Congestive Heart Failure, Renal Impairment
Conditions
Brief summary
A study to determine the most appropriate dose of MK7418 in heart failure patients presenting with symptoms of volume overload requiring increased diuretic doses.
Interventions
rolofyline 2.5 mg IV QD; 15 mg IV QD; 30 mg IV QD; 60 mg IV QD; 3 days
Matching placebo for rolofyline IV QD; 3 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Be able to provide written informed consent, * Be a male or female at least 18 years of age, * Be hospitalized for fluid overload requiring IV diuretic therapy * History of use of diuretic therapy for CHF (including this admission), * Be admitted to the hospital within 36 hours of the mandatory dose of IV furosemide 40 mg at between 2000 and 2200 hour on Day -1
Exclusion criteria
* Have had a myocardial infarction within 30 days prior to Day -1 * Be pregnant or breast-feeding * Have received intravascular contrast material within the preceding 14 days; or have acute contrast nephropathy * Have had implantation of an automated implanted cardiac defibrillator (AICD) or synchronization device within the preceding 7 days * Currently require mechanical ventilation, ultrafiltration, or hemodialysis, * Have symptomatic ventricular tachycardia * Be admitted for heart transplant surgery or have had a heart transplant, * Have any other concomitant life-threatening disease, * Have participated in a clinical trial of an investigational drug or device within 30 days before randomization * Have a positive urine pregnancy test (for women of child-bearing capacity) * Have an allergy to soybean oil and/or eggs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure the diuretic effect of a single dose of the study medication (monotherapy) over six hours compared to a single dose of IV placebo (monotherapy) in CHF patients with renal impairment | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| To determine the optimal dose range of intravenous (IV) study medication combination with IV furosemide, with or without other diuretics, in preventing deterioration of renal function in CHF patients | 30 Days |