Chronic Heart Failure and left ventricular systolic dysfunction at risk for ventricular arrhythmia MedDRA version: 12.1 Level: LLT Classification code 10007558 Term: Cardiac failure chronic MedDRA version: 12.1 Level: LLT Classification code 10049694 Term: Left ventricular dysfunction MedDRA version: 12.1 Level: LLT Classification code 10047281 Term: Ventricular arrhythmia
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Male or female patients. - Aged between 18 and 75 years (inclusive). - ICD for primary or secondary prevention of ventricular arrhythmia for at least 3 months before selection. - Symptomatic CHF for at least 6 months before selection. - NYHA functional class II or III. - Ischemic disease or idiopathic dilated cardiomyopathy as main cause for CHF. - Treatment with a beta-blocker for at least 3 months before selection. - An average number of at least 100 premature ventricular complexes (PVCs) per hour on a 48-hour Holter ECG recording. - LVEF = 40% at echocardiographic examination. - Sinus rhythm. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Unstable condition within 4 weeks before selection. - Recent (less than 3 months before selection) myocardial infarction, unstable angina or coronary revascularisation. - History of stroke or cerebral transient ischemic attack within 3 months before selection. - Severe primary aortic or mitral stenosis or regurgitation. - Congenital heart disease. - Hypertrophic obstructive cardiomyopathy. - Cardiac resynchronisation therapy (CRT) started within 6 months before selection. - Episode of reverted ventricular fibrillation or Torsade de Pointes within 4 weeks before selection. - Atrio-ventricular block of second or third degree. - Corrected QT interval duration (Bazett’s formula) > 480 ms.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the anti-arrhythmic efficacy of S 44121 versus placebo administered orally for a total of 12 weeks in patients with chronic heart failure (CHF) and left ventricular systolic dysfunction who received an implanted cardioverter defibrillator (ICD) for primary or secondary prevention of ventricular arrhyhthmia.;Secondary Objective: To evaluate the safety profile of S 44121.;Primary end point(s): Average rate of PVCs per hour during 48 hours Holter ECG recording. | — |
Countries
Belgium, Czech Republic, France, Germany, Hungary, Portugal, Slovakia, Spain, United Kingdom