A Comparison Of Outcomes In Patients In New York Heart Association (NYHA) Class II Heart Failure When Treated With Eplerenone Or Placebo In Addition To Standard Heart Failure Medicines
NCT00232180 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 2743
Last updated 2020-12-22
Summary
In an earlier study, eplerenone was shown to improve survival in patients who had heart failure immediately following a heart attack. However, it is not known how patients with established mild-to-moderate heart failure (NYHA Class II), who have the additional risk of sudden death, will respond if treated with eplerenone. In this trial, eplerenone plus standard heart failure medicines is being compared to placebo plus standard heart failure medicines in terms of an additional ability to prolong life and prevent re-hospitalizations for worsening heart failure in these patients.
The Data Safety Monitoring Committee (DSMC) observed during its conduct of the protocol-specified second interim analysis on the 6th of May, 2010 that the efficacy of eplerenone had met the pre-specified stopping rules in the protocol. As a result of the discussion between the DSMC and the Executive Steering Committee (ESC), the ESC recommended that EMPHASIS-HF should be terminated, Based on the convincing efficacy and the consideration that it would be unethical not to offer this treatment to patients, the ESC recommended that all the patients in the trial should be transferred to open-label eplerenone. The Open Label Extension eplerenone arm will last for 12 months. Eplerenone is not currently approved for the indication studied in this patient population.
On May 26, 2010, further enrollment into EMPHASIS-HF was stopped. The amendment is considered to be the most appropriate way to ensure that all the subjects who participated in the double-blind phase of the EMPHASIS-HF trial can be offered treatment with eplerenone
Conditions
Interventions
- DRUG
-
Eplerenone
Eplerenone administered on top of background standard heart failure therapy
Sponsors & Collaborators
-
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
lead INDUSTRY
Principal Investigators
-
Pfizer CT.gov Call Center · Pfizer
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 55 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-03-31
- Primary Completion
- 2010-05-31
- Completion
- 2012-01-31
Countries
- United States
- Argentina
- Australia
- Belgium
- Canada
- Czechia
- France
- Germany
- Greece
- Hong Kong
- Hungary
- India
- Ireland
- Italy
- Mexico
- Netherlands
- Poland
- Portugal
- Russia
- Singapore
- Slovakia
- South Africa
- South Korea
- Spain
- Sweden
- Ukraine
- United Arab Emirates
- United Kingdom
- Venezuela
Study Locations
More Related Trials
-
A Study to Investigate the Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of an Intravenous Solution of JNJ-39588146 or Placebo in Patients With Heart Failure
NCT01120210 ·Status: COMPLETED ·Phase: PHASE2
-
Phase IIb Safety and Efficacy Study of Different Oral Doses of BAY94-8862 in Subjects With Worsening Chronic Heart Failure and Left Ventricular Systolic Dysfunction and Either Type 2 Diabetes Mellitus With or Without Chronic Kidney Disease or Chronic Kidney Disease Alone
NCT01807221 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Assess the Hemodynamic Effects, Safety, Tolerability, and Pharmacokinetics of Intravenous APD418 in Adult Participants With Heart Failure With Reduced Ejection Fraction
NCT05139615 ·Status: TERMINATED ·Phase: PHASE2
-
Placebo-Controlled Randomized Study of KW-3902 for Subjects Hospitalized With Worsening Renal Function and Heart Failure Requiring IV Therapy
NCT00443690 ·Status: COMPLETED ·Phase: PHASE3
-
A Dose Ranging Phase IIa Study of 6 Hour Intravenous Dosages of CXL-1427 in Patients Hospitalized With Heart Failure
NCT02157506 ·Status: COMPLETED ·Phase: PHASE2
-
A Trial to Study Neladenoson Bialanate Over 20 Weeks in Patients With Chronic Heart Failure With Preserved Ejection Fraction
NCT03098979 ·Status: COMPLETED ·Phase: PHASE2
-
TorasEmide Induced Effect on QoL and Clinical parameterS in paTients With chronIc heArt Failure Receiving Eplerenone.
NCT06117722 ·Status: RECRUITING
-
Hemodynamic Effects of Rolofylline in the Treatment of Patients With Heart Failure (7418-503)
NCT00729222 ·Status: COMPLETED ·Phase: PHASE2
-
A Multi-center, Placebo-controlled Study to Evaluate the Safety of GSK716155 and Its Effects on Myocardial Metabolism, Myocardial Function, and Exercise Capacity in Patients With NYHA Class II/III Congestive Heart Failure
NCT01357850 ·Status: COMPLETED ·Phase: PHASE2
-
Comparison of Eplerenone Versus Spironolactone in Heart Failure Patients With Glucose Intolerance or Type 2 Diabetes
NCT01586442 ·Status: COMPLETED ·Phase: PHASE3
-
A Research Study on the Effects of NNC0537-1482 in Participants With Heart Failure
NCT07218627 ·Status: RECRUITING ·Phase: PHASE1
-
Evaluating the Effectiveness of Sildenafil at Improving Health Outcomes and Exercise Ability in People With Diastolic Heart Failure (The RELAX Study)
NCT00763867 ·Status: COMPLETED ·Phase: PHASE3
-
Peroral Levosimendan in Chronic Heart Failure
NCT00130884 ·Status: COMPLETED ·Phase: PHASE2
-
The Effect of Eplerenone and Atorvastatin on Markers of Collagen Turnover in Diastolic Heart Failure
NCT00505336 ·Status: COMPLETED ·Phase: NA
-
Evaluation of GeranylGeranylAcetone in Heart Failure With Preserved Ejection Fraction
NCT05672134 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of Enalapril Versus Placebo in Patients With Diastolic Heart Failure
NCT01411735 ·Status: COMPLETED ·Phase: PHASE3
-
This Study Tests Empagliflozin in Patients With Chronic Heart Failure With Preserved Ejection Fraction (HFpEF). The Study Looks at How Far Patients Can Walk in 6 Minutes and at Their Heart Failure Symptoms.
NCT03448406 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluate the Safety and Efficacy of 48-Hour Infusions of HNO (Nitroxyl) Donor in Hospitalized Patients With Heart Failure
NCT03016325 ·Status: COMPLETED ·Phase: PHASE2
-
The Effects of Eplerenone on Markers of Myocardial Fibrosis in Adult Congenital Heart Disease
NCT01971593 ·Status: TERMINATED ·Phase: PHASE4
-
Study to Evaluate the Effect of Dapagliflozin on the Incidence of Worsening Heart Failure or Cardiovascular Death in Patients With Chronic Heart Failure
NCT03036124 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of CLR325 in Chronic Stable Heart Failure Patients.
NCT02696967 ·Status: COMPLETED ·Phase: PHASE2
-
A Dose-Defining Study of CXL-1020 in Patients With Systolic Heart Failure
NCT01096043 ·Status: COMPLETED ·Phase: PHASE2
-
Eplerenone and Extracellular Adenosine Formation
NCT01837108 ·Status: COMPLETED ·Phase: PHASE4
-
ALP-1 Continuous Intravenous Infusion to Maintain Clinical Stability in Advanced Heart Failure
NCT00610051 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Efficacy and Safety of Relaxin for the Treatment of Acute Heart Failure
NCT00520806 ·Status: COMPLETED ·Phase: PHASE2/PHASE3