Status:

COMPLETED

A Safety Study Comparing Natrecor (Nesiritide) Versus Dobutamine Therapy for Worsening Congestive Heart Failure

Lead Sponsor:

Scios, Inc.

Conditions:

Heart Failure, Congestive

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to compare the effects on heart rate and ventricular arrhythmias (irregular heart beats) of two doses of Natrecor® (a recombinant form of the natural human peptide normal...

Detailed Description

Advanced congestive heart failure (CHF) accounts for over one million hospital admissions yearly in the U.S. and is associated with a 2-year mortality rate of up to 40% - 50% (according to the America...

Eligibility Criteria

Inclusion

  • History of NYHA (New York Heart Association) Class III or IV congestive heart failure (CHF)
  • Has symptomatic, decompensated CHF for which inpatient therapy with either dobutamine or Natrecor®, administered as a single intravenous vasoactive agent (drugs that influence the tone and caliber of blood vessels) with or without diuretics, is deemed appropriate
  • Receiving stable doses of oral antiarrhythmic medications (medications that help regulate irregular heart beats) for at least the 48 hours before starting study drug, or receiving no antiarrhythmic medications.

Exclusion

  • Cannot tolerate a 24-Hour Baseline Holter Monitoring Period without intravenous vasoactive medications, and/or cannot tolerate the specified washout period (if applicable) of intravenous vasoactive medications before starting the baseline Holter monitoring
  • Has systolic blood pressure consistently \< 85 mm Hg, cardiogenic shock, or other evidence of significant hemodynamic instability requiring the immediate institution of inotropic/pressor support
  • Has a clinical condition expected to require therapy with more than one intravenous vasoactive agent or Dopamine during the 24-Hour Treatment Holter Monitoring Period
  • Has received treatment with Dopamine or any intravenous vasoactive medication such as Dobutamine, Milrinone, Nitroprusside or intravenous Nitroglycerin for more than 4 hours for the current episode of decompensated CHF or related illness
  • Requires an intravenous antiarrhythmic medication during the 48 hours before starting the study

Key Trial Info

Start Date :

August 1 1998

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 1999

Estimated Enrollment :

255 Patients enrolled

Trial Details

Trial ID

NCT00270400

Start Date

August 1 1998

End Date

February 1 1999

Last Update

June 10 2011

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