Status:

UNKNOWN

Early Treatment of ARNI on Myocardial Remodeling and Progress

Lead Sponsor:

RenJi Hospital

Conditions:

Myocardial Infarction

Eligibility:

All Genders

18-80 years

Phase:

PHASE4

Brief Summary

Myocardial remodeling following myocardial infarction (MI) is an important prognostic factor for heart function and adverse cardiovascular events, especially are intimately linked with heart failure. ...

Detailed Description

Myocardial remodeling following myocardial infarction (MI) is an important prognostic factor for heart function and adverse cardiovascular events. The angiotensin receptor neprilysin inhibitor (ARNI) ...

Eligibility Criteria

Inclusion

  • Acute myocardial infarction (AMI) within 1 months prior to recruitment;
  • Aged 18 years or over and under 80 years;
  • Randomized patients will have been hemodynamically stable, SBP ≥100mmHg, no symptomatic hypotension;
  • NYHA Class Ⅱ-Ⅳ, HFrEF or HFpEF;
  • Elevated NT-proBNP or BNP at the time of screening;
  • Peak VO2/kg\<16 ml/kg/min by CPET

Exclusion

  • Inability to complete a CPET;
  • Symptomatic hypotension and/or systolic blood pressure \<100mmHg;
  • eGFR \< 30 mL/min/1.73m2 and/or serum potassium \>5.2mmol/L;
  • History of hypersensitivity or allergy to ACE-inhibitors/ARB
  • History of angioedema;
  • Pregnancy, planning pregnancy, or breast feeding;
  • Life-threatening diseases with limited life expectancy \<1 year

Key Trial Info

Start Date :

May 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 30 2021

Estimated Enrollment :

280 Patients enrolled

Trial Details

Trial ID

NCT04342351

Start Date

May 1 2020

End Date

December 30 2021

Last Update

April 14 2020

Active Locations (1)

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1

RenJi Hospital, Shanghai JiaoTong University, School of Medicine

Shanghai, Shanghai Municipality, China, 200127