Study of Efficacy on Cardiac Remodeling of Recombinant Human Neuregulin-1 in Stable Chronic Systolic Heart Failure Patients

NCT ID: NCT01439893

Last Updated: 2017-12-21

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

PHASE3

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2012-06-30

Brief Summary

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This is a multi-center, randomized, double-blind , placebo parallel controlled, standard therapy based phase III clinical trial, to evaluate the efficacy of recombinant human neuregulin-1 on cardiac remodeling, as well as safety in patients with chronic heart failure.

Detailed Description

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RhNRG-1(recombinant human neuregulin-1)directly works on the cardiomyocytes and restored the normal structure and function of it.Both the preclinical trial and phase II clinical trail have confirmed that rhNRG-1 effectively improved the heart function, and is tolerated in the effective dosage groups. The aim of this phase III trial is to further confirm in large population that rhRNG-1 administration can effectively improve the cardiac remodeling and is tolerated in patients with chronic heart failure.

Conditions

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Chronic Systolic Heart Failure

Keywords

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Chronic heart failure rhNRG-1 Cardiac remodeling

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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rhNRG-1

Recombinant human neuregulin-1 administration in addition to basic therapy of chronic heart failure

Group Type ACTIVE_COMPARATOR

rhNRG-1

Intervention Type DRUG

day1\~day10:0.6ug/kg/day,10hours per day for vein infusion

Placebo

Excipient placebo in addition to basic therapy of chronic heart failure

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

day1\~day10:0.6ug/kg/day,10hours per day for vein infusion

Interventions

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rhNRG-1

day1\~day10:0.6ug/kg/day,10hours per day for vein infusion

Intervention Type DRUG

Placebo

day1\~day10:0.6ug/kg/day,10hours per day for vein infusion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age between 18 and 75, both sex.
2. Left ventricular ejection fraction (LVEF)≤40% (ECHO).
3. NYNA functional class II\~III.
4. Definitely diagnosed with chronic systolic heart failure (including medical records, symptoms and physical signs)and clinical symptom is steadily in the latest 1 month.
5. Receiving standard basic treatment of heart failure, has reached the objective dosage or the highest tolerated dosage for at least 1 month, or the dosage has not been changed for at least 1 month.
6. Capable of signing the informed consent form.

Exclusion Criteria

1. Patients with atrial fibrillation.
2. Patients with a pacemaker.
3. Patient with a metallic implant.
4. Patient with Claustrophobia.
5. Patients with acute myocardial infarction, Hypertrophic cardiomyopathy, constrictive pericarditis, significant valvular pathological change or congenital heart diseases, severe pulmonary artery hypertension.
6. Ischemic heart failure without recanalization or with recanalization in recent six months.
7. Cardiac surgery or cerebrovascular accident within recent six months.
8. Preparing for heart transplantation or has received CRT treatment.
9. Serious hepatic or renal dysfunction caused by organic pathological changes (Cr\>2.0mg/dl, AST or ALT 5 times above the normal upper limit).
10. Patients need mechanical ventilation.
11. Systolic blood pressure \<90mmHg or \>160mmHg.
12. Patients with acute hemodynamic disorder or decompensation in the last 1 month.
13. Serious ventricular arrhythmia (multi-morphological premature ventricular contraction, frequent paroxysmal ventricular tachycardia).
14. Serum potassium \<3.2 mmol/L or \>5.5 mmol/L.
15. Pregnant or plan to pregnant.
16. Unmarried or married but not procreated women at child-bearing age.
17. Subject with a life expectancy less than 6 months as assessed by the investigator.
18. Patients who participated in any clinical trial in the recent three months.
19. History of any malignancy or suffering from cancer,or biopsy proven pre-malignant condition (eg DICS or cervical atypia).
20. Evidence (physical examination,CXR,ECHO or other tests) shows some active malignancy or adenoidal hypertrophy or neoplasm has effect on heart function or endocrine system, eg pheochromocytoma or hyperthyroidism.
21. Judging by the investigator, the patients could not complete the study or adhere to the study requirements (due to the management reasons or others).
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zensun Sci. & Tech. Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Runlin Gao, MD, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Cardiovascular Institute and Fuwai Hospital

Locations

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Beijing Anzhen Hospital, Affiliate of Capital University of Medical Sciences

Beijing, Beijing Municipality, China

Site Status

Beijing Chao Yang Hospital, Affiliate of Capital University of Medical Sciences

Beijing, Beijing Municipality, China

Site Status

Cardiovascular Institute and Fuwai Hospital

Beijing, Beijing Municipality, China

Site Status

General Hospital of Chinese People's Liberation Army

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Other Identifiers

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ZS-01-303

Identifier Type: -

Identifier Source: org_study_id