The BENEFICIAL Study: Evaluating the Efficacy and Safety of Alagebrium (ALT-711) in Patients With Chronic Heart Failure

NCT ID: NCT00516646

Last Updated: 2010-01-13

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

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2009-10-31

Brief Summary

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Several lines of evidence have suggested that Advanced Glycation End-products (AGEs) play a role in the development and progression of heart failure. The AGE-crosslink breaker Alagebrium (ALT-711) improved cardiac function and symptoms in experimental and small human heart failure studies. These results have not yet been confirmed in a randomized controlled clinical trial.

Detailed Description

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This study is a double-blind, randomized, placebo-controlled, parallel design trial enrolling 100 patients (2x50) with stable CHF. Patients will be randomized to either 200 mg Alagebrium twice daily or placebo for a period of 9 months. Efficacy measurements will be performed at baseline, and at the end of the study, and include aerobic capacity (VO2max) exercise testing, echocardiography, Minnesota Living with Heart Failure score, AGEs measurements in blood and skin, NYHA heart failure class, patient's and physician's global assessment, and levels of NT-pro-BNP. Safety visits are performed at 3 months intervals. In addition, one safety visit will be performed 2 weeks after the randomization visit and 1 month after the last treatment visit. A total of 8 visits will be performed during the entire study.

Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

ALT-711 200 mg bid

Group Type ACTIVE_COMPARATOR

ALT-711

Intervention Type DRUG

200 mg bid

2

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

bid

Interventions

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ALT-711

200 mg bid

Intervention Type DRUG

Placebo

bid

Intervention Type DRUG

Other Intervention Names

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Alagebrium

Eligibility Criteria

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Inclusion Criteria

* NYHA II-IV heart failure
* Echocardiographic ejection fraction ≤ 40%
* Duration of heart failure \> 3 months
* Stable heart failure medical therapy for \> 1 months

Exclusion Criteria

* History of myocardial infarction in previous 6 months
* History of stroke in previous 6 months
* Clinically significant renal, liver, pulmonary,or hematological disease
* Active and or treated malignancies within 12 months
* Uncontrolled diabetes mellitus
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Synvista Therapeutics, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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University Medical Center Groningen, Groningen, The Netherlands

Principal Investigators

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Adriaan A Voors, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Medical Center Groningen

Locations

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Dept. Cardiology - University Medical Center Groningen

Groningen, P.O. Box 30 001, Netherlands

Site Status

Countries

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Netherlands

References

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Thohan V, Koerner MM, Pratt CM, Torre GA. Improvements in Diastolic Function Among Patients with Advanced Systolic Heart Failure Utilizing Alagebrium (an Oral Advanced Glycation End-product Cross-link Breaker). American Heart Association Scientific Sessions . 2005. Ref Type: Abstract

Reference Type BACKGROUND

Little WC, Zile MR, Kitzman DW, Hundley WG, O'Brien TX, Degroof RC. The effect of alagebrium chloride (ALT-711), a novel glucose cross-link breaker, in the treatment of elderly patients with diastolic heart failure. J Card Fail. 2005 Apr;11(3):191-5. doi: 10.1016/j.cardfail.2004.09.010.

Reference Type BACKGROUND
PMID: 15812746 (View on PubMed)

Hartog JW, Willemsen S, van Veldhuisen DJ, Posma JL, van Wijk LM, Hummel YM, Hillege HL, Voors AA; BENEFICIAL investigators. Effects of alagebrium, an advanced glycation endproduct breaker, on exercise tolerance and cardiac function in patients with chronic heart failure. Eur J Heart Fail. 2011 Aug;13(8):899-908. doi: 10.1093/eurjhf/hfr067. Epub 2011 Jun 13.

Reference Type DERIVED
PMID: 21669961 (View on PubMed)

Willemsen S, Hartog JW, Hummel YM, Posma JL, van Wijk LM, van Veldhuisen DJ, Voors AA. Effects of alagebrium, an advanced glycation end-product breaker, in patients with chronic heart failure: study design and baseline characteristics of the BENEFICIAL trial. Eur J Heart Fail. 2010 Mar;12(3):294-300. doi: 10.1093/eurjhf/hfp207. Epub 2010 Jan 25.

Reference Type DERIVED
PMID: 20100811 (View on PubMed)

Other Identifiers

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ALT-711-0527

Identifier Type: -

Identifier Source: org_study_id

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