Long-term Prednisone Use for End-stage Heart Failure
NCT02282683 · Status: UNKNOWN · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2017-01-12
Summary
Patients with advanced (ACCF/AHA stage D) heart failure and hyperuricemia have high one-year mortality. Currently, there was no evidence-based therapy such as mechanically assisted circulatory support available in China. The investigators found glucocorticoid treatment such as prednisone could improve cardiac performance, potentiate renal responsiveness to diuretics in such patients. Therefore, it could be used as bridge therapy to help ACE inhibitors or beta blocker titration. With its help, most of the patients with stage D heart failure could be titrated to higher dose of ACE inhibitors and beta blockers during hospitalization. However, the efficacy of long-term, low-dose of prednisone use in such patients with limited life expectancy remain unclear. Therefore, the investigators designed this study to observe whether putting low-dose of prednisone on the patients with stage D heart failure for long term could further improve their survival. All patients will receive prednisone treatment during hospitalization and receive maximum tolerated guideline-directed medical therapy (GDMT). After discharge from hospital, the patients will be randomized to receive long-term, low-dose prednisone treatment or standard GDMT.
Conditions
- Heart Failure
- Hyperuricemia
Interventions
- DRUG
-
Prednisone (10 to 20 mg/day, orally) combined with maximum tolerated guideline-directed medical therapy for at least 12 months
Sponsors & Collaborators
-
Hebei Medical University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-12-31
- Primary Completion
- 2017-12-31
- Completion
- 2017-12-31
Countries
- China
Study Locations
More Related Trials
-
Diagnosing and Targeting Mechanisms of Diuretic Resistance in Heart Failure
NCT02546583 ·Status: COMPLETED ·Phase: PHASE1
-
Early Sequential Nephron Blockade in Acute Heart Failure Patients: A Randomised, Controlled Study
NCT04465123 ·Status: UNKNOWN ·Phase: PHASE3
-
Multi-omics Studies of Primary Aldosteronism
NCT07111351 ·Status: RECRUITING
-
Efficacy of Diuretics in Kidney Disease
NCT04542304 ·Status: TERMINATED ·Phase: PHASE2
-
Early Aldosterone Blockade in Acute Heart Failure: An Exploratory Safety Study
NCT02299726 ·Status: WITHDRAWN ·Phase: PHASE2
-
Unmitigated Aldosterone Signaling During Standard Clinical MRA Dosing
NCT07281014 ·Status: RECRUITING ·Phase: PHASE4
-
The Diagnostic Performance of 24-hour Urinary Aldosterone for Primary Aldosteronism
NCT06236698 ·Status: COMPLETED
-
Aldosterone Antagonism in Diastolic Heart Failure
NCT00108251 ·Status: COMPLETED ·Phase: PHASE4
-
Spironolactone Safety in Dialysis Patients
NCT00328809 ·Status: WITHDRAWN ·Phase: PHASE4
-
The Effects of Decreasing the Lasix Dose on the Cardiorenal System
NCT00982423 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Larger Dose of Spironolactone for the Treatment of Patients With Nonischemic Cardiomyopathy
NCT00125437 ·Status: TERMINATED ·Phase: NA
-
Is Spironolactone Safe and Effective in the Treatment of Cardiovascular Disease in Mild Chronic Renal Failure?
NCT00291720 ·Status: COMPLETED ·Phase: PHASE2
-
Cardiovascular Evaluation of Adult PHA 1 Patients
NCT00646828 ·Status: COMPLETED
-
Evaluation of the Efficacy of rhBNP in Patients With Diuretic Resistance After Cardiac Surgery
NCT07086287 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Phase II Study of the Pathophysiology and Treatment With Enalapril and Polystyrene Sulfonate for Pseudohypoaldosteronism, Type I
NCT00004328 ·Status: COMPLETED ·Phase: PHASE2
-
New Screening and Diagnostic Cut-off Points of PA Patients
NCT06571084 ·Status: RECRUITING
-
High-Dose Aldactone for Treatment of Diuretic Resistant Heart Failure
NCT02429388 ·Status: WITHDRAWN ·Phase: PHASE4
-
A Study of Hydroxychloroquine Sulfate for Reduction of Proteinuria in Patients With IgA Nephropathy
NCT02942381 ·Status: COMPLETED ·Phase: PHASE2
-
Aldosterone Blockade in Heart Failure
NCT00523757 ·Status: COMPLETED ·Phase: PHASE3
-
High-dose Aldosterone Antagonist for Acute Decompensated Heart Failure
NCT02823626 ·Status: COMPLETED
-
Efficacy and Safety of corticoSTEROids Added to Standard Therapy in Patients With Acute Heart Failure (STERO-AHF)
NCT05809011 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Diagnosis/Pathophysiology of Glucocorticoid Remediable Aldosteronism Hypertension
NCT00005394 ·Status: COMPLETED
-
Protocolized Diuretic Strategy in Cardiorenal Failure
NCT01921829 ·Status: TERMINATED ·Phase: PHASE4
-
Effect of Eplerenone in Elderly Hypertensive Early Stage Chronic Kidney Disease (CKD) Patients
NCT01302236 ·Status: WITHDRAWN ·Phase: PHASE4
-
Safety and Efficacy of Low Dose Hypertonic Saline Solution and High Dose Furosemide for Congestive Heart Failure
NCT01028170 ·Status: COMPLETED ·Phase: PHASE3