Pilot Feasibility Study of the Safety and Efficacy of Anakinra in Heart Failure With Preserved Ejection Fraction
This study is currently recruiting participants.
Verified February 2012 by Virginia Commonwealth University
Sponsor:
Virginia Commonwealth University
Information provided by (Responsible Party):
Virginia Commonwealth University
ClinicalTrials.gov Identifier:
NCT01542502
First received: February 23, 2012
Last updated: March 1, 2012
Last verified: February 2012
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Purpose
This will be a randomized, double-blind, crossover pilot study to measure the safety and feasibility of IL-1 blockade with Anakinra in patients with stable heart failure with preserved ejection fraction.
Condition | Intervention |
---|---|
Heart Failure |
Drug: Anakinra Drug: Placebo |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
Official Title: | Pilot Feasibility Study of the Safety and Efficacy of Anakinra in Heart Failure With Preserved Ejection Fraction |
Resource links provided by NLM:
Further study details as provided by Virginia Commonwealth University:
Primary Outcome Measures:
- Peak oxygen consumption (peak VO2) [ Time Frame: 14 days ] [ Designated as safety issue: Yes ]The primary endpoint is the change in peak oxygen consumption among stable heart failure patients (n = 14) following 14-days treatment with daily doses of Anakinra 100 mg (SC, subcutaneous).
Secondary Outcome Measures:
- Aerobic exercise parameters (VCO2, VE/VCO2 slope, exercise time) [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]Secondary endpoints will include interval change from baseline in other exercise parameters (peak VO2, exercise time, ventilatory efficiency) upon completion of 2 weeks treatment and throughout 4-week duration of study
- Inflammatory biomarkers [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]Secondary endpoints will include interval change from baseline in inflammatory biomarkers (high-sensitivity C-reactive protein, whole blood assay) upon completion of 2 weeks treatment and throughout 4-week duration of study.
- Heart failure symptoms (DASI) [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]Secondary endpoints will include interval change from baseline in HF symptoms as measured by Duke Activity Status Index (DASI) upon completion of 2 weeks treatment and throughout the 4-week duration of study.
- Adverse events [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]Secondary endpoints will include assessment of adverse events and hospitalizations during 4-week duration of study.
- Correlation between endpoints [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]Secondary endpoints will include correlation studies between interval changes in biomarkers, exercise parameters, failure symptoms, adverse events and hospitalizations during 4-week duration of study.
Estimated Enrollment: | 14 |
Study Start Date: | February 2012 |
Estimated Study Completion Date: | January 2013 |
Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
Experimental: Anakinra
Treatment with daily subcutaneous injections of Anakinra 100 mg
|
Drug: Anakinra
Anakinra 100 mg daily subcutaneous injection
Other Names:
|
Placebo Comparator: Placebo
Treatment with daily subcutaneous injection of placebo
|
Drug: Placebo
Placebo daily subcutaneous injection
|
Eligibility
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Symptoms and signs of congestive heart failure
- Recent Imaging Study (<12 months) showing LVEF>50% and LVEDVI<97ml/m2
Evidence of abnormal LV relaxation, filling, diastolic distensibility, and diastolic stiffness as shown by one of the following:
Invasive Hemodynamic measurements
- mPCW >12
- LVEDP>16mmHg
Tissue Doppler Echocardiogram
- E/E' >15
E/E' 8-15 and one of the following
- LVH
- Afib
- LAE
- E/A<0.5+DT>280(if >50yrs of age)
- Biomarkers
- BNP>200pg/mL
Exclusion Criteria:
- Age <18
- Recent changes (previous 3 months) in HF maintenance medications (beta-blockers, angiotensin converting enzyme [ACE] inhibitors, aldosterone antagonists, vasodilators, cardiac glycosides, diuretics)
- Hospitalization for worsening HF or acute decompensated HF within the previous 12months
- Anticipated need for cardiac resynchronization therapy (CRT) or automated-implantable cardioverter defibrillator (AICD)
- Angina or electrocardiograph (ECG) changes that limit maximum exertion during cardiopulmonary exercise testing
- Active infection including chronic infection
- Active cancer
- Recent (<14 days) use of anti-inflammatory drugs (not including NSAIDs), Chronic inflammatory disorder (including but not limited to rheumatoid arthritis, systemic lupus erythematosus), malignancy, or any comorbidity limiting survival or ability to complete the study
- Pregnancy (determined by urine pregnancy test in women of childbearing potential)
- Inability to give informed consent
- Other conditions limiting completion of cardiopulmonary exercise test or completion of the study
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01542502
Contacts
Contact: Antonio Abbate, MD, PhD | 804-828-0513 |
Locations
United States, Virginia | |
Virginia Commonwealth University | Recruiting |
Richmond, Virginia, United States, 23298 | |
Principal Investigator: Antonio Abbate, MD, PhD | |
Sub-Investigator: Benjamin W Van Tassell, PharmD |
Sponsors and Collaborators
Virginia Commonwealth University
More Information
No publications provided
Keywords provided by Virginia Commonwealth University:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on October 17, 2012
No publications provided
Responsible Party: | Virginia Commonwealth University |
ClinicalTrials.gov Identifier: | NCT01542502 History of Changes |
Other Study ID Numbers: | HM14079 |
Study First Received: | February 23, 2012 |
Last Updated: | March 1, 2012 |
Health Authority: | United States: Institutional Review Board |
Keywords provided by Virginia Commonwealth University:
Heart failure with preserved ejection fraction Diastolic heart failure Aerobic exercise performance |
Additional relevant MeSH terms:
Heart Failure Heart Diseases Cardiovascular Diseases Interleukin 1 Receptor Antagonist Protein |
Antirheumatic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on October 17, 2012