Moderate to severe chronic heart failure and reduced left ventricular ejection fraction MedDRA version: 16.0 Level: LLT Classification code 10008908 Term: Chronic heart failure System Organ Class: 100000004849
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Women or men; - Age = 18 years; - Symptomatic CHF, NYHA class II, III or IV for at least 6 weeks prior to selection; - CHF from all aetiologies except from congenital heart disease or from severe aortic or mitral valva disease; - Normal sinus rhythm; - Resting heart rate =75bpm; - Documented left ventricular systolic dysfunction. 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 434 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 266
Exclusion criteria
Exclusion criteria: - Women who are pregnant, breast-feeding or women of childbearing potential not using estro-progestative oral or intra-uterine contraception or implants, or women using estroprogestative or intra-uterine contraception or implants but who consider stopping it during the planned duration of the study. - Contra-indication to ivabradine, ivabradine not recommended or not effective, or requirement for a not recommended concomitant treatment (cf ivabradine SmPC); - Previous cardiac transplantation or on list for cardiac transplantation; - Patient treated with ivabradine in the month preceding the selection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the safety profiles of the ivabradine modified release (MR) formulation and ivabradine immediate release (IR) formulation over a 6-month period;Secondary Objective: - To assess the safety of the two formulations over a 12-month period; - To assess the efficacy of the two formulations over 6 and 12-month periods; - To assess the safety and efficacy of switching ivabradine formulations over a 3-month period; - To assess in a subset of patients the pharmacokinetic profile and the cardiac safety from 24-hour Holter ECG of the two formulations.;Primary end point(s): Occurrence of emergent adverse events over 6 months.;Timepoint(s) of evaluation of this end point: M06 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Safety endpoints: - Occurrence of emergent adverse events over 12 months; - Other safety criteria (blood pressure, laboratory test parameters). Efficacy endpoints: - HR change from baseline; - Change in clinical symptoms. Other endpoints: - For PK characterisation: concentration of ivabradine and its active metabolite; - For Holter evaluation: HR change and abnormalities during awake and sleep periods.;Timepoint(s) of evaluation of this end point: M06, M09 and M12 | — |
Countries
Argentina, Brazil, Bulgaria, Czech Republic, Estonia, Germany, Hungary, Italy, Latvia, Lithuania, Malaysia, Philippines, Poland, Portugal, Russian Federation, Spain, Ukraine, Vietnam
Contacts
Institut de Recherches Internationales Servier