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Utility of Exercise-Induced N-Terminal (NT) Pro-Brain Natriuretic Peptide Levels in Predicting Prognosis in Asymptomatic Aortic Stenosis (AS-BNP)

This study is not yet open for participant recruitment.
Study NCT00567437.   Last updated on November 20, 2008.   Information provided by Duke University

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Descriptive Information Fields
Brief Title  Utility of Exercise-Induced N-Terminal (NT) Pro-Brain Natriuretic Peptide Levels in Predicting Prognosis in Asymptomatic Aortic Stenosis
Official Title  Utility of Exercise-Induced NT-Pro-Brain Natriuretic Peptide Levels in Predicting Prognosis in Asymptomatic Aortic Stenosis
Brief Summary

One hundred patients with moderate to severe asymptomatic aortic stenosis (AS) will be asked to exercise on a treadmill. NT-pro-BNP levels will be drawn before and after exercise. Changes in NT-pro-BNP levels will be correlated to outcomes at one year. In the pilot phase an additional 10 control subjects without AS will be enrolled to document the control response of NT-pro-BNP elevations with exercise.

Detailed Description
Study Phase
Study Type  Interventional
Study Design  Diagnostic, Open Label, Parallel Assignment
Primary Outcome Measure  development of symptomatic aortic stenosis (new/progressive angina or dyspnea, pre-syncope/syncope, hospitalization for cardiac chest pain or heart failure, drop in LV ejection fraction, cardiovascular or sudden death, valve replacement surgery) [ Time Frame: one year ] [ Designated as safety issue: No ]
Secondary Outcome Measure 
Condition  Aortic Stenosis
Intervention  Other: NT-pro-BNP levels
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Not yet recruiting
Enrollment  110
Start Date  December 2007
Completion Date March 2009
Eligibility Criteria 

Inclusion Criteria:

  1. valvular AS (Doppler velocity ≥ 3.0 m/s)
  2. no baseline symptoms referable to valvular heart disease
  3. able to perform ETT

Exclusion Criteria:

  1. more than mild aortic regurgitation, mitral regurgitation/ stenosis, or tricuspid regurgitation/stenosis
  2. previous AVR
  3. known coronary artery disease
  4. creatinine clearance 50 mL/min
  5. LVEF < 50%
  6. planned valve surgery prior to enrollment
  7. significant pulmonary disease
  8. unable to give informed consent
  9. pregnancy
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers Yes
Contacts ††
Contact: Aslan T. Turer, MD     919-970-3341     turer001@mc.duke.edu    
Contact: Thomas M. Bashore, MD     919-684-2407     basho001@mc.duke.edu    
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00567437
Organization ID Pro00002221
Secondary IDs ††
Study Sponsor  Duke University
Collaborators ††
Investigators 
Principal Investigator:     Thomas M. Bashore, MD     Duke University    
Principal Investigator:     John K. Harrison, MD     Duke University    
Study Director:     Aslan T. Turer, MD     Duke University    
Information Provided By Duke University
Verification Date November 2008
First Received Date  December 4, 2007
Last Updated Date November 20, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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