A 36-week, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study Including a 2 Year Extension Study to Evaluate Efficacy and Safety of Aliskiren on the Prevention of Left Ventricular Remodeling in High Risk Post-acute Myocardial Infarction Patients When Added to Optimized Standard Therapy

CompletadoFase 3ClinicalTrials.gov

ID: NCT00414609Tipo: INTERVENTIONALInicio: 1 de dic de 2006Fin estimado: 1 de jul de 2011

Traducción no disponible, mostrando original

Resumen

The core and extension studies assessed the safety and efficacy of aliskiren when added to optimized standard therapy in patients that have had a high risk acute myocardial infarction (heart attack).

Elegibilidad

Edad mínima: 18 YearsSexo: ALL

Criterios de inclusión

Male or female patients 18 years and older.
Patients within 7-42 days of an acute myocardial infarction associated with left ventricular systolic dysfunction.
Documented left ventricular systolic dysfunction associated with the qualifying acute myocardial.
Patients must be on stable doses of the following concomitant medications for at least 2 weeks prior to Visit 1 unless contraindicated due to intolerance:
A Beta-blocker
An Anti-platelet agent
A Statin
An evidence-based dose of an Angiotensin Converting Enzyme Inhibitor (ACEI) or Angiotensin Receptor Blocker (ARB) but not both.
Qualifying Echocardiogram at Visit 1:
Male or female patients who completed the core study through Visit 10 while on double-blind study drug
Patients who were able to participate in the study, and who consented to do so after the purpose and nature of the study had been clearly explained to them (written informed consent)

Criterios de exclusión

Patients requiring both Angiotensin Converting Enzyme Inhibitor (ACEI) and Angiotensin Receptor Blocker (ARB) combination therapy at V1 or any time during the study.
Severe refractory hypertension defined as mean sitting systolic blood pressure (MSSBP) ≥ 180 mmHg and/or mean sitting diastolic blood pressure (MSDBP) ≥ 110 mmHg) at Visit 2.
Cardiogenic shock or systolic BP \< 100 mmHg or diastolic \< 60 mmHg within the 24 hours prior to Visits 1 or 2
Estimated Glomerular Filtration Rate (eGFR) \< 30 ml/min/1.73m2 using the MDRD formula at Visit 1.
Stroke or transient ischemic event (TIA) within 6 months of Study Visit 1
New York Heart Association (NYHA) class IV Congestive Heart Failure at Visit 1 (Core study Visit 10)
Symptomatic hypotension or reported systolic blood pressure (BP) \< 90 mmHg within 24 hours prior to Visit 1 (Core study Visit 10)
Known Estimated Glomerular Filtration Rate (eGFR) \< 30 mL/min/1.73m\^2 using the Modification of Diet in Renal Disease (MDRD) formula at Visit 1 (Core study Visit 10)
Pregnant or nursing (lactating) women, where pregnancy was defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (\> 5 mIU/mL)
Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant Unless post-menopausal or using an acceptable method of contraception
Any surgical or medical condition that in the opinion of the investigator may place the patient at higher risk from his/her participation in the study or was likely to prevent the patient from complying with the requirements or completing the study

Intervenciones

drug

Aliskiren

Aliskiren was available in 75 mg tablet, 150 mg tablet

drug

placebo

Placebo tablets matching aliskiren for 36 weeks once daily in the morning for core period only.

Ubicaciones

Novartis Argentina

Novartis Argentina, Argentina

Patrocinadores

PrincipalNovartis

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