Prospective Monitoring of Angiotensin Receptor Neprilysin Inhibitor in Older Adults With Heart Failure and Frailty
NCT04743063 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 40000
Last updated 2021-02-15
Summary
The objective of this study is to establish a near-real-time prospective monitoring program in Medicare, Optum and MarketScan Research data to evaluate the benefit of new cardiovascular disease (CVD) drugs for older adults with frailty. Prospective monitoring program seeks to find early effectiveness and safety signals of new drugs by updating the analysis at regular intervals as new Medicare data become available. This study specifically aims to emulate a prospective surveillance of the effectiveness and safety of Angiotensin Receptor Neprilysin Inhibitor(ARNI) vs. a comparator, Angiotensin II Receptor Blockers (ARBs), in older adults with Heart Failure with Reduced Ejection Fraction (HFrEF) and different frailty status. This program will be enhanced by incorporating a novel claims-based frailty index, which has been shown useful in assessing how the benefits and harms of drug therapy vary by frailty.
Conditions
- Heart Failure, Systolic
- Frailty
Interventions
- DRUG
-
sacubitril/valsartan
Initiation of sacubitril/valsartan, identified using prescription fill in pharmacy claims
- DRUG
-
Angiotensin II Receptor Blockers
Initiation of ARBs, identified using prescription fill in pharmacy claims
Sponsors & Collaborators
-
Brigham and Women's Hospital
lead OTHER
Principal Investigators
-
Dae Hyun Kim, MD, MPH, ScD · Brigham and Women's Hospital
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-01-14
- Primary Completion
- 2022-12-31
- Completion
- 2022-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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