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Nt-proBNP Guided Prevention of Cardiovascular Events in a Population of Diabetic Patients Without a History of Cardiac Disease (PONTIAC)
This study is currently recruiting participants.
Verified by Medical University of Vienna, November 2007
First Received: November 23, 2007   No Changes Posted
Sponsor: Medical University of Vienna
Collaborator: Hoffmann-La Roche
Information provided by: Medical University of Vienna
ClinicalTrials.gov Identifier: NCT00562952
  Purpose

Increased levels of NT-proBNP are known to increase the risk of cardiac events in diabetic patients. The other way around, patients with normal values have an excellent prognosis on short-term. We intend in our study to proof the hypothesis, whether it is possible to decrease NT-proBNP levels by intensified cardiac prevention care We aim those patients, who already have elevated levels, although no history of a cardiac disease. This decrease in NT-proBNP should be translated consequently in a decrease in cardiac events


Condition Intervention Phase
Diabetes Mellitus
Heart Failure
Coronary Artery Disease
Drug: Telmisartan, Bisoprolol
Drug: placebo
Phase II
Phase III

Study Type: Interventional
Study Design: Prevention, Randomized, Open Label, Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Nt-proBNP Guided Prevention of Cardiovascular Events in a Population of Diabetic Patients Without a History of Cardiac Disease

Resource links provided by NLM:


Further study details as provided by Medical University of Vienna:

Primary Outcome Measures:
  • Reduction in cardiac events [ Time Frame: 2 ]

Secondary Outcome Measures:
  • Decrease in NT-pro-BNP in the treatment arm [ Time Frame: 1 ]
  • Reduction in NT-proBNP [ Time Frame: 1 ]

Estimated Enrollment: 300
Study Start Date: November 2007
Estimated Study Completion Date: November 2010
Arms Assigned Interventions
1: Active Comparator
Patient will receive cardiac therapy to decrease NT-proBNP levels. This will be primarily RAAS-Antagonists and Betablocker. Blood pressure will be lowered to target values. A decrease of NT-proBNP is also known form life-style changes. Thus the patient will be educated to be trained
Drug: Telmisartan, Bisoprolol
Dosage will be given dependent on the NT-pro-BNP levels. Up-titration will be performed until values are decreased to 50% or below normal cut-point
2: Placebo Comparator
Patients will be followed 2 years. Care will be given by the responsible unit ( Dept.of Endocrinology) as clinical appropriate. Event rates will be obtained. After one year NT-proBNP will be measured.
Drug: placebo
no intervention

  Eligibility

Ages Eligible for Study:   19 Years to 95 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age > 18 years
  • Known Diabetes mellitus > 6 months
  • Increased Nt-proBNP above 125pg/ml
  • Given informed consent

Exclusion Criteria:

  • Disease other than diabetes, with a life expectancy below 1 year
  • patients who suffer from chronic infection or malignant disease
  • Women in childbearing age without contraceptive
  • History of cardiac disease
  • systemic cortisone treatment
  • patients who are on chronic or acute hemodialysis, ultra filtration or peritoneal dialysis
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00562952

Contacts
Contact: Martin P Huelsmann, Dr 0043-1-40400-4614 martin.huelsmann@meduniwien.ac.at

Locations
Austria
General Hospital of Vienna Department of Endocrinology Recruiting
Vienna, Austria, 1090
Contact: Martin Clodi, MD     +43-1-40400-4311     martin.clodi@meduniwien.ac.at    
Sub-Investigator: Martin Clodi, MD            
Sponsors and Collaborators
Medical University of Vienna
Hoffmann-La Roche
Investigators
Principal Investigator: Martin P Huelsmann, MD Medical University of Vienna Dept.of Cardiology
Principal Investigator: Richard Pacher, MD Medical University of Vienna Dept. of Cardiology
Study Director: Martin Clodi, MD Medical University of Vienna Dept. of Endocrinology
  More Information

No publications provided

Study ID Numbers: 01/07, EK-Nr 391/2007
Study First Received: November 23, 2007
Last Updated: November 23, 2007
ClinicalTrials.gov Identifier: NCT00562952     History of Changes
Health Authority: Austria: Ministry of Health

Keywords provided by Medical University of Vienna:
Natriuretic peptide
Prognosis
Diabetes
Heart failure
Heart disease

Additional relevant MeSH terms:
Neurotransmitter Agents
Adrenergic Agents
Molecular Mechanisms of Pharmacological Action
Myocardial Ischemia
Physiological Effects of Drugs
Arteriosclerosis
Therapeutic Uses
Angiotensin-Converting Enzyme Inhibitors
Adrenergic beta-Antagonists
Cardiovascular Diseases
Telmisartan
Arterial Occlusive Diseases
Sympatholytics
Heart Failure
Metabolic Diseases
Heart Diseases
Vascular Diseases
Diabetes Mellitus
Endocrine System Diseases
Enzyme Inhibitors
Cardiovascular Agents
Antihypertensive Agents
Pharmacologic Actions
Protease Inhibitors
Angiotensin II Type 1 Receptor Blockers
Coronary Disease
Bisoprolol
Autonomic Agents
Adrenergic Antagonists
Peripheral Nervous System Agents

ClinicalTrials.gov processed this record on February 08, 2010