Telmisartan in Haemodialysis Patients With Chronic Heart Failure

NCT ID: NCT00490958

Last Updated: 2008-10-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

351 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-01-31

Study Completion Date

2005-06-30

Brief Summary

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Background: In haemodialysis patients, chronic heart failure (CHF) is responsible for a high mortality rate but, presently, very little data is available regarding this population.

Aim of the study: Aim of this study was to determine whether telmisartan decreases all-cause and cardiovascular mortality and morbidity in haemodialysis patients with CHF and impaired left ventricular ejection fraction (LVEF) when added to standard therapies with ACE inhibitors.

Methods: A 3-year randomized, double-blind, placebo-controlled, multicentre trial was performed involving 30 Italian clinics. Haemodialysis patients with CHF (NYHA class II and III; LVEF 40%) were randomized to telmisartan or placebo in addition to ACE inhibitor therapy. 332 patients were enrolled (165 telmisartan, 167 placebo), and drug dosage was titrated to a target dose of telmisartan of 80 mg or placebo. Mean follow-up period was 35±5 months. Primary outcomes were all-cause mortality, cardiovascular mortality and CHF hospitalization.

Detailed Description

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Conditions

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Heart Failure, Congestive

Keywords

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heart Failure haemodialysis telmisartan angiotensin converting enzyme inhibitor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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telmisartan

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult haemodialysis patients with CHF;
* New York Heart Association (NYHA) class II and III;
* Ejection fraction less or equal to 40% determined within 6 months; and
* Therapy with ACE inhibitors individually optimized and unchanged for 30 days before randomization

Exclusion Criteria

* Hypotension during dialysis;
* Atrial fibrillation;
* Intolerant to low dose of telmisartan
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Campania Luigi Vanvitelli

OTHER

Sponsor Role lead

Principal Investigators

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Gennaro Cice, MD

Role: STUDY_CHAIR

Chair of cardiology Second University of Naples

Locations

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Chair of Cardiology Second University of Naples

Naples, , Italy

Site Status

Countries

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Italy

References

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Cice G, Di Benedetto A, D'Isa S, D'Andrea A, Marcelli D, Gatti E, Calabro R. Effects of telmisartan added to Angiotensin-converting enzyme inhibitors on mortality and morbidity in hemodialysis patients with chronic heart failure a double-blind, placebo-controlled trial. J Am Coll Cardiol. 2010 Nov 16;56(21):1701-8. doi: 10.1016/j.jacc.2010.03.105.

Reference Type DERIVED
PMID: 21070920 (View on PubMed)

Other Identifiers

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tchf-01-01

Identifier Type: -

Identifier Source: org_study_id