Safety & Efficacy of ALT-711 (Alagebrium) in Chronic Heart Failure

NCT ID: NCT00739687

Last Updated: 2009-01-30

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

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 improved cardiac function and symptoms in experimental preclinical and small human heart failure studies. These results have not yet been confirmed in a randomized controlled clinical trial. Objective: to evaluate the safety and efficacy of alagebrium in subjects diagnosed with heart failure. This is a randomized, double-blind, placebo-controlled trial to assess the effects of 400 mg (2 x 100 mg bid) of alagebrium versus placebo over 9 months. 100 subjects will be studied (50 per treatment group) in approximately 6 centers. Procedures: exercise testing (VO2 max; the primary variable), ECGs and blood sampling.

Detailed Description

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Conditions

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Chronic Heart Failure

Keywords

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Chronic 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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ALT-711

Alagebrium 200 mg BID

Group Type EXPERIMENTAL

ALT-711

Intervention Type DRUG

200 mg tablet BID for 9 months.

Placebo

Placebo

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

200 mg tablet BID for 9 months.

Interventions

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ALT-711

200 mg tablet BID for 9 months.

Intervention Type DRUG

Placebo

200 mg tablet BID for 9 months.

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 ≤ 45% (echo does not need to be repeated at the screening visit if a prior echo is on record which indicates an ejection fraction \< 40%)
* Duration of heart failure \> 3 months
* Stable heart failure medical therapy for \> 1 month
* Patients need to be able to understand content of and willing to provide informed consent

Exclusion Criteria

* Patient ≤ 18 years
* History of myocardial infarction in previous 6 months
* History of stroke/TIA/RIND in previous 6 months
* Severe valvular dysfunction
* Severe pulmonary disease
* History of systemic inflammatory or collagen vascular disease
* Active and or treated malignancies within 12 months prior to inclusion
* Any significant condition either medical or non-medical that could lead to difficulty complying with the protocol
* Patients on cardiac resynchronisation therapy (CRT) or scheduled for CRT implantation
* Pacemaker therapy (unless rescue pacing at ≤ 40 bpm) or scheduled pacemaker implantation
* History of valve replacement or surgery
* Uncontrolled diabetes mellitus (HbA1c \> 9.5%)
* Clinically significant renal disturbance (sMDRD calculated GFR≤30 mL/min/1.73m2; sMDRD is calculated as 186 x serum Cr (mg/dl)-1.154 x years-0.203 x (0.742 if female) x (1.210 if African American)
* Clinically significant liver disease (ASAT/ALAT \> 2,5 times the upper limit of normal)
* Severe anemia at baseline (Hemoglobin \<10 g/dl or \<6.2 mmol/l)
* Use of any investigational drug(s) within 30 days prior to screening
* Pregnancy or active breast-feeding (urine pregnancy tests will be performed on all female subjects of childbearing potential)\*
* Active pericarditis/myocarditis
* The inability of patients to undergo exercise testing
Minimum Eligible Age

18 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

Locations

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University of Alabama Hospital

Birmingham, Alabama, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Medical University of South Carolina (MUSC)

Charleston, South Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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ALT-711-0527a

Identifier Type: -

Identifier Source: org_study_id