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Effect of Aldosterone on Energy Starvation in Heart Failure
This study is currently recruiting participants.
Verified by Vanderbilt University, January 2010
First Received: December 13, 2007   Last Updated: January 13, 2010   History of Changes
Sponsor: Vanderbilt University
Information provided by: Vanderbilt University
ClinicalTrials.gov Identifier: NCT00574119
  Purpose

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).


Condition Intervention Phase
Heart Failure
Dilated Cardiomyopathy
Drug: spironolactone
Phase IV

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: Effect of Aldosterone on Energy Starvation in Heart Failure

Resource links provided by NLM:


Further study details as provided by Vanderbilt University:

Primary Outcome Measures:
  • 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 ]

Secondary Outcome Measures:
  • quality of life questionnaire, 6 minute walk test [ Time Frame: 6 mnths ] [ Designated as safety issue: No ]

Estimated Enrollment: 20
Study Start Date: December 2007
Estimated Study Completion Date: July 2010
Estimated Primary Completion Date: July 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: 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.
Drug: spironolactone
spironolactone 50 mg daily for 6 months

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00574119

Contacts
Contact: Marvin W Kronenberg, MD 615-322-8822 marvin.w.kronenberg@vanderbilt.edu
Contact: Henry Ooi, MD 615-327-4751 henry.ooi@va.gov

Locations
United States, Tennessee
Vanderbilt Heart and Vascular Institute Recruiting
Nashville, Tennessee, United States, 37232
Contact: Marvin W. Kronenberg, MD     615-322-8822     marvin.w.kronenberg@vanderbilt.edu    
Contact: Henry Ooi, MD     615-327-4751     henry.ooi@va.gov    
Sub-Investigator: Henry Ooi, MD            
Sponsors and Collaborators
Vanderbilt University
Investigators
Principal Investigator: Marvin W Kronenberg, MD Vanderbilt University School of Medicine
  More Information

No publications provided

Responsible Party: Vanderbilt University School of Medicine ( Marvin W. Kronenberg, M.D. )
Study ID Numbers: IRB 070824
Study First Received: December 13, 2007
Last Updated: January 13, 2010
ClinicalTrials.gov Identifier: NCT00574119     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by Vanderbilt University:
heart failure
positron emission tomography
magnetic resonance imaging
myocardial energetics
myocardial perfusion

Additional relevant MeSH terms:
Starvation
Heart Failure
Heart Diseases
Hormone Antagonists
Cardiomyopathy, Dilated
Diuretics
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Cardiovascular Agents
Cardiomyopathies
Pharmacologic Actions
Spironolactone
Malnutrition
Aldosterone Antagonists
Natriuretic Agents
Therapeutic Uses
Nutrition Disorders
Cardiovascular Diseases
Cardiomegaly

ClinicalTrials.gov processed this record on March 18, 2010