Ischemic heart failure with reduced ejection fraction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - = 18 years of age - Ischemic cardiomyopathy with reduced ejection fraction LVEF=40% - stable heart failure symptoms (NYHA II/III) on optimal heart failure therapy - know status of CHIP mutations (DNMT3A and TET2) - informed written consent - negative pregnancy test; high effective contraception during the trial (women of childbearing potential) 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 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 80
Exclusion criteria
Exclusion criteria: - Acute decompensated heart failure (NYHA IV; HF>110 bpm; systolic blood pressure LVEF 40% - non ischemic etiology of heart failure - acute coronary syndromes within three months prior to inclusion - invasive procedure within three months prior to inclusion - active malignancy - active infection ( hs-CRP > 10mg/dl) -Liver cirrhosis, CHILD C (ALT < 60 U/l; AST < 60 U/l; Total Bilirubin < 2 mg/dl) - known intolerance to Colchicine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Efficacy and safety of Colchicine in patients with HFrEF and clonal hematopoiesis of indeterminate potential – effects on endothelial cell function, inflammatory biomarkers and inflammatory genetic signatures;Secondary Objective: Not applicable;Primary end point(s): Difference in FMD measurements in HFrEF patients with and without CHIP mutations before and after Colchicin or Placebo treatment;Timepoint(s) of evaluation of this end point: Screening Baseline Day 30 (Medication stop) Day 60 (End of trial) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Biomarker - hs-CRP / IL 6 - Proteomics analysis (OLINK assay) - Single Cell Sequencing - flow cytometry (monocytes) Assessment of safety: Gastrointestinal side effects Acute infections requiring hospitalizations;Timepoint(s) of evaluation of this end point: Baseline, Day 30, Day 60 (flow cytometry) | — |
Countries
Germany
Contacts
Universitätsklinikum Frankfurt Med. Klinik III