Heart Rate Reduction in Heart Failure

NCT ID: NCT01178528

Last Updated: 2014-09-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

121 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2010-10-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Patients with heart failure (HF) have a limited exercise tolerance,few pharmacological interventions have been proven effective in improving exercise capacity. At the presence there i conflicting evidence on the effectiveness of beta-blockers on exercise capacity. Ivabradine has been shown to improve prognosis in patients with ischemic heart disease, left ventricular dysfunction and heart rate \> 70 bpm. The association of ivabradine and atenolol has been proven effective in increasing exercise tolerance in patients with ischemic heart disease. Aim of the present study is to evaluate the effect of heart rate reduction with ivabradine, carvedilol or their combination in patients with heart failure of ischemic origin.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Patients with chronic heart failure of ischemic origin (120) Stable coronary artery disease Acute coronary syndromes \> 3 months Revascularization procedures \> 3 months Naive on heart rate reducing agents New York Heart Association (NYHA) Class II III 6 minute walking test (6MW) tolerance between 200 and 400 m Stable medications for the past 3 months

Treatment Ivabradine up to 7.5 mg b.i.d. Carvedilol up to 25 mg b.i.d. Carvedilol and Ivabradine up to 12.5/5 mg b.i.d.

Efficacy measure Intention to treat Exercise tolerance Quality of life

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Heart Failure

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Ivabradine

7.5 mg bd

Group Type EXPERIMENTAL

ivabradine

Intervention Type DRUG

7.5 mg bd

Carvedilol

up to 25 mg bd

Group Type ACTIVE_COMPARATOR

Carvedilol

Intervention Type DRUG

25 mg bd

"Drug:Carvedilol" and "Drug:Ivabradine"

up to 12.5/5 mg bd

Group Type EXPERIMENTAL

"Drug:Carvedilol" and "Drug:Ivabradine"

Intervention Type DRUG

up to 12.5/5 mg bd

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

ivabradine

7.5 mg bd

Intervention Type DRUG

"Drug:Carvedilol" and "Drug:Ivabradine"

up to 12.5/5 mg bd

Intervention Type DRUG

Carvedilol

25 mg bd

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* heart failure II-III
* ischemic origin
* stable medications from at least 3 months
* \> 3 months from an acute ischemic syndrome or revascularization procedure
* naive on heart rate reducing agents

Exclusion Criteria

* bradycardia
* hypersensitivity or contraindications to study drugs
* exercise tolerance at 6 minute walking test \<100 m or \>400 m
Minimum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

IRCCS San Raffaele

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Giuseppe M.C. Rosano

Principal investigato

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Maurizio Volterrani, MD

Role: PRINCIPAL_INVESTIGATOR

IRCCS San Raffaele

Giuseppe MC Rosano, MD, PhD

Role: STUDY_CHAIR

IRCCS San Raffaele

Cristiana Vitale, MD, PhD

Role: STUDY_DIRECTOR

IRCCS San Raffaele

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Centre for Clinical and Basic Research - IRCCS San Raffaele

Roma, Italy, Italy

Site Status

IRCCS San Raffaele

Roma, Italy, Italy

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Italy

References

Explore related publications, articles, or registry entries linked to this study.

Fasullo S, Cannizzaro S, Maringhini G, Ganci F, Giambanco F, Vitale G, Pinto V, Migliore G, Torres D, Sarullo FM, Paterna S, Di Pasquale P. Comparison of ivabradine versus metoprolol in early phases of reperfused anterior myocardial infarction with impaired left ventricular function: preliminary findings. J Card Fail. 2009 Dec;15(10):856-63. doi: 10.1016/j.cardfail.2009.05.013. Epub 2009 Jul 3.

Reference Type BACKGROUND
PMID: 19944362 (View on PubMed)

Swedberg K, Komajda M, Bohm M, Borer JS, Ford I, Tavazzi L. Rationale and design of a randomized, double-blind, placebo-controlled outcome trial of ivabradine in chronic heart failure: the Systolic Heart Failure Treatment with the I(f) Inhibitor Ivabradine Trial (SHIFT). Eur J Heart Fail. 2010 Jan;12(1):75-81. doi: 10.1093/eurjhf/hfp154. Epub 2009 Nov 5.

Reference Type BACKGROUND
PMID: 19892778 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

http://www.escardio.org

European Society Cardiology guidelines

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

CTG001-07

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.