- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06321094
Effect of Vericiguat on Endpoint Events in Acute Coronary Syndrome( ACS)Patients With Ejection Fraction <45%
March 17, 2024 updated by: The First Affiliated Hospital with Nanjing Medical University
Effect of Vericiguat on Endpoint Events in ACS Patients With Ejection Fraction <45%:a Prospective Preventional Clinical Study
Investigators evaluate whether differences exsit in acute coronary syndrome(ACS) patients with ejection <45% between participants who take vericiguat regularly and those who donot.
Study Overview
Status
Recruiting
Intervention / Treatment
Detailed Description
Vericiguat, a novel soluble guanylate cyclase stimulator, reduced the incidence of cardiovascular death or hospitalization for HF in a population of high-risk patients with heart failure with reduced ejection fraction (HFrEF )who had recently been hospitalized or received intravenous diuretic therapy.Given the increasing incidence of patients with ACS and its challenges posing to life,investigators intend to conduct a prospective observational study.
Investigators choose several meaningful endpoints including the time of cardiovascular death or heart failure(HF) hospitalization、inflammatory markers、the value of N-terminal pro-B-type natriuretic peptide(NT-proBNP)、results of echocardiogram and life quality score.By collecting these datas and work on a group of analysis ,investigators evaluate whether differences exsit in ACS patients with ejection <45% between participants who take vericiguat regularly and those who donot.
Study Type
Interventional
Enrollment (Estimated)
100
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: LianSheng Wang
- Phone Number: 13390787111
- Email: drlswang@njmu.edu.cn
Study Contact Backup
- Name: Yang Yang
- Phone Number: 15895876832
- Email: 273389782@qq.com
Study Locations
-
-
Jiangsu
-
Nanjing, Jiangsu, China
- Recruiting
- The First Affiliated Hospital of Nanjing Medical University
-
Contact:
- Liansheng Wang, Doctor
- Phone Number: 85 25 68303830
- Email: drlswang@njmu.edu.cn
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- 1.Provide written informed consent for the trial.
- 2.Has acute coronary syndrome (unstable angina, non-ST elevation myocardial infarction [NSTEMI], or ST elevation myocardial infarction [STEMI]) or coronary revascularization (coronary artery bypass grafting [CABG] or percutaneous coronary intervention [PCI]).
- 3.ejection fraction <45%.
- 4.Be male or female, aged greater than18 and less than 90 on the day of signing informed consent.
Exclusion Criteria.
- 1.SBP<100mmHg.
- 2.Is pregnant or breastfeeding or plans to become pregnant or to breastfeed during the course of the trial.
- 3.Has severe hepatic insufficiency or renal insufficiency.
- 4.Has malignancy or other non-cardiac condition limiting life expectancy to <1 years.
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: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: patients who take vericiguat
ACS patients with ejection fraction(EF)<45% are required to take vericiguat according to the guidelines from 2.5mg once a day to 5mg after two weeks.
|
Investigators divide our participants into two groups ;one group is required to take vericiguat,and the other isnot required to take vericiguat.Expect this,no intervention is used in the research.
|
No Intervention: patients who donot take vericiguat
ACS patients with EF<45% arenot required to take vericiguat.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
a composite of death from cardiovascular causes or first hospitalization for heart failure
Time Frame: from baseline to one year
|
from baseline to one year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
results of echocardiogram
Time Frame: from baseline to one year
|
key indicators include ejection fraction、cardiac output、systolic volume
|
from baseline to one year
|
the numerical value of NT-proBNP
Time Frame: from baseline to one year
|
an important biomarker of heart failure
|
from baseline to one year
|
level of procalcitonin
Time Frame: from baseline to one year
|
reflect the active degree of systemic inflammatory resonse
|
from baseline to one year
|
interleukin-6 level
Time Frame: from baseline to one year
|
an indicator of inflammatory infection
|
from baseline to one year
|
life quality score
Time Frame: from baseline to one year
|
Investigators choose Kansas City Cardiomyopathy Questionnaire(KCCQ) to evaluate life quality of participants.
|
from baseline to one year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Armstrong PW, Pieske B, Anstrom KJ, Ezekowitz J, Hernandez AF, Butler J, Lam CSP, Ponikowski P, Voors AA, Jia G, McNulty SE, Patel MJ, Roessig L, Koglin J, O'Connor CM; VICTORIA Study Group. Vericiguat in Patients with Heart Failure and Reduced Ejection Fraction. N Engl J Med. 2020 May 14;382(20):1883-1893. doi: 10.1056/NEJMoa1915928. Epub 2020 Mar 28.
- Saldarriaga C, Atar D, Stebbins A, Lewis BS, Abidin IZ, Blaustein RO, Butler J, Ezekowitz JA, Hernandez AF, Lam CSP, O'Connor CM, Pieske B, Ponikowski P, Roessig L, Voors AA, Anstrom KJ, Armstrong PW; VICTORIA Study Group. Vericiguat in patients with coronary artery disease and heart failure with reduced ejection fraction. Eur J Heart Fail. 2022 May;24(5):782-790. doi: 10.1002/ejhf.2468. Epub 2022 Mar 20. Erratum In: Eur J Heart Fail. 2022 Oct;24(10):1996.
- Ponikowski P, Alemayehu W, Oto A, Bahit MC, Noori E, Patel MJ, Butler J, Ezekowitz JA, Hernandez AF, Lam CSP, O'Connor CM, Pieske B, Roessig L, Voors AA, Westerhout C, Armstrong PW; VICTORIA Study Group. Vericiguat in patients with atrial fibrillation and heart failure with reduced ejection fraction: insights from the VICTORIA trial. Eur J Heart Fail. 2021 Aug;23(8):1300-1312. doi: 10.1002/ejhf.2285. Epub 2021 Jul 18.
- Chen T, Kong B, Shuai W, Gong Y, Zhang J, Huang H. Vericiguat alleviates ventricular remodeling and arrhythmias in mouse models of myocardial infarction via CaMKII signaling. Life Sci. 2023 Dec 1;334:122184. doi: 10.1016/j.lfs.2023.122184. Epub 2023 Oct 20.
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 (Actual)
October 1, 2023
Primary Completion (Estimated)
October 1, 2025
Study Completion (Estimated)
December 1, 2025
Study Registration Dates
First Submitted
March 6, 2024
First Submitted That Met QC Criteria
March 17, 2024
First Posted (Actual)
March 20, 2024
Study Record Updates
Last Update Posted (Actual)
March 20, 2024
Last Update Submitted That Met QC Criteria
March 17, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- VERI-ACS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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