Heart Failure, Renal Failure
Conditions
Keywords
Natriuretic Peptides, Heart Failure, Renal Failure
Brief summary
Carperitide (alpha-human atrial natriuretic peptide) improves systemic hemodynamics in patients with heart failure through a vasodilatory action, a natriuretic action, and inhibition of the renin-angiotensin-aldosterone system and has been widely-used in Japan. However, a paucity of report is available on the effects of carperitide on short and long-term prognosis in patients with both cardiac and renal failure. The purpose of this study is to evaluate the effects of carperitide therapy on short and long-term prognosis in patients with both cardiac and renal failure, in comparison with standard therapy.
Interventions
carperitide(alpha-human atrial natriuretic peptide, 0.025-0.05μg/kg/min)
Loop diuretics, Aldosterone blockers, Beta blockers, ACE inhibitors, Angiotensin receptor blockers, Nitrates, digitalis
Sponsors
Study design
Eligibility
Inclusion criteria
* Heart failure of any etiology, diagnosed according to Framingham criteria * Estimated GFR \</= 60 ml/min/1.73 m2)
Exclusion criteria
* Severe heart failure required percutaneous cardiopulmonary bypass support (PCPS) * End-stage renal failure on maintenance dialysis * Severe hepatic dysfunction * Severe anemia * Allergic history of carperitide * Pregnant women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Unexpected rehospitalization for cardiovascular events, uremic symptom, initiation of maintenance dialysis, and kidney transplantation | at 6 months and 2 years |
Secondary
| Measure | Time frame |
|---|---|
| All cause mortality | at discharge, 6 months, and 2 years |
| Sudden death | at discharge, 6 months, and 2 years |
| Cardiovascular death | at discharge, 6 months, and 2 years |
| Plasma B-type natriuretic peptide concentration | at discharge, 6 months, and 2 years |
| Estimated GFR | at discharge, 6 months, and 2 years |
Countries
Japan