Status:

COMPLETED

Asses the Anti-inflammatory Effects of Short Term Copaxone Therapy on Patients the Acute Decompensated Heart Failure

Lead Sponsor:

Hadassah Medical Organization

Collaborating Sponsors:

Weizmann Institute of Science

Conditions:

Acute Decompensated Heart Failure

Cytokine Storm

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

Assess the anti-inflammatory effects of short-term Copaxone therapy on patients with acute decompensated heart failure. Trial Design * An open-label, randomized, prospective trial of patients hospit...

Eligibility Criteria

Inclusion

  • STAGE CHF BASELINE NYHA functional class II-III and established diagnosis of ischemic cardiomyopathy
  • Hospitalization due to acute decompensated CHF
  • GDMT for at least 3 months prior to enrollment

Exclusion

  • Current hospitalization:
  • Hemodynamic instability necessitating inotropic or mechanical circulatory support
  • Respiratory failure necessitating invasive mechanical ventilation
  • Active infection
  • A different etiology to explain SIRS other than CHF exacerbation.
  • Prior hospitalizations or need of intravenous diuretic therapy in the last 30 days before current hospitalization
  • Cardiac co-morbidities:
  • Specific HF etiologies:
  • Pericardial disease
  • Infiltrative myocardial disease
  • Moderate and above Valvular heart disease Acute coronary syndrome in the preceding 60 days to randomization Evidence of significant cardiac ischemia within 1 year of randomization without revascularization since Stroke or TIA in the preceding 30 days from randomization
  • Complex congenital cardiac defect
  • New initiation of cardiac resynchronization therapy within 60 days prior to randomization
  • Life threatening arrhythmias /ICD ACTIVATION- in last 90 days Listing for heart transplantation or anticipated/implanted ventricular assist device
  • Non-cardiac co-morbidities:
  • Glomerular filtration rate \<30 mL/min/1.73m2 calculated by MDRD formula
  • Hepatic insufficiency classified as Child-Pugh B or C
  • SBP \>180 mm Hg or \<110 mm Hg NOT RESPONSIVE TO THERAPY
  • Morbid obesity with a BMI \>40 kg/m2
  • Severe pulmonary disease with requirement of home oxygen therapy or important nocturnal desaturation
  • Active treatment for malignancy in the past 2 years or neoplastic spread beyond organ of origin (lymphatic metastases included)
  • Hemoglobin \<8 g/dL
  • Known previous systemic inflammatory disease
  • Alcohol or drug abuse Chronic treatment with Copaxone, cytotoxic, immunosuppressant or biological treatment in the past two years.
  • Known Pregnancy Incapability of signing IC due to cognitive or mental reason Poor compliance to medical therapy or inability to complete the study Age \>80 years

Key Trial Info

Start Date :

January 4 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 12 2023

Estimated Enrollment :

14 Patients enrolled

Trial Details

Trial ID

NCT06003972

Start Date

January 4 2021

End Date

March 12 2023

Last Update

August 22 2023

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Hadassah Ein Kerem medical center-hospital ,Cardiology Department

Jerusalem, Israel, 911002