Chronic heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Chronic heart failure with reduced ejection fraction (HFrEF) - Elevated NT-proBNP and signs of congestion (e.g. use of diuretics, peripheral edema) - Stable diuretic and antihypertensive treatment 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 32 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 32
Exclusion criteria
Exclusion criteria: - Estimated glomerular filtration rate (eGFR) <15 ml/min/1.73m2 - Hypotension (systolic < 105 mmHg or diastolic < 60 mmHg) - Anticoagulant therapy or double antiplatelet therapy - Recent cardiovascular event or hospital admission for heart failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess whether sulodexide treatment reduces sodium and water excess in patients with chronic heart failure.;Secondary Objective: - To evaluate whether sulodexide treatment will improve patient-reported outcomes such as fluid overload symptoms and quality of life. - To determine the contribution of different potential working mechanisms of sulodexide in heart failure patients. - To confirm the previously demonstrated safety of sulodexide in subjects with heart failure. ;Primary end point(s): Percentage change in N-terminal pro-B-type natriuretic peptide (NT-proBNP);Timepoint(s) of evaluation of this end point: Baseline versus 8 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Blood pressure - Hemodynamic parameters - Fluid status - Change in adrenomedullin (ADM) - Monocyte subsets - Monocyte surface proteins - Dyspnea symptoms, physical limitations and quality of life - Hospitalizations due to heart failure - Distance covered during six minute walking test - WHO grade II-IV bleeding events - Incidence of (serious) adverse events;Timepoint(s) of evaluation of this end point: Baseline versus 8 weeks | — |
Countries
Netherlands
Contacts
Amsterdam UMC, location AMC