Personalised Prospective Comparison of ARni With ArB in Patients With Natriuretic Peptide eLEvation
NCT04687111 · Status: UNKNOWN · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 250
Last updated 2021-05-11
Summary
Sacubitril-valsartan, an Angiotensin Receptor Blocker-Neprilysin Inhibitor (ARNI), currently marketed for the management of heart failure, has been shown to reduce cardiovascular morbidity and mortality in stage C heart failure with reduced ejection fraction. In stage C HFpEF, sacubitril-valsartan has also been shown to reduce left atrial volume index measured using echocardiography over a 9 month timeframe. The PARABLE study investigates the hypothesis that sacubitril-valsartan can provide benefits in terms of left atrial structure and function as well as left ventricular structure and function in asymptomatic (stage A/B HFpEF) patients. This is a prospective, randomised, double-blind, double-dummy, phase II study design. The patient population will have hypertension and/or diabetes together with preserved ejection fraction, elevated natriuretic peptide (NP) and abnormal left atrial volume index (LAVI, \> 28 mL/m2).
Conditions
- Atrial Remodeling
- Myocardial Dysfunction
- Left Ventricular Remodeling
- Left Ventricular Diastolic Dysfunction
- Hypertension
- Cardiovascular Morbidity
- Fibrosis Myocardial
- Inflammatory Myopathy
- Atrial Arrhythmia
Interventions
- DRUG
-
Sacubitril-Valsartan
Sacubitril-Valsartan is an Angiotensin Receptor blocker and Neprilysin Inhibitor
- DRUG
-
Valsartan
Valsartan is an Angiotensin Receptor Blocker
Sponsors & Collaborators
-
The Heartbeat Trust
collaborator OTHER -
Mark Ledwidge
lead OTHER
Principal Investigators
-
Fiona Ryan, Co-Investigator, PhD · Heartbeat Trust, 3 Crofton Terrace, Dun Laoghaire, Co Dublin
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-12-16
- Primary Completion
- 2021-06-11
- Completion
- 2021-06-11
Countries
- Ireland
Study Locations
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