Chronic heart failure with worsening of symptoms like shortness of breath at rest or minimal exertion MedDRA version: 14.1 Level: LLT Classification code 10008908 Term: Chronic heart failure System Organ Class: 100000004849
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Chronic heart failure - On optimal standard therapy including a stable dose of loop diuretics - Reduced systolic function (LVEF = 45%) - BNP = 100 pg/mL or NT-pro-BNP of = 400 pg/mL - NYHA Class II or III - Worsening symptoms, e.g. fatigue and dyspnea - Impaired renal function defined as an estimated glomerular filtration Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: - History of hypersensitivity to any of the study drugs or to drugs of similar chemical classes - Women of child-bearing potential unless they are using effective methods of contraception - Pregnant or nursing (lactating) women - Systolic blood pressure < 110 mm Hg - Current use of NSAIDs - Significant liver impairment - Significant lung impairment - Significant heart valve dysfunction or arrythmias - Myocaridal infarction or acute coronary syndrome within the last 45 days - History of hypersensitivity to iodine or shellfish
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: -To assess the effects of i.v. infusion of RLX030 compared to placebo on renal blood flow in patients with chronic heart failure. -To assess the effects of i.v. infusion of RLX030 compared to placebo on glomerular filtration rate in patients with chronic heart failure. ;Secondary Objective: - To assess the effects of i.v. infusion of RLX030 compared to placebo on diuresis and fractional sodium clearance in patients with chronic heart failure. - To assess the effects of RLX030 administered as i.v. infusion on central aortic systolic pressure and radial arterial pulse waveform in patients with chronic heart failure. - To assess the pharmacokinetics of RLX030 administered as i.v. infusion in patients with chronic heart failure. - To assess the overall safety and tolerability of RLX030 administered as i.v. infusion in patients with chronic heart failure. -To assess the effects of RLX030 30µg/kg/day compared to placebo on ECG intervals;Primary end point(s): - Renal Blood flow (RBF), - Glomerular Filtration rate (GFR) ;Timepoint(s) of evaluation of this end point: At baseline, at 2, 4, 6, 8, 20, 22, 24, 26, and 28 hours after start of infusion of study drug | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: a. At baseline, at 2, 4, 6, 8, 20, 22, 24, 26, and 28 hours after start of infusion of study drug b. At baseline, at 10, 30 minutes, and 2, 8, 20, 22, 24, 28 and 48 hours after start of infusion of study drug c. At baseline and at 8, 24, and 48 hours after start of infusion of study drug d. Safety biochemistry and hematology samples taken at baseline and at 8, 20, and 24 hours after start of infusion of study drug and whenever clinically indicated. Blood pressure measured together with central aortic systolic pressure (see. a.) and ECG taken at baseline and at 8, 20, 24, and 48 hours after start of infusion of study drug ;Secondary end point(s): a. non-invasive measurement of central aortic systolic pressure and radial arterial pulse waveform b. Pharmacokinetics c. Selected biomarkers d. Safety and tolerability | — |
Countries
Germany, Netherlands, Poland, United States
Contacts
Novartis Pharma GmbH