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Phase 3 N=121 Randomized Double-blind Treatment

Heart Rate Reduction in Heart Failure

Heart Failure

Enrolled (actual)
121
Serious AEs
0.0%
Results posted
Sep 2014
Primary outcome: Primary: Exercise Tolerance Assessed by 6 Minute Walking Test — 474.8; 435.7; 453.1 meters

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
ivabradine (Drug); "Drug:Carvedilol" and "Drug:Ivabradine" (Drug); Carvedilol (Drug)
Age
Adult, Older Adult · 35+ yrs
Sex
All
Sponsor
IRCCS San Raffaele
Primary completion
Jun 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Exercise Tolerance Assessed by 6 Minute Walking Test
474.8; 435.7; 453.1
PRIMARY
Maximal Oxygen Consumption
15.8; 12.9; 14.7
SECONDARY
Quality of Life
6.7; 4.1; 6.1
SECONDARY
New York Heart Association (NYHA) Class
30; 5; 20

Summary

Patients with heart failure (HF) have a limited exercise tolerance,few pharmacological interventions have been proven effective in improving exercise capacity. At the presence there i conflicting evidence on the effectiveness of beta-blockers on exercise capacity. Ivabradine has been shown to improve prognosis in patients with ischemic heart disease, left ventricular dysfunction and heart rate > 70 bpm. The association of ivabradine and atenolol has been proven effective in increasing exercise tolerance in patients with ischemic heart disease. Aim of the present study is to evaluate the effect of heart rate reduction with ivabradine, carvedilol or their combination in patients with heart failure of ischemic origin.

Eligibility Criteria

Inclusion Criteria

  • heart failure II-III
  • ischemic origin
  • stable medications from at least 3 months
  • > 3 months from an acute ischemic syndrome or revascularization procedure
  • naive on heart rate reducing agents

Exclusion Criteria

  • bradycardia
  • hypersensitivity or contraindications to study drugs
  • exercise tolerance at 6 minute walking test 400 m
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01178528). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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