Study of Nesiritide in Diastolic Heart Failure.
Recruitment status was Active, not recruiting
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Purpose
We hypothesize that nesiritide will have favorable effect in decreasing heart filling pressures and echocardiogram studies.
| Condition | Intervention | Phase |
|---|---|---|
|
Diastolic Heart Failure |
Drug: nesiritide |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Study of the Acute Hemodynamic and Myocardial Effects of Nesiritide in Diastolic Heart Failure. |
- Patients will have continuous blood pressure, heart rate and heart pressure monitoring.
- Patients will undergo echocardiogram at baseline and after 24 hours of nesiritide infusion.
| Estimated Enrollment: | 20 |
| Study Start Date: | December 2002 |
| Estimated Study Completion Date: | February 2010 |
| Estimated Primary Completion Date: | February 2010 (Final data collection date for primary outcome measure) |
In previous studies, patients with systolic heart failure were given nesiritide and had reduced heart filling pressures. The FDA has approved nesiritide for these patients.
Between one-third and one-half of patients with heart failure have diastolic heart failure. Few of these patients have been studied while receiving nesiritide.
A study is needed to test nesiritide on this specific type of heart failure.
Patients will undergo a heart catheterization and heart biopsy. Patients will then be transferred to the intensive care unit for monitoring. An echocardiogram will be obtained, followed by an infusion of nesiritide for 24 hours. At the completion of the infusion, a repeat echocardiogram will be obtained.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Elevated heart filling pressure. Ejection fraction >45%. Blood pressure >90. Physician feels that the patient needs intravenous medication for heart failure.
-
Exclusion Criteria:
Patients receiving intravenous medication. Patients with significant heart disease or who are unstable. Patients with kidney failure or severe heart valve disease.
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Contacts and Locations| United States, Massachusetts | |
| Massachusetts General Hospital | |
| Boston, Massachusetts, United States, 02114 | |
| Principal Investigator: | Marc J S, MD | Massachusetts General Hospital |
More Information
No publications provided
| Responsible Party: | Marc J. Semigran, MD, Massachusetts General Hospital |
| ClinicalTrials.gov Identifier: | NCT00309868 History of Changes |
| Other Study ID Numbers: | 2002-p-001736 |
| Study First Received: | March 30, 2006 |
| Last Updated: | May 3, 2010 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Massachusetts General Hospital:
|
heart catheterization echocardiogram nesiritide |
Additional relevant MeSH terms:
|
Heart Failure Heart Failure, Diastolic Heart Diseases Cardiovascular Diseases Natriuretic Peptide, Brain |
Natriuretic Agents Physiological Effects of Drugs Pharmacologic Actions Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013