A Registry-based Cluster Randomized Trial to Compare the Effect of Spironolactone vs. Eplerenone on Clinical Outcomes in Patients With Symptomatic Systolic Heart Failure

NCT ID: NCT03984591

Last Updated: 2023-02-01

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

ENROLLING_BY_INVITATION

Clinical Phase

PHASE4

Total Enrollment

7200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-01

Study Completion Date

2028-12-31

Brief Summary

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Objective The objective is to compare the efficacy of spironolactone and eplerenone on clinical outcome in patients with heart failure and a reduced ejection fraction.

Method The study is a crossover cluster randomized trial. Each heart failure clinic in Denmark will be allocated to four periods (clusters): two periods with spironolactone and two periods with eplerenone as first drug. The planned total participation time for each department is 4 years and we estimate that data from 7200 patients will be accrued in this period. Endpoints will be assessed through Danish National Registries.

Detailed Description

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Conditions

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Systolic Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Spironolactone

Spironolactone used according to heart failure guidelines

Group Type ACTIVE_COMPARATOR

Spironolactone

Intervention Type DRUG

Spironolactone according to guidelines

Eplerenone

Eplerenone used according to heart failure guidelines

Group Type ACTIVE_COMPARATOR

Eplerenone

Intervention Type DRUG

Eplerenone according to guidelines

Interventions

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Eplerenone

Eplerenone according to guidelines

Intervention Type DRUG

Spironolactone

Spironolactone according to guidelines

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* all patients registered in the Danish Heart Failure Registry who has a baseline left ventricular ejection fraction \<40% and who has filled in a prescription for an aldosterone antagonist

Exclusion Criteria

* patients who had filled in a prescription for an aldosterone antagonist prior ro registration in the Danish Heart Failure Registry
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role collaborator

Bispebjerg Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jens Jakob Thune

Clinical research associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jens Jakob Thune, MD, PhD

Role: STUDY_CHAIR

Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark

Locations

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Bispebjerg Hospital

Copenhagen, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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CROWD-ASPECT

Identifier Type: -

Identifier Source: org_study_id

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