Status:
COMPLETED
Efficacy and Safety of Aliskiren and Aliskiren/Enalapril Combination on Morbidity-mortality in Patients With Chronic Heart Failure
Lead Sponsor:
Novartis Pharmaceuticals
Conditions:
Chronic Heart Failure
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
The study will evaluate the efficacy and safety of both aliskiren monotherapy and aliskiren/enalapril combination therapy as compared to enalapril monotherapy, on morbidity and mortality in patients w...
Eligibility Criteria
Inclusion
- Inclusion Criteria
- Patients eligible for inclusion in this study had to fulfill all of the following criteria:
- Patients ≥ 18 years of age, male or female.
- Patients with a diagnosis of chronic heart failure (NYHA
- Class II - IV):
- LVEF ≤ 35% at Visit 1 (local measurement, within the past 6 months assessed by echocardiography, multiple uptake gated acquisition scan (MUGA), computerized tomography(CT) scan, magnetic resonance imaging (MRI) or ventricular angiography)
- Elevated BNP or NT-proBNP at Visit 1:
- BNP ≥ 150 pg/mL (or BNP ≥ 100 pg/mL and unplanned hospitalization for HF within the last 12 months prior to Visit 1) (according to local measurement). OR NT-proBNP ≥ 600 pg/mL (or NT-proBNP ≥ 400 pg/mL and unplanned hospitalization for HF within the last 12 months prior to Visit 1) (according to local measurement).
- Patients had to be treated with an ACEI at a stable dose enalapril 10 mg daily at least or any other ACEI, e.g. ramipril, quinapril, lisinopril, fosinopril, perindopril, trandolapril; based on equivalent doses, for at least 4 weeks prior to Visit 1
- Patients had to be treated with a beta-blocker, unless contraindicated or not tolerated, at a stable dose for at least 4 weeks prior to visit 1 (for patients not on target dose, according to local guidelines, or in absence of that medication, the reason should be documented).
- Written informed consent to participate in the study and ability to comply with all requirements.
- Exclusion Criteria
- Patients with any of the following were to be excluded from participation in the study:
- History of hypersensitivity to any of the study drugs including history or allergy to ACEIs as well as known or suspected contraindications to the study drugs or previous history of intolerance to high doses of ACEIs during up- titration process.
- Patients treated concomitantly with both an ARB and an aldosterone antagonist in addition to study drug at Visit 1.
- Current acute decompensated HF (defined as an acute exacerbation of a chronic heart failure status manifested by typical signs and symptoms of HF like dyspnea, fatigue etc., that may require IV therapy with diuretics, vasodilators and/or inotropic drugs).
- Symptomatic hypotension and/or less than 95 mmHg systolic blood pressure (SBP) at Visit 1 and/or less than 90 mmHg SBP at Visit 4.
- Acute coronary syndrome, stroke, transient ischemic attack, cardiac, carotid or major vascular surgery, percutaneous coronary intervention (PCI) or carotid angioplasty, within the past 3 months prior to Visit 1.
- Coronary or carotid artery disease likely to require surgical or percutaneous intervention within the 6 months after Visit 1.
- Right heart failure due to severe pulmonary disease.
- Patients with Diabetes Mellitus.
Exclusion
Key Trial Info
Start Date :
March 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 1 2015
Estimated Enrollment :
7064 Patients enrolled
Trial Details
Trial ID
NCT00853658
Start Date
March 1 2009
End Date
October 1 2015
Last Update
November 25 2016
Active Locations (806)
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1
Novartis Investigative Site
Huntsville, Alabama, United States, 35801
2
Novartis Investigative Site
Mobile, Alabama, United States, 36608
3
Novartis Investigative Site
Mobile, Alabama, United States, 36693
4
Novartis Investigative Site
Tucson, Arizona, United States, 85723-0001