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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
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN23314770
Date ISRCTN assigned28/09/2007
Local reference number(s)N0201163398
Public titleA 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
AcronymN/A
Disease/condition/study domainCardiovascular: Cardiomyopathy
Study hypothesisTo demonstrate regression of fibrosis in patients with cardiomyopathy who are treated with eplerenone using cardiovascular magnetic resonance.
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteriaStable 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 criteria1. 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
Patient information material
Anticipated start date27/10/2006
Anticipated end date26/10/2008
Status of trialOngoing
Target number of participants140
InterventionsThis trial compares patients taking the drug eplerenone with patients who don't and whether it reduces the amount of fibrosis (scarring) of the heart.
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 fundingRoyal Brompton and Harefield NHS Trust
No External Funding
NHS R&D Support Funding
Sponsor nameRecord Provided by the NHSTCT Register - 2007 Update - Department of Health
Sponsor detailsThe Department of Health, Richmond House, 79 Whitehall
London
United Kingdom
SW1A 2NL
Sponsor telephone+44 (0)20 7307 2622
Sponsor fax+44
Sponsor emaildhmail@doh.gsi.org.uk
Sponsor websitehttp://www.dh.gov.uk/Home/fs/en
Contact nameDr Sanjay K Prasad
Contact detailsRoyal Brompton & Harefield NHS Trust
Sydney Street


London
United Kingdom
SW3 6NP
Contact telephone+44 020 7351 8194
Contact fax+44
Contact emails.prasad@rbh.nthames.nhs.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN23314770
Date last extracted from ISRCTN register17/04/2008
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