failure within the last 24 hours as evidenced by both of the following:
- dyspnea or respiratory distress or tachypnea at rest or with minimal exertion
- evidence of elevated cardiac filling pressure or pulmonary congestion (at least one of the conditions must be met);
i. pulmonary congestion/edema at physical exam OR chest x-ray; ii. plasma Brain Natriuretic Peptide (BNP) levels ≥200 pg/mL; iii.invasive measurement of left ventricular end-diastolic pressure >18 mmHg or of pulmonary artery occluding pressure (wedge) >16 mmHg.
- Left ventricular systolic dysfunction (LVEF<40%) during index hospitalization or prior 12 months.
- Age ≥18 years old
- Willing and able to provide written informed consent.
- Screening plasma C-reactive protein levels >5 mg/L.
Exclusion Criteria Subjects will not be eligible if they meet any of the following 15 exclusion criteria.
- The primary diagnosis for admission is NOT decompensated heart failure, including diagnosis of acute coronary syndromes, hypertensive urgency/emergency, tachy- or brady-arrhythmias.
- Concomitant clinically significant comorbidities that would interfere with the execution or interpretation of the study including but not limited to acute coronary syndromes, uncontrolled hypertension or orthostatic hypotension, tachy- or brady-arrhythmias, acute or chronic pulmonary disease or neuromuscular disorders affecting respiration.
- Recent (previous 3 months) or planned cardiac resynchronization therapy (CRT), coronary artery revascularization procedures, or heart valve surgeries.
- Previous or planned implantation of left ventricular assist devices or heart-transplant.
- Chronic use of intravenous inotropes.
- Recent (<14 days) use of immunosuppressive or anti-inflammatory drugs (not including Non-Steroidal Anti-Inflammatory Drugs [NSAIDs]).
- Chronic inflammatory disorder (including but not limited to rheumatoid arthritis, systemic lupus erythematosus).
- Active infection (of any type);
- Chronic/recurrent infectious disease (including Hepatitis B virus [HBV], Hepatitis C virus [HCV], and HIV/AIDS).
- Prior (within the past 10 years) or current malignancy.
- Any comorbidity limiting survival or ability to complete the study.
- End stage kidney disease requiring renal replacement therapy.
- Neutropenia (<2,000/mm3) or Thrombocytopenia (<50,000/mm3).
- Pregnancy.
- Angina, arrhythmias, or electrocardiograph (ECG) changes that limit maximum exertion during cardiopulmonary exercise testing obtained during the baseline testing.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Anakinra (short)
Anakinra 100 mg twice daily for the first 3 days followed by 100 mg daily for days 4-14
|
Anakinra 100 mg daily twice daily for days 1, 2, and 3
Anakinra 100 mg daily for days 4-14
|
Placebo Comparator: Placebo
Placebo injections twice daily for the first 3 days then once daily for days 4-14.
|
Placebo twice daily for days 1, 2, and 3
Placebo daily for days 4-14
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
C Reactive Protein
Time Frame: 3 days
|
The proportional area-under-the-curve for plasma C reactive protein (CRP) levels measured during the first 3 days of admission.
The proportion (y-axis) is calculated at each time-point with respect to the baseline CRP.
The resultant y-axis is a unitless proportion.
The x-axis is listed as "days"
|
3 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Left Ventricular Ejection Fraction
Time Frame: 14 days
|
Change in left ventricular ejection fraction (LVEF) between admission and 14 day follow up.
This value is expressed as absolute change in measured LVEF.
For example, if baseline LVEF = 20% and 14 day LVEF = 25%, this would be reported as an absolute change of 5%.
|
14 days
|
Brachial Artery Vasoreactivity
Time Frame: 14 days
|
Change in flow mediated vasodilatation (FMD) of the brachial artery.
Brachial artery FMD is calculated as the percentage increase in brachial artery diameter with hyperemia (an increase in the quantity of blood flow to a body part) induced relative to the resting brachial artery diameter.
Percentage of brachial artery diameter is measured as FMD diameter/basal diameter.
The change is FMD is reported as the % change in FMD from baseline to 14 days.
|
14 days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Benjamin W Van Tassell, PharmD, Virginia Commonwealth University
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- VCU HM15347
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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