Tezosentan in Acute Heart Failure (VERITAS 1)

This study has been completed.
Sponsor:
Information provided by:
Actelion
ClinicalTrials.gov Identifier:
NCT00525707
First received: August 31, 2007
Last updated: February 11, 2010
Last verified: February 2010
  Purpose

The randomized patients with acute heart failure will be stratified based on the presence or absence of a Swan-Ganz catheter and assigned to receive either tezosentan 5 mg/h for the first 30 minutes and 1 mg/h thereafter or matching placebo in a 1:1 manner. The duration of the treatment is 24 hours up to 72 hours. The duration of the follow-up period is 30 days after treatment initiation for death, re-hospitalizations and SAEs followed by a follow-up period of 5 months for vital status.


Condition Intervention Phase
Acute Heart Failure
Acute Decompensation of Chronic Heart Failure
New Onset of Heart Failure
Drug: tezosentan
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Multicenter, Double-blind, Randomized, Placebo-controlled, Parallel Group Study to Assess the Efficacy, Safety, and Tolerability of Tezosentan in Patients With Acute Heart Failure.

Resource links provided by NLM:


Further study details as provided by Actelion:

Primary Outcome Measures:
  • Incidence of death or worsening heart failure [ Time Frame: 7 days following study drug initiation ]

Secondary Outcome Measures:
  • effect on patient's dyspnea assessment, measured using a visual analog scale [ Time Frame: Over first 24 hours ]

Enrollment: 735
Study Start Date: April 2003
Study Completion Date: January 2005
Primary Completion Date: January 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
tezosentan delivered i.v. at 20 mL/h (5 mg/h) for 30 min followed by 4ML/h (1 mg/h) for 23.5 to 71.5 h (24 to 72 h in total)
Drug: tezosentan
tezosentan delivered i.v. at 20 mL/h (5 mg/h) for 30 min followed by 4ML/h (1 mg/h) for 23.5 to 71.5 h (24 to 72 h in total)
Placebo Comparator: 2 Drug: tezosentan
tezosentan delivered i.v. at 20 mL/h (5 mg/h) for 30 min followed by 4ML/h (1 mg/h) for 23.5 to 71.5 h (24 to 72 h in total)

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients 18 years of age or older.
  2. Male or non-breast-feeding, non-pregnant female (only females who are post menopausal, surgically sterile or practicing a reliable method of contraception).
  3. Acute heart failure (ischemic or non-ischemic).
  4. Randomization within 24 hours of hospitalization (including emergency room stay) for acute heart failure.
  5. Dyspnea at rest as assessed by the patient and breathing rate ³ 24/min (measured during 60 seconds).
  6. At least two out of the following four criteria: · elevated BNP or N terminal pro-BNP (more than three times the upper limit of normal for the site) in patients not treated with nesiritide,· clinical evidence of pulmonary congestion/edema (e.g., rales or crackles more than a third above bases),· evidence of pulmonary congestion on chest X-ray, · left ventricular systolic dysfunction (EF < 40% or wall motion index £ 1.2 within 12 months prior to randomization).
  7. Patients in need of i.v. therapy for acute heart failure and who have received at least one dose of i.v. diuretic within 24 hours prior to study drug initiation (last bolus dose must have been more than 2 hours prior to study drug initiation).
  8. Written informed consent.

Exclusion Criteria:

Criteria only for patients hemodynamically monitored:

  1. Baseline cardiac index > 2.5 l/min/m2 and/or PCWP < 20 mmHg within 6 hours prior to study drug initiation.

    Criteria for all patients:

  2. Patients not receiving i.v. vasodilators (e.g., nitrates, nitroprusside, nesiritide) at baseline: supine systolic blood pressure < 100 mmHg. Patients receiving i.v. vasodilators (e.g., nitrates, nitroprusside, nesiritide) at baseline: supine systolic blood pressure < 120 mmHg.
  3. Cardiogenic shock within the last 48 hours or evidence of volume depletion.
  4. Ongoing myocardial ischaemia, coronary revascularisation procedure (PCI or CABG) during current admission or planned revascularisation.
  5. ST-segment elevation myocardial infarction or administration of thrombolytic therapy.
  6. Baseline creatinine ≥ 2.5 mg/dl (221 mmol/l).
  7. Baseline hemoglobin < 10 g/dl or a hematocrit < 30%.
  8. Hemodialysis, ultrafiltration or peritoneal dialysis within the last 7 days.
  9. Heart failure due to active myocarditis, obstructive hypertrophic cardiomyopathy, congenital heart disease, restrictive cardiomyopathy or constrictive pericarditis. Heart failure caused by valvular disease.
  10. Acute heart failure associated with uncontrolled hemodynamically relevant atrial fibrillation/flutter or ventricular rhythm disturbances.
  11. Acute heart failure secondary to clinical evidence of digoxin toxicity or any other drug-related toxicity.
  12. Significant chronic and/or acute lung disease that might interfere with the ability to interpret the dyspnea assessments or hemodynamic measurements (e.g., severe chronic obstructive pulmonary disease or acute pneumonia).
  13. Mechanical circulatory or ventilatory support. Prior CPAP use is allowed, if discontinued at least 2 hours prior to study drug initiation.
  14. Acute systemic infection/sepsis or other illness with a life expectancy less than 30 days.
  15. Coronary artery bypass graft, or other cardiac surgery, or major non-cardiac surgery within the last 30 days.
  16. Patients who received another investigational drug within 30 days prior to randomization.
  17. Re-randomization in the current study.
  18. Any factors that might interfere with the study conduct or interpretation of the results such as known drug or alcohol dependence.
  19. Concomitant treatment with cyclosporin A or tacrolimus.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00525707

  Show 35 Study Locations
Sponsors and Collaborators
Actelion
  More Information

No publications provided by Actelion

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00525707     History of Changes
Other Study ID Numbers: AC-051-306
Study First Received: August 31, 2007
Last Updated: February 11, 2010
Health Authority: United States: Food and Drug Administration

Keywords provided by Actelion:
acute heart failure
Actelion
tezosentan
acute decompensation of chronic heart failure
New onset of heart failure

Additional relevant MeSH terms:
Heart Failure
Heart Diseases
Cardiovascular Diseases
Tezosentan
Epoprostenol
Vasodilator Agents
Cardiovascular Agents
Therapeutic Uses
Pharmacologic Actions
Platelet Aggregation Inhibitors
Hematologic Agents
Antihypertensive Agents

ClinicalTrials.gov processed this record on April 22, 2014