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A Randomised, Double-blinded, Placebo-controlled Trial Using Cardiovascular Magnetic Resonance (CMR) Scanning to Assess Remodelling and Regression of Fibrosis in Cardiomyopathy with Eplerenone
ISRCTN ISRCTN23314770
ClinicalTrials.gov identifier
Public title A Randomised, Double-blinded, Placebo-controlled Trial Using Cardiovascular Magnetic Resonance (CMR) Scanning to Assess Remodelling and Regression of Fibrosis in Cardiomyopathy with Eplerenone
Scientific title
Acronym N/A
Serial number at source N0201163398
Study hypothesis To demonstrate regression of fibrosis in patients with cardiomyopathy who are treated with eplerenone using cardiovascular magnetic resonance. This trial compares patients taking the drug eplerenone with patients who don't and whether it reduces the amount of fibrosis (scarring) of the heart.
Ethics approval Added 27 August 2008: Riverside Research Ethics Committee Charing Cross Hospital (UK), 09/10/06, ref 06/Q0401/50.
Study design Randomised double-blinded placebo-controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Cardiovascular: Cardiomyopathy
Participants - inclusion criteria Stable patients with an established diagnosis of cardiomyopathy as assessed by history, examination and typical ECG/Echo findings who are on maximally tolerated doses of appropriate drugs with no changes being made to the prescription in the 2 months preceding the start of the trial.
Participants - exclusion criteria 1. Patients already established on treatment with an aldosterone antagonist
2. Patients with contraindications to eplerenone (hyperkalaemia, renal failure)
3. Critically ill patients requiring respiratory and/or circulatory support
4. Pacemaker or ICD
5. Implanted ferromagnetic cerebrovascular clips
6. Pregnant women (precautionary only)
7. Intolerance of confined spaces
8. Inability to lie supine for 60 minutes
9. Unwilling or unable to give written informed consent
10.Atrial fibrillation or ventricular bigeminy
11. Any contraindication to CMR.
12. Recent MI
13. HCM patients who have received surgical/alcohol ablation treatment
Anticipated start date 27/10/2006
Anticipated end date 26/10/2008
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 140
Interventions Eplerenone vs placebo
Primary outcome measure(s) Reduction in amount of fibrosis as determined by CMR Late enhancement
Secondary outcome measure(s) 1. Improvement in myocardial oxygen consumption (MVO2)
2. Reduction in major adverse cardiovascular events
Sources of funding Royal Brompton and Harefield NHS Trust (UK), No External Funding, NHS R&D Support Funding
Trial website
Publications
Contact name Dr  Sanjay K  Prasad
  Address Royal Brompton & Harefield NHS Trust
Sydney Street
  City/town London
  Zip/Postcode SW3 6NP
  Country United Kingdom
  Tel +44 020 7351 8194
  Fax +44
  Email s.prasad@rbh.nthames.nhs.uk
Sponsor Record Provided by the NHSTCT Register - 2007 Update - Department of Health
  Address The Department of Health, Richmond House, 79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 28/09/2007
Last edited 27/08/2008
Date ISRCTN assigned 28/09/2007
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