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Patient's Management Receiving Eplerenone Therapy (PERGAME)

29. listopadu 2018 aktualizováno: Pfizer

Assessment Of Follow-Up Methods For Patients Treated In The Long-Term With A Specific Aldosterone Receptor Antagonist

On a population of patients followed by an office-based cardiologist and treated with eplerenone, the objectives of the survey are:

  • To describe the characteristics of the population treated.
  • To describe the methods of use of eplerenone (posology, duration of treatment, medicinal combinations).
  • To describe the follow-up methods of the treatment.
  • To describe the possible interruptions of the treatment

Přehled studie

Detailní popis

A sample size in the region of N = 400 patients will allow this accuracy of estimation, as for this size, the half-width would be equal to 5% for a frequency of 50% corresponding to a confidence interval of maximum width. In view of the type of survey and the need for 12 months of monitoring in the context of standard practice, it may be anticipated that the drop-off rate will be about 20%. A sample size of N = 500 patients was therefore chosen.

Typ studie

Pozorovací

Zápis (Aktuální)

160

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

18 let až 95 let (Dospělý, Starší dospělý)

Přijímá zdravé dobrovolníky

Ne

Pohlaví způsobilá ke studiu

Všechno

Metoda odběru vzorků

Vzorek nepravděpodobnosti

Studijní populace

The following patients may be selected to participate in the survey:

  • Those undergoing treatment with eplerenone in accordance with the MA or not, with a known start date.
  • Those likely to be followed by the same physician for a minimal period of twelve months.

Popis

Inclusion Criteria:

The following patients may be selected to participate in the survey:

  • Those undergoing treatment with eplerenone in accordance with the MA or not, with a known start date.
  • Those likely to be followed by the same physician for a minimal period of twelve months.

Exclusion Criteria:

  • Severe Kidney Disease
  • Hyperkamiemia more than 5.5

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Observační modely: Kohorta
  • Časové perspektivy: Budoucí

Kohorty a intervence

Skupina / kohorta
Intervence / Léčba
Eplerenone
this is an observational study non interventional

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Systolic Ejection Fraction as a Measure of Left Ventricular Dysfunction at Inclusion for Full Analysis Set (FAS) Population
Časové okno: Baseline
Left ventricular dysfunction, a condition in which the left ventricle of the heart exhibits a decreased functionality, was assessed based on systolic ejection fraction. Systolic ejection fraction was the fraction of the end-diastolic volume (EDV) that was ejected out of left ventricle with each contraction.
Baseline
Systolic Ejection Fraction as a Measure of Left Ventricular Dysfunction at Inclusion for Safety Analysis Set (SAS) Population
Časové okno: Baseline
Left ventricular dysfunction, a condition in which the left ventricle of the heart exhibits a decreased functionality, was assessed based on systolic ejection fraction. Systolic ejection fraction was the fraction of the end-diastolic volume (EDV) that was ejected out of left ventricle with each contraction.
Baseline
Percentage of Participants With Eplerenone Treatment Compliance at Month 3 in FAS Population
Časové okno: Month 3
Participants receiving eplerenone on the basis of the approved summary of product characteristics (SmPC) were said to be treatment compliant.
Month 3
Percentage of Participants With Eplerenone Treatment Compliance at Month 6 in FAS Population
Časové okno: Month 6
Participants receiving eplerenone on the basis of the approved SmPC were said to be treatment compliant.
Month 6
Percentage of Participants With Eplerenone Treatment Compliance at Month 9 in FAS Population
Časové okno: Month 9
Participants receiving eplerenone on the basis of the approved SmPC were said to be treatment compliant.
Month 9
Percentage of Participants With Eplerenone Treatment Compliance at Month 12 in FAS Population
Časové okno: Month 12
Participants receiving eplerenone on the basis of the approved SmPC were said to be treatment compliant.
Month 12
Percentage of Participants With Change From Baseline in Eplerenone Treatment Dosage at Month 3 in FAS Population
Časové okno: Baseline, Month 3
Change of eplerenone dosage = modified dosage (mg daily) - dosage at start of treatment (mg daily). A positive change indicated dosage increase and a negative change indicated dosage decrease.
Baseline, Month 3
Percentage of Participants With Change From Baseline in Eplerenone Treatment Dosage at Month 6 in FAS Population
Časové okno: Baseline, Month 6
Change of eplerenone dosage = modified dosage (mg daily) - dosage at start of treatment (mg daily). A positive change indicated dosage increase and a negative change indicated dosage decrease.
Baseline, Month 6
Percentage of Participants With Change From Baseline in Eplerenone Treatment Dosage at Month 9 in FAS Population
Časové okno: Baseline, Month 9
Change of eplerenone dosage = modified dosage (mg daily) - dosage at start of treatment (mg daily). A positive change indicated dosage increase and a negative change indicated dosage decrease.
Baseline, Month 9
Percentage of Participants With Change From Baseline in Eplerenone Treatment Dosage at Month 12 in FAS Population
Časové okno: Baseline, Month 12
Change of eplerenone dosage = modified dosage (mg daily) - dosage at start of treatment (mg daily). A positive change indicated dosage increase and a negative change indicated dosage decrease.
Baseline, Month 12
Percentage of Participants Who Died in SAS Population
Časové okno: Baseline up to Month 12
Baseline up to Month 12
Percentage of Participants Hospitalized in FAS Population
Časové okno: Baseline up to Month 12
Baseline up to Month 12
Number of Participants With Worsened Renal Function
Časové okno: Baseline up to Month 12
Baseline up to Month 12

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Number of Participants With Reason for Increased or Decreased Eplerenone Dose
Časové okno: Baseline up to Month 12
Baseline up to Month 12
Number of Participants With Concomitant Cardiovascular Treatment in FAS Population
Časové okno: Baseline up to Month 12
Concomitant cardiovascular treatment included any cardiovascular treatment other than, and in addition to, the study treatment taken at any time during the study.
Baseline up to Month 12
Number of Participants With Concomitant Cardiovascular Treatment in SAS Population
Časové okno: Baseline up to Month 12
Concomitant cardiovascular treatment included any cardiovascular treatment other than, and in addition to, the study treatment taken at any time during the study.
Baseline up to Month 12
Percentage of Participants Who Discontinued Eplerenone Treatment in FAS Population
Časové okno: Baseline up to Month 12
Baseline up to Month 12

Další výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Percentage of Participants With Other Notable Events in FAS Population
Časové okno: Baseline up to Month 12
Other notable events included any clinically significant event other than death or hospitalization (example, ventricular tachycardia treated by defibrillator, imbalanced diabetes, work accident, right foot gout crisis, low back pain-oliguria, chest pain, bronchitis, renal failure, heart failure, hypotension, edema, standardization of gamma glutamyl transpeptidase (GT) after stopping lamisyl (peros) prescribed for a long term for mycosis, pain, nausea, fracture, trauma, gonarthrosis, increased urea, elevation of gamma GT etc.).
Baseline up to Month 12
Percentage of Participants With General Practitioner (GP) Consultation in FAS Population
Časové okno: Baseline up to Month 12
Baseline up to Month 12
Number of Measurements Per Month for Kalaemia Levels in FAS Population
Časové okno: Months 3, 6, 9, 12
The presence of excess potassium in the circulating blood is called hyperkalaemia. Normal potassium serum level is 3.5 to- 5.0 millimole per liter (mmol/L). Number of measurements per month for the kalaemia levels was reported.
Months 3, 6, 9, 12
Maximum Kalaemia Levels in Serum in FAS Population
Časové okno: Baseline up to Month 12
The presence of excess potassium in the circulating blood is called hyperkalaemia. Normal potassium serum level is 3.5 to- 5.0 mmol/L.
Baseline up to Month 12
Change From Baseline in Maximum Value of Kalaemia Levels in FAS Population
Časové okno: Baseline up to Month 12
The presence of excess potassium in the circulating blood is called hyperkalaemia. Normal potassium serum level is 3.5 to- 5.0 mmol/L. Change in maximum value kalaemia level was calculated by subtracting the baseline values from the maximum observed value of kalaemia levels during the study.
Baseline up to Month 12
Percentage of Participants With Signs of Cardiac Insufficiency in FAS Population
Časové okno: Baseline, Months 3, 6, 9, 12
New York Health Association (NYHA) functional classification included: Class I (no limitation in physical activity, no dyspnea with normal activity), Class II (slight limitation of physical activity; fatigue, palpitation, or dyspnea with ordinary physical activity), Class III (marked limitation of physical activity; fatigue, palpitation, or dyspnea with less than ordinary physical activity) and Class IV (cannot perform a physical activity without any symptoms, dyspnea at rest). Percentage of participants in each functional class was reported.
Baseline, Months 3, 6, 9, 12
Percentage of Participants With Reason for Starting Eplerenone Treatment in FAS Population
Časové okno: Baseline
Reasons for starting eplerenone treatment included myocardial infarction, heart failure and other conditions including severe hypertension by primary hyperaldosteronism; hypertension/coronaropathy and hypokalaemia; hypertension; left ventricular failure; not tolerated spironolactone; hypertension: gynecomastia with aldactone; pulmonary suboedema; hypertension: adrenal hyperplasia, gynecomastia with aldactone; hypertension not controlled.
Baseline

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Publikace a užitečné odkazy

Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia

1. září 2008

Primární dokončení (Aktuální)

1. prosince 2010

Dokončení studie (Aktuální)

1. prosince 2010

Termíny zápisu do studia

První předloženo

14. září 2011

První předloženo, které splnilo kritéria kontroly kvality

22. září 2011

První zveřejněno (Odhad)

26. září 2011

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

19. prosince 2018

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

29. listopadu 2018

Naposledy ověřeno

1. listopadu 2018

Více informací

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .

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