Chronic Heart FailurePhase 3NCT01541202
Study of the Survival of Recombinant Human Neuregulin-1β in Chronic Heart Failure (CHF) Patients
A Phase 3 study testing rhNRG-1 in people with Chronic Heart Failure, run by Zensun Sci. & Tech. Co., Ltd. at 46 sites in China.
Trial summary
The purpose of this study is to evaluate efficacy of rhNRG-1 in reducing the death rate of heart failure. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Chronic Heart Failure
- What is being tested?
- rhNRG-1
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 679 participants
- Where
- 46 sitesChina
- Study dates
- Feb 2012to Aug 2017
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age between 18 and 75, both sex.
- Left ventricular ejection fraction (LVEF)≤40% (ECHO).
- NYNA functional class II OR III.
- Diagnosed as chronic systolic heart failure (history, symptoms, signs), no in-hospital history in the last one month.
- Receiving standard therapy for chronic heart failure, reach target dose or max tolerable dose for one month, or has not changed the dose for the last one month.
- Capable of signing the informed consent form.
Who cannot join
- new chronic heart failure patients, or patients receiving standard therapy on chronic heart failure for less than 3 months.
- NYNA functional class I OR IV.
- Patients with acute MI, hypertrophic cardiomyopathy, constrictive pericarditis, significant valvular pathological change or congenital heart diseases, primary or secondary severe pulmonary artery hypertension.
- Ischemic heart failure without recanalization or with recanalization in recent six months.
- acute MI in the last 3 months.
- unstable angina.
Show all 23Show fewer
- Patients with acute pulmonary edema or acute hemodynamic disorder.
- Chronic heart failure patients with acute hemodynamic disorder or acute decompensation in the last 1 month.
- Patients with right heart failure caused by pulmonary disease.
- Patients diagnosed with pericardial effusion or pleural effusion, or evidenced by B-type ultrasonic (>50ml).
- Cardiac surgery or cerebrovascular accident within recent six months.
- Preparing for heart transplantation or CRT, or has received CRT.
- Serious ventricular arrhythmia (multi-morphological premature ventricular contraction more than 5 times/min, frequent paroxysmal ventricular tachycardia or triple rate).
- Serious hepatic or renal dysfunction (Cr>2.0mg/dl, AST or ALT 5 times above the normal upper limit).
- Serum potassium <3.2 mmol/L or >5.5 mmol/L.
- Systolic blood pressure <90mmHg or >160mmHg.
- Pregnant or plan to pregnant.
- Patients who participated in any clinical trial in the recent three months.
- Subject with a life expectancy less than 6 months as assessed by the investigator.
- Serious nervous system diseases (Alzheimer's disease, advanced Parkinsonism),lower limb defects, or deaf-mute.
- History of any malignancy or suffering from cancer,or biopsy proven pre-malignant condition (eg DICS or cervical atypia).
- Evidence (physical examination,CXR,ECHO or other tests) shows some active malignancy or adenoidal hypertrophy or neoplasm has effect on heart function or endocrine system, eg pheochromocytoma or hyperthyroidism.
- Judging by the investigator, the patients could not complete the study or adhere to the study requirements (due to the management reasons or others).
Trial locations and contacts
46 sites in 1 country.
46 sites in 1 country
China46 sites
Beijing Anzhen Hospital, Affiliate of Capital University of Medical Sciences
Beijing, Beijing Municipality
Beijing Chao Yang Hospital, Affiliate of Capital University of Medical Sciences
Beijing, Beijing Municipality
Beijing Xuanwu hospital of Capital Medical University
Beijing, Beijing Municipality
Cardiovascular Institute and Fuwai Hospital
Beijing, Beijing Municipality
General Hospital of Chinese People's Liberation Army
Beijing, Beijing Municipality
Peking University First Hospital
Beijing, Beijing Municipality
The Second Hospital affiliated to Jilin University
Changchun, Jilin
People's Hospital of Hunan Province
Changsha, Hunan
The Second Xiangya Hospital of Central South University
Changsha, Hunan
Huaxi Hospital of Sichuan University
Chengdu, Sichuan
Sichuan Provincial People's Hospital
Chengdu, Sichuan
The Xinqiao Hospital of Third Military Medical University
Chongqing, Chongqing Municipality
The First Hospital affiliated to Dalian Medical University
Dalian, Liaoning
Daqing Oilfield General Hospital
Daqing, Heilongjiang
Fujian Provincial Hospital
Fuzhou, Fujian
Guangdong Provincial People's Hospital
Guangzhou, Guangdong
The First Affiliated Hospital, Sun Yet-Sen University
Guangzhou, Guangdong
The First Hospital of Harbin Medical University
Haerbin, Heilongjiang
Haikou Municipal Peoples Hospital
Haikou, Hainan
Sir Run Run Shaw Hospital affiliated to School of Medicine, Zhejiang University
Hangzhou, Zhejiang
The First Hospital affiliated to School of Medicine, Zhejiang University
Hangzhou, Zhejiang
Qilu Hospital of Shandong University
Jinan, Shandong
The Second Hospital of Shandong University
Jinan, Shandong
The first affiliated hospital of Liaoning medical college
Jinzhou, Liaoning
Kunming General Hospital of Chengdu Military Region
Kunming, Yunnan
The Second Hospital of Kunming Medical College
Kunming, Yunnan
Nanjing Drum Tower Hospital
Nanjing, Jiangsu
Zhongda Hospital, Southeast University
Nanjing, Jiangsu
Huashan Hospital affiliated to Fudan University
Shanghai, Shanghai Municipality
Renji Hospital, Medical School of Shanghai Jiaotong University
Shanghai, Shanghai Municipality
Ruijin Hospital, Medical School of Shanghai Jiaotong University
Shanghai, Shanghai Municipality
The first people's hospitial of Shanghai
Shanghai, Shanghai Municipality
The Sixth People's Hospital, Shanghai Jiaotong University
Shanghai, Shanghai Municipality
The First Hospital of China Medical College
Shengyang, Liaoning
Liaoning Provincial People's Hospital
Shenyang, Liaoning
Shengjing Hospital of China Medical University
Shenyang, Liaoning
Bethune Peace Hospital
Shijiazhuang, Hebei
The Second Hospital affiliated to Suzhou University
Suzhou, Jiangsu
The Second Hospital of Shanxi Medical College
Taiyuan, Shanxi
Teda International Cardiovascular Hospital
Tianjin, Hebei
Tongji Hospital Affiliated to Huazhong University of Science and Technology
Wuhan, Hubei
The second hospital of Xi'an jiaotong university
Xi’an, Shanxi
The Affiliated Hospital of Xuzhou Medical School
Xuzhou, Jiangsu
North Jiangsu People's Hospital
Yangzhou, Jiangsu
The First hospital affiliated to Zhengzhou University
Zhengzhou, Henan
The Affiliate Hospital of Jiangsu University
Zhenjiang, Jiangsu
About this study
Official title: A Phase III, Multi-center,Randomized, Double-blind, Based on Standard Therapy, Placebo-controlled Study of the Survival of Recombinant Human Neuregulin-1β in Patients With Chronic Systolic Heart Failure
The purpose of this study is to evaluate efficacy of rhNRG-1 in reducing the death rate of heart failure.
Read the detailed description
The mortality of chronic heart failure patients remains high, in spite of current treatment. RhNRG-1(recombinant human neuregulin-1)directly work on the cardiomyocyte and restored the normal structure and function of it. Both the preclinical trial and phase II clinical trail have confirmed that rhNRG-1 effectively enhance the heart function, reverse the remodeling of left ventricular, and reduce all-cause mortality in heart failure animals and humans. In this phase III study, the investigators will further confirm the efficacy of rhNRG-1 in reducing the death rate of heart failure.
- Conditions
- Chronic Heart Failure
- Being tested
- rhNRG-1, Placebo
- Keywords
- chronic heart failure, neuregulin, mortality
- Medical subject headings
- Fibromatosis, Gingival, 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
rhNRG-1Drug
10 hours per day i.v drip for the first 10 days (0.6ug/kg/day), followed by weekly 10 minutes i.v bolus (0.8ug/kg/day), from the 3rd week for 23 weeks
PlaceboDrug
10 hours per day i.v drip for the first 10 days (0ug/kg/day), followed by weekly 10 minutes i.v bolus (0ug/kg/day), from the 3rd week for 23 weeks
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | placebo in addition to standard therapy Receives: Drug: Placebo |
| rhNRG-1 | Experimental | rhNRG-1 in addition to standard therapy Receives: Drug: rhNRG-1 |
What is being measured
The primary outcome is the main question the study is designed to answer.
All-cause mortality
Measured: 1 year
Secondary outcomes (8)
sudden death
Measured: 1 year
death caused by cardiovascular events
Measured: 1 year
rehospitalization
Measured: 1 year
hospitalization caused by worsening heart failure
Measured: 1 year
cardiac function
Measured: 1 year
NYHA functional classification
Measured: 1 year
6 minute walking distance
Measured: 1 year
quality of life
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Feb 2012 (estimated)
- Study startFeb 2012
- Primary completionAug 2017
- Study completionAug 2017
Why it stopped: Sponsor has designed another study to replace the current study
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Heart FailureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 679 participants (actual)
Sponsor and investigators
- Lead sponsor
- Zensun Sci. & Tech. Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Runlin Gao, MD, Ph.D, Principal investigator, Cardiovascular Institute and Fuwai Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01541202
- Sponsor's protocol ID
- ZS-01-305
- Status last verified
- Feb 2012
- First submitted
- 23 Feb 2012
- Last updated
- 21 Dec 2017
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 21 Dec 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multi-center,Randomized, Double-blind, Based on Standard Therapy, Placebo-controlled Study of the Survival of Recombinant Human Neuregulin-1β in Patients With Chronic Systolic Heart Failure
- ClinicalTrials.gov ID
- NCT01541202
- Acronym / sponsor ID
- ZS-01-305
- Conditions
- Chronic Heart Failure
- Keywords
- chronic heart failure, neuregulin, mortality
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor has designed another study to replace the current study
- Enrolment
- 679 participants (actual)
- Lead sponsor
- Zensun Sci. & Tech. Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Feb 2012
- Primary completion
- Aug 2017 (actual)
- Study completion
- Aug 2017 (actual)
- First posted
- 29 Feb 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate efficacy of rhNRG-1 in reducing the death rate of heart failure.
Detailed description
The mortality of chronic heart failure patients remains high, in spite of current treatment. RhNRG-1(recombinant human neuregulin-1)directly work on the cardiomyocyte and restored the normal structure and function of it. Both the preclinical trial and phase II clinical trail have confirmed that rhNRG-1 effectively enhance the heart function, reverse the remodeling of left ventricular, and reduce all-cause mortality in heart failure animals and humans. In this phase III study, the investigators will further confirm the efficacy of rhNRG-1 in reducing the death rate of heart failure.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placeboplacebo in addition to standard therapy |
| rhNRG-1 | Experimental | Drug: rhNRG-1rhNRG-1 in addition to standard therapy |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Age between 18 and 75, both sex.
- Left ventricular ejection fraction (LVEF)≤40% (ECHO).
- NYNA functional class II OR III.
- Diagnosed as chronic systolic heart failure (history, symptoms, signs), no in-hospital history in the last one month.
- Receiving standard therapy for chronic heart failure, reach target dose or max tolerable dose for one month, or has not changed the dose for the last one month.
Key exclusion criteria (23 listed)
- new chronic heart failure patients, or patients receiving standard therapy on chronic heart failure for less than 3 months.
- NYNA functional class I OR IV.
- Patients with acute MI, hypertrophic cardiomyopathy, constrictive pericarditis, significant valvular pathological change or congenital heart diseases, primary or secondary severe pulmonary artery hypertension.
- Ischemic heart failure without recanalization or with recanalization in recent six months.
- acute MI in the last 3 months.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| rhNRG-110 hours per day i.v drip for the first 10 days (0.6ug/kg/day), followed by weekly 10 minutes i.v bolus (0.8ug/kg/day), from the 3rd week for 23 weeks | Drug | rhNRG-1 |
| Placebo10 hours per day i.v drip for the first 10 days (0ug/kg/day), followed by weekly 10 minutes i.v bolus (0ug/kg/day), from the 3rd week for 23 weeks | Drug | Placebo |
Primary outcome
All-cause mortality
Time frame: 1 year
8 secondary outcomes
sudden death
Time frame: 1 year
death caused by cardiovascular events
Time frame: 1 year
rehospitalization
Time frame: 1 year
hospitalization caused by worsening heart failure
Time frame: 1 year
cardiac function
Time frame: 1 year
NYHA functional classification
Time frame: 1 year
6 minute walking distance
Time frame: 1 year
quality of life
Time frame: 1 year
Results and safety
The study was stopped early (reason given: Sponsor has designed another study to replace the current study). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Dec 2017.
Related trials for Chronic Heart Failure
Not yet recruiting
RELIEVE-HFrEF TRIAL: REducing Lung congestIon Symptoms Using the v-wavE Shunt in adVancEd Heart Failure With Reduced EF
Heart Failure and Reduced Ejection Fraction, Heart Failure Chronic
Not yet recruiting
Community Health Worker Nutrition Self-Management Support for Cardio-Kidney-Metabolic Health
Hypertension (HTN), CKD - Chronic Kidney Disease
RecruitingPhase 4
The Effects of Low-Dose Versus High-Dose Intravenous IRON Therapy With Ferric DerisomaltOSE in Patients With Chronic Heart Failure and Iron Deficiency
Heart Failure, Iron Deficiency
Recruiting
WIN Ratio Analysis to Determine a Strategy of Non- Invasive SUpport for Respiratory Failure in the EmeRgency Department
Acute Hypoxic Respiratory Failure, Acute Respiratory Distress Syndrome (ARDS)
RecruitingObservational study
Norepinephrine in the Management of General Anesthesia-Induced Arterial Hypotension in Chronic Heart Failure Patients
Hypotension
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Runlin Gao, MD, Ph.D principal investigator
Cardiovascular Institute and Fuwai Hospital
46 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing rhNRG-1 in people with Chronic Heart Failure, run by Zensun Sci. & Tech. Co., Ltd. at 46 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 21 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 46 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Sponsor has designed another study to replace the current study). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
All-cause mortality (time frame: 1 year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Dec 2017.