Survival Study of the Recombinant Human Neuregulin-1β in Subjects With Chronic Heart Failure.

NCT ID: NCT03388593

Last Updated: 2024-02-01

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-23

Study Completion Date

2026-02-28

Brief Summary

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The purpose of this study is to evaluate efficacy of rhNRG-1 in reducing the death rate of heart failure subjects with baseline NT-proBNP level between 600 pg/ml and 1700 pg/mL and NYHA class II to III.

Detailed Description

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The mortality of chronic heart failure patients remains high, in spite of current treatment. RhNRG-1(recombinant human neuregulin-1)directly work on the cardiomyocyte and restored the normal structure and function of it. Both the preclinical trials, phase II clinical trials and already completed phase III clinical trails have confirmed that rhNRG-1 effectively enhance the heart function, reverse the remodeling of left ventricular, and reduce all-cause mortality in heart failure animals and humans. More importantly, rhNRG-1 can significantly reduce the mortality of heart failure subjects with baseline NT-proBNP level ≤1600 fmol/mL and NYHA class II to III. In this phase III study, the investigators will further confirm the efficacy of rhNRG-1 in reducing the death rate of heart failure subjects with baseline NT-proBNP level between 600 pg/ml and 1700 pg/mL and NYHA class II to III.

Conditions

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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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Placebo

Placebo in addition to standard therapy

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

10 hours per day i.v drip for the first 10 days (0ug/kg/day), followed by weekly 10 minutes i.v bolus (0ug/kg/day), from the 3rd week for 23 weeks

rhNRG-1

rhNRG-1 in addition to standard therapy

Group Type EXPERIMENTAL

rhNRG-1

Intervention Type DRUG

10 hours per day i.v drip for the first 10 days (0.6ug/kg/day), followed by weekly 10 minutes i.v bolus (0.8ug/kg/day), from the 3rd week for 23 weeks

Interventions

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rhNRG-1

10 hours per day i.v drip for the first 10 days (0.6ug/kg/day), followed by weekly 10 minutes i.v bolus (0.8ug/kg/day), from the 3rd week for 23 weeks

Intervention Type DRUG

Placebo

10 hours per day i.v drip for the first 10 days (0ug/kg/day), followed by weekly 10 minutes i.v bolus (0ug/kg/day), from the 3rd week for 23 weeks

Intervention Type DRUG

Other Intervention Names

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Neucardin™

Eligibility Criteria

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Inclusion Criteria

* 1\. Age between 18 and 75, gender balance (no more than 960 subjects of either gender in total 1600 subjects).
* 2\. Left ventricular ejection fraction (LVEF)≤40% (ECHO).
* 3\. Subjects with chronic heart failure (NYHA class II OR III ).
* 4\. 600 pg/ml ≤NT-proBNP≤1700 pg/ml ( by Roche assay Kit in central lab).
* 5\. Diagnosed as chronic systolic heart failure (history, symptoms, signs), and in stable condition in the last one month.
* 6\. Receiving standard therapy for chronic heart failure, reach target dose or max tolerable dose for one month, or has not changed the dose for one month before randomization.
* 7\. Capable of signing the informed consent form.

Exclusion Criteria

* 1\. New chronic heart failure patients, or patients receiving standard therapy on chronic heart failure for less than 3 months.
* 2\. NYHA functional class I OR IV.
* 3\. NT-proBNP \< 600 pg/ml OR NT-proBNP\>1700 pg/ml (by Roche assay Kit in central lab).
* 4\. Patients with hypertrophic cardiomyopathy, rheumatic heart disease, constrictive pericarditis, significant valvular pathological change or congenital heart diseases, primary or secondary severe pulmonary artery hypertension.
* 5\. Ischemic heart failure without recanalization or with recanalization in recent six months.
* 6\. Acute MI in the last 3 months.
* 7\. Unstable angina.
* 8\. Patients with acute pulmonary edema or acute hemodynamic disorder.
* 9\. Chronic heart failure patients with acute hemodynamic disorder or acute decompensation in the last 1 month (symptoms and signs suggest worsening chronic heart failure and may require intravenous drug therapy).
* 10\. Patients with right heart failure caused by pulmonary disease.
* 11\. Patients diagnosed with pericardial effusion (\>50 ml) or pleural effusion(\>200 ml), or evidenced by Echocardiogram.
* 12\. Cardiac surgery or cerebrovascular accident within recent six months.
* 13\. Preparing for heart transplantation or CRT, or has received CRT.
* 14\. Serious ventricular arrhythmia (sustained ventricular tachycardia or frequent paroxysmal ventricular tachycardia).
* 15.Diagnosis of perinatal or chemotherapy-induced cardiomyopathy in last 12 months.
* 16\. Serious hepatic or renal dysfunction (bilirubin 1.5 times above the normal upper limit, AST or ALT 2 times above the normal upper limit, serum creatinine\>2.0mg/dL, HBV or HCV positive).
* 17\. Serum potassium \<3.2 mmol/L or \>5.5 mmol/L.
* 18\. Systolic blood pressure \<90mmHg or \>160mmHg.
* 19\. Women of childbearing age who have a pregnancy plan within 2 years (women of childbearing age are defined as women who have a pregnancy physiology).
* 20\. Pregnant or lactating women.
* 21\. Patients who participated in any clinical trial in the recent three months.
* 22\. Subject with a life expectancy less than 6 months as assessed by the investigator.
* 23\. Serious nervous system diseases (Alzheimer's disease, advanced Parkinsonism),lower limb defects, or deaf-mute.
* 24\. History of any malignancy or suffering from cancer, or biopsy proven pre-malignant condition (e.g., DICS or cervical atypia).
* 25\. Evidence (physical examination, chest X-ray (CXR), ECHO or other tests) shows some active malignancy or adenoidal hypertrophy or neoplasm that has an effect on heart function or the endocrine system, e.g., pheochromocytoma or hyperthyroidism (Thyroid nodules with normal thyroid function do not need to be excluded).
* 26\. As judged by the investigator that the subject cannot 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, Ph.D,MD

Role: PRINCIPAL_INVESTIGATOR

Fuwai Hospital and Cardiovascular Institute, Chinese Academy of Medical Sciences

Locations

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Beijing Hospital of Traditional Chinese Medicine

Beijing, Beijing Municipality, China

Site Status RECRUITING

Navy General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beijing Jingmei Group General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Fuwai Hospital and Cardiovascular Institute, Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status RECRUITING

Affiliated Hospital of Chongqing Three Gorges Medical College

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Chongqing Emergency Medical Center

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Chongqing Three Gorges Central Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Sun Yai-sen Memorial hospital Sun Yai-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangdong Second Provincial Central Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangzhou Panyu Central Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Affiliated Hospital of Guangdong Medical University

Zhanjiang, Guangdong, China

Site Status NOT_YET_RECRUITING

The Fifth Affiliated Hospital Sun Yat-Sen University

Zhuhai, Guangdong, China

Site Status RECRUITING

The First People's Hospital of Zunyi

Zunyi, Guizhou, China

Site Status RECRUITING

Haikou People's Hospital

Haikou, Hainan, China

Site Status RECRUITING

The Third People's Hospital of Hainan Province

Sanya, Hainan, China

Site Status RECRUITING

HanDan Central Hospital

Handan, Hebei, China

Site Status RECRUITING

First Hospital of Handan

Handan, Hebei, China

Site Status RECRUITING

980 Hospital of PLA Joint Logistics Support Force (Bethune International Peace Hospital)

Shijiazhuang, Hebei, China

Site Status RECRUITING

The Second Affiliated Hospital of Xingtai Medical College

Xingtai, Hebei, China

Site Status RECRUITING

Xingtai People's Hospital

Xingtai, Hebei, China

Site Status RECRUITING

The Third Affiliated Hospital of Qiqihar Medical University

Qiqihar, Heilongjiang, China

Site Status RECRUITING

Huaihe Hospital of Henan University

Kaifeng, Henan, China

Site Status RECRUITING

The First People's Hospital of Luoyang

Luoyang, Henan, China

Site Status RECRUITING

Puyang Oilfield General Hospital

Puyang, Henan, China

Site Status RECRUITING

The First People's Hospital of Xinxiang

Xinxiang, Henan, China

Site Status RECRUITING

Pepole's hospital of Xinzheng

Xinzheng, Henan, China

Site Status RECRUITING

Zhengzhou First People's Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Luoyang center hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Henan Provincial Chest Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Xiangya Hospital Central South University

Changsha, Hunan, China

Site Status RECRUITING

Hunan Provincial People's Hospital

Changsha, Hunan, China

Site Status RECRUITING

The Second Hospital. University of South China

Hengyang, Hunan, China

Site Status RECRUITING

The First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of Science & Technology

Baotou, Inner Mongolia, China

Site Status RECRUITING

Chifeng Municipal Hospital

Chifeng, Inner Mongolia, China

Site Status RECRUITING

The Affiliated Hospital of Xuzhou Medical College

Xuzhou, Jiangsu, China

Site Status RECRUITING

Jiujiang Hospital Affiliated to Nanchang University

Jiujiang, Jiangxi, China

Site Status RECRUITING

Affiliated Hospital of Changchun University of Chinese Medicine

Changchun, Jilin, China

Site Status RECRUITING

Jilin Academy of Traditional Chinese Medicine

Changchun, Jilin, China

Site Status RECRUITING

Jilin University Sino-Japanese Friendship Hospital

Changchun, Jilin, China

Site Status RECRUITING

The First Affiliated Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

Meihekou Central Hospital

Meihekou, Jilin, China

Site Status RECRUITING

Siping Central People's Hospital

Siping, Jilin, China

Site Status RECRUITING

Tonghua Central Hospital

Tonghua, Jilin, China

Site Status RECRUITING

The People's Hospital of Liaoning Province

Shenyang, Liaoning, China

Site Status RECRUITING

Shengjing Hospital Affiliated to China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

The Affiliated Hospital of Shaanxi University of Chinese Medicine

Xianyang, Shaanxi, China

Site Status RECRUITING

Jinan Central Hospital

Jinan, Shandong, China

Site Status RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Central hospital of minhang District

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The Sixth People's Hospital, Shanghai Jiaotong University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Oriental hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Yangpu District Central Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The Central Hospital of Putuo District, Shanghai

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status RECRUITING

Shanxi cardiovascular disease hospital

Taiyuan, Shanxi, China

Site Status RECRUITING

Taiyuan City Central Hospital

Taiyuan, Shanxi, China

Site Status SUSPENDED

Pepole's hospital of DeYang city

Deyang, Sichuan, China

Site Status RECRUITING

The Second People's Hospital of Neijiang

Neijiang, Sichuan, China

Site Status RECRUITING

Wuqing pepole's hospital

Tianjing, Tianjing, China

Site Status RECRUITING

Fourth Affiliated Hospital of Xinjiang Medical University

Xinjiang, Xinjiang, China

Site Status RECRUITING

The Third People's Hospital of Yunnan Province

Kunming, Yunnan, China

Site Status RECRUITING

The Second Hospital of Kunming Medical College

Kunming, Yunnan, China

Site Status RECRUITING

Shulan (Hangzhou) Hospital

Hangzhou, Zhejiang, China

Site Status RECRUITING

Taizhou Hospital of Zhejiang Province

Linhai, Zhejiang, China

Site Status RECRUITING

Quzhou people's hospital

Quzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiaorui Wang, Ph.D

Role: CONTACT

86-21-50802627 ext. 196

Runlin Gao, Ph.D,MD

Role: CONTACT

Facility Contacts

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Hongxu Liu

Role: primary

Tianchang Li

Role: primary

Jianping Luo

Role: primary

Jian Zhang, MD, Ph.D

Role: primary

86-10-88398772

Gang Xiong

Role: primary

Ying Zhang

Role: primary

Xiaohua Pang

Role: primary

Jingfeng Wang

Role: primary

Yuhui Li

Role: primary

Guoqin Chen

Role: primary

Jianying Chen

Role: primary

Xiufang Lin

Role: primary

Qianfeng Jiang

Role: primary

Shijuan Lu

Role: primary

Ling Lin

Role: primary

Hongsen Tian

Role: primary

Xiufeng Zhao

Role: primary

Ru Leisheng

Role: primary

Dongmei Gao

Role: primary

Qingmin Wei

Role: primary

Haifeng Shao

Role: primary

Ruili He

Role: primary

Qunsheng Zhang

Role: primary

Fuxian Ren

Role: primary

Guiye Zhao

Role: primary

Yanhong Li

Role: primary

Hongwei Yu

Role: primary

Shouyan Zhang

Role: primary

Juan Chen

Role: primary

Zaixin Yu

Role: primary

Jianqiang Peng

Role: primary

Gaofeng Zeng

Role: primary

Xuefeng Lin

Role: primary

Xiandong Sun

Role: primary

Yong Xia

Role: primary

Xihu Yin

Role: primary

Yue Deng

Role: primary

Shurong Liu

Role: primary

Fanbo Meng

Role: primary

Yushi Wang

Role: primary

Jinliang Zhang

Role: primary

Zhihua Fang

Role: primary

Xuxia Zhang

Role: primary

Zhanquan Li

Role: primary

Shumei Ma

Role: primary

Ling Chen

Role: primary

Wei Miao

Role: primary

Ming Zhong, MD,Ph.D

Role: primary

Wei Hu

Role: primary

Jingwei Pan

Role: primary

Huimin Fan

Role: primary

Jiahong Wang

Role: primary

Zongjun Liu, MD,Ph.D

Role: primary

Zhiming Yang

Role: primary

Huiyuan Han

Role: primary

Xiaojian Deng

Role: primary

Quanwei Liu

Role: primary

Feng Ling

Role: primary

Peng Li

Role: primary

Yunfei Hong

Role: primary

Wenwei Bai

Role: primary

Liping Ma

Role: primary

Jianjun Jiang

Role: primary

Xiaoming Tu

Role: primary

Other Identifiers

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ZS-01-306

Identifier Type: -

Identifier Source: org_study_id

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