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B-type natriuretic peptide (BNP) infusions and ventricular remodelling in acute myocardial infarction

A randomised study of placebo or B-type natriuretic peptide (BNP) in acute myocardial infarction to assess the potential effect on ventricular remodelling, neurohormonal status and cardiovascular outcomes

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12606000144516
Enrollment
28
Registered
2006-04-27
Start date
2003-03-01
Completion date
2004-08-26
Last updated
2026-04-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Myocardial infarction remains common and early sequelae include adverse heart function, decompensation and increased death particularly over the first 3 months after a heart attack. This study aims to: (1) provide detailed information regarding early changes in heart function and hormones in patients who suffer heart attacks and do not have a successful early intervention to restore normal blood flow to the heart .(2) assess the potential benefit of infused BNP hormone on heart function, hormone status and cardiovascular outcomes over the 3 months following a heart attack.

Interventions

60 hours of infused BNP at a dose of 0.010g/kg/minute.

Sponsors

Health Research Council
Lead SponsorGovernment body

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Diagnosis
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to 90 Years
Healthy volunteers
No

Inclusion criteria

Who have completed acute myocardial infarction confirmed by typical clinical presentation, ischaemic ECG changes (including ST elevation) and definite rise and evolving pattern of cardiac markers indicative of failed early perfusion, LV regional wall motion abnormality. Patients will be enrolled within 12-48 hours after the onset of symptoms. At the time of initiation of placebo or BNP infusions, blood pressure is to be >100 mmHg systolic and heart rate < 100 bpm.

Exclusion criteria

Inability to give informed consent, unavailability of follow-up, evolving shock, unstable cardiac rhythm, haemodynamic parameters that fall outside those listed in the inclusion criteria.

Outcome results

None listed

Source: ANZCTR · Data processed: May 1, 2026