Gender-Based Differences in Heart Failure Hospitalizations Among Patients With Heart Failure Treated With Spironolactone
NCT06641284 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 509
Last updated 2025-03-24
Summary
Aldosterone antagonists or mineralocorticoid receptor antagonists (MRAs) are used as therapeutic agents for the management of HF with reduced ejection fraction (HFrEF). Gender-related differences have been described in the regulation of the renin-angiotensin-aldosterone system (RAAS), which is at the core of the pathophysiology of HF. Regarding gender-related differences in the use of MRAs, less is known about the effects of androgens on the RAAS, even though studies have suggested that androgens may increase the RAAS pathway. There are conflicting results because many clinical trials were not specifically designed to investigate gender differences.
Conditions
- Heart Failure
- Heart Failure With Reduced Ejection Fraction
- Heart Failure NYHA Class II
- Heart Failure NYHA Class III
- Heart Failure NYHA Class IV
Interventions
- DRUG
-
Spironolactone
All patients will receive Spironolactone as a part of their GDMT for Heart Failure
Sponsors & Collaborators
-
Ahmad Abdullah Salawi
lead OTHER_GOV
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-10-01
- Primary Completion
- 2024-10-15
- Completion
- 2024-10-15
Countries
- Saudi Arabia
Study Locations
More Related Trials
-
Study of High-dose Spironolactone vs. Placebo Therapy in Acute Heart Failure
NCT02235077 ·Status: COMPLETED ·Phase: PHASE2
-
Larger Dose of Spironolactone for the Treatment of Patients With Nonischemic Cardiomyopathy
NCT00125437 ·Status: TERMINATED ·Phase: NA
-
A Registry-based Cluster Randomized Trial to Compare the Effect of Spironolactone vs. Eplerenone on Clinical Outcomes in Patients With Symptomatic Systolic Heart Failure
NCT03984591 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4
-
Hemodynamic Effects of Spironolactone in Patients With Heart Failure
NCT00860340 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Patiromer Titration in Heart Failure Patients With Chronic Kidney Disease
NCT01130597 ·Status: COMPLETED ·Phase: PHASE2
-
Study in HFpEF Patients to Compare the Effect of AZD9977 and Spironolactone on Serum Potassium
NCT03682497 ·Status: TERMINATED ·Phase: PHASE1
-
High-Dose Aldactone for Treatment of Diuretic Resistant Heart Failure
NCT02429388 ·Status: WITHDRAWN ·Phase: PHASE4
-
Aldosterone Blockade in Heart Failure
NCT00523757 ·Status: COMPLETED ·Phase: PHASE3
-
Early Aldosterone Blockade in Acute Heart Failure: An Exploratory Safety Study
NCT02299726 ·Status: WITHDRAWN ·Phase: PHASE2
-
Is Spironolactone Safe and Effective in the Treatment of Cardiovascular Disease in Mild Chronic Renal Failure?
NCT00291720 ·Status: COMPLETED ·Phase: PHASE2
-
Spironolactone in Patients With Single Ventricle Heart
NCT00211081 ·Status: COMPLETED ·Phase: NA
-
Urine Sodium-Driven Diuretic Adjustment Strategy in Acute Decompensated Heart Failure
NCT07263035 ·Status: RECRUITING ·Phase: PHASE4
-
Role of Mineralocorticoid Receptor in Diabetic Cardiovascular Disease
NCT00865124 ·Status: COMPLETED ·Phase: NA
-
Effects of Spironolactone on Matrix Metalloproteinases (MMPs) in Heart Failure
NCT00663195 ·Status: COMPLETED ·Phase: PHASE4
-
Spironolactone Safety in Dialysis Patients
NCT00328809 ·Status: WITHDRAWN ·Phase: PHASE4
-
Unmitigated Aldosterone Signaling During Standard Clinical MRA Dosing
NCT07281014 ·Status: RECRUITING ·Phase: PHASE4
-
Spironolactone in Adult Congenital Heart Disease
NCT01069510 ·Status: COMPLETED ·Phase: PHASE2
-
Left Ventricular Hypertrophy and Spironolactone in End Stage Renal Disease
NCT00548912 ·Status: WITHDRAWN ·Phase: PHASE4
-
The Heart Failure Diuresis Efficacy Comparison (DEA-HF) Study
NCT05904808 ·Status: COMPLETED ·Phase: PHASE4
-
Spironolactone Initiation Registry Randomized Interventional Trial in Heart Failure With Preserved Ejection Fraction
NCT02901184 ·Status: RECRUITING ·Phase: PHASE3
-
Effects of Spironolactone in Dialysis
NCT01128101 ·Status: UNKNOWN ·Phase: PHASE4
-
Oral Sodium to Preserve Renal EfficiencY in Acute Heart Failure
NCT04334668 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Natriuresis-Guided Diuretic Therapy in Patients With Acute Heart Failure With Reduced Ejection Fraction and Chronic Kidney Disease
NCT06203236 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Cardiovascular Evaluation of Adult PHA 1 Patients
NCT00646828 ·Status: COMPLETED
-
Aldosterone Antagonist Therapy for Adults With Heart Failure and Preserved Systolic Function
NCT00094302 ·Status: COMPLETED ·Phase: PHASE3