Heart Failure, Systolic, Heart Failure With Reduced Ejection Fraction
Conditions
Brief summary
The objective of the study is to examine the effectiveness of photobiomodulation therapy in patients with advanced-stage heart failure with reduced ejection fraction (HFrEF), who have been referred but ineligible for a heart transplantation. The primary endpoint is a 15% relative reduction in left ventricular end-systolic volume (LV ESV) as determined by echocardiography over a 12-month follow-up period. The secondary objective is to determine the change in NT-proBNP, a biomarker for heart failure, the change in heart failure symptoms based on the NYHA functional classification, the change in quality of life questionnaire (KCCQ), additional echocardiographic parameters, and the detection of changes in heart failure and fibrosis biomarkers. Additionally, the study aims to examine hospitalization due to heart failure and overall mortality.
Interventions
Soft laser therapy
Sponsors
Study design
Intervention model description
prospective, double-blind, randomized
Eligibility
Inclusion criteria
Advanced-stage HFrEF patients who were ineligible for heart transplantation Patients over 18 years of age The expected lifespan exceeds 1 year Consent form
Exclusion criteria
Non-compliant patient Pregnant women Drug or alcohol abuse The patient is participating in another clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Echocardiographic response | 12 months | At least 15% reduction of end-systolic volume |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Other echocardiographic response | 12 months | strain alanysis, LVEF, EDV, ESV |
| Biomarker changes | 12 months | NT-proBNP decrease |
| Symptomes | 12 months | NYHA change |
| Qulaity of Life | 12 months | KCCQ change |
| All-cause mortality or HF hospitalisation | 12 months | — |