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Effect of Aldosterone on Energy Starvation in Heart Failure
This study is currently recruiting participants.
Study NCT00574119   Information provided by Vanderbilt University
First Received: December 13, 2007   Last Updated: April 13, 2009   History of Changes

December 13, 2007
April 13, 2009
December 2007
July 2010   (final data collection date for primary outcome measure)
left ventricular work-metabolic index, myocardial blood flow by magnetic resonance imaging, subendocardial hypoxia by magnetic resonance imaging, myocardial fibrosis by magnetic resonance imaging [ Time Frame: 6 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00574119 on ClinicalTrials.gov Archive Site
quality of life questionnaire, 6 minute walk test [ Time Frame: 6 mnths ] [ Designated as safety issue: No ]
Same as current
 
Effect of Aldosterone on Energy Starvation in Heart Failure
Effect of Aldosterone on Energy Starvation in Heart Failure

We plan to study the concept of "energy starvation" in heart failure by evaluation of patients with nonischemic dilated cardiomyopathy (heart failure with reduced heart pump function due to causes other than heart attack). We will use a combination of positron emission tomography and magnetic resonance imaging to study metabolism, anatomy, function, blood flow and efficiency, before and after 6 months' treatment with the drug spironolactone which blocks the deleterious effects of the hormone aldosterone on the myocardium (heart muscle).

 
Phase IV
Interventional
Diagnostic, Open Label, Single Group Assignment, Efficacy Study
  • Heart Failure
  • Dilated Cardiomyopathy
Drug: spironolactone
Experimental: patients with heart failure due to nonischemic dilated cardiomyopathy will be studied by positron emission tomography and magnetic resonance imaging before and after 6 months' treatment with spironolactone.
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
20
July 2010
July 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • 18 years or older
  • Nonischemic dilated cardiomyopathy
  • Left ventricular ejection fraction 35% or less
  • Stable heart failure symptoms
  • Able to undergo both positron emission tomography and magnetic resonance imaging with gadolinium
  • Able to tolerate treatment with spironolactone

Exclusion Criteria:

  • Serum potassium >5.0
  • Serum creatinine >2.5
  • Contraindications to magnetic resonance imaging such as internal cardioverter-defibrillator.
Both
18 Years and older
No
Contact: Marvin W Kronenberg, MD 615-322-8822 marvin.w.kronenberg@vanderbilt.edu
Contact: Henry Ooi, MD 615-327-4751 henry.ooi@va.gov
United States
 
NCT00574119
Marvin W. Kronenberg, M.D., Vanderbilt University School of Medicine
IRB 070824
Vanderbilt University
 
Principal Investigator: Marvin W Kronenberg, MD Vanderbilt University School of Medicine
Vanderbilt University
April 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP