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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01876433
Registration number
NCT01876433
Ethics application status
Date submitted
10/06/2013
Date registered
12/06/2013
Date last updated
19/10/2020
Titles & IDs
Public title
Beta 3 Agonist Treatment in Heart Failure
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Scientific title
Beta 3 Agonist Treatment in Heart Failure
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Secondary ID [1]
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2012-004805-29
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Universal Trial Number (UTN)
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Trial acronym
Beat-HF
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Heart Failure With Reduced Ejection Fraction (HFrEF)
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Active comparator: Beta-3-agonist - Mirabegron 25 mg x 2 titrated up to maximal tolerated dosis or a maximum of 150 mg x 2.
Placebo comparator: Placebo - Placebo 25 mg x 2 titrated up to maximal tolerated dosis or a maximum of 150 mg x 2.
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Increase in LVEF (measured by MRI or CT)
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Assessment method [1]
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Timepoint [1]
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6 months
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Secondary outcome [1]
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A reduction in NT proBNP
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Assessment method [1]
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Timepoint [1]
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6 months
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Secondary outcome [2]
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An increase in 6 min walking distance
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Assessment method [2]
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Timepoint [2]
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6 months
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Secondary outcome [3]
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An increase in CO/SV
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Assessment method [3]
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Timepoint [3]
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6 months
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Secondary outcome [4]
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A reduction in LVIDd
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Assessment method [4]
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Timepoint [4]
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6 months
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Secondary outcome [5]
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An improvement in diastolic function
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Assessment method [5]
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Timepoint [5]
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6 months
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Secondary outcome [6]
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A reduction in LA volume
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Assessment method [6]
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Timepoint [6]
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6 months
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Secondary outcome [7]
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A reduction in LV diameters
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Assessment method [7]
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Timepoint [7]
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6 months
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Secondary outcome [8]
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A shortening of the QT interval
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Assessment method [8]
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Timepoint [8]
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6 months
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Secondary outcome [9]
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Improvement in quality of life
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Assessment method [9]
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Timepoint [9]
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6 monhs
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Secondary outcome [10]
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Improvement in functional class
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Assessment method [10]
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Timepoint [10]
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6 months
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Eligibility
Key inclusion criteria
1. Stable heart failure NYHA class II-III on ischemic or non-ischemic basis
2. Left ventricular ejection fraction (LVEF) < 40%
3. Stable sinus rhythm (SR)
4. On optimised evidence-based pharmacological HF treatment stable > 4 weeks with no current plan for changing HF therapy. The therapy must include a beta-blocker.
5. No change in diuretics < 4 weeks
6. >18 years
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Unstable cardiac condition
2. Acute myocardial infarction (AMI) or revascularisation < 3 month ago
3. Atrial fibrillation (for technical reasons in relation to imaging and HR reporting)
4. Uncorrected significant primary obstructive valve disease
5. Planned major surgery including cardiac revascularisation
6. Hemodynamically significant obstructive cardiomyopathy
7. Stroke with significant neurological deficit
8. Acute myocarditis or constrictive pericarditis
9. Symptomatic bradycardia or > 1. degree AV-block unless the patient has a pacemaker
10. Clinically significant hepatic (transaminases or bilirubin x 3 above upper reference level) or renal (GFR< 50 ml/min/1,73 m2) diseases
11. Heart failure due to uncorrected thyroid disease
12. Cardiac mechanical support
13. < 6 months after CRT
14. Uncontrolled hypotension (defined as symptomatic systolic blood pressure < 90 mmHg) - or hypertension (defined as systolic at 180 mmHg or above and/or diastolic blood pressure at 110 mmHg or below)
15. Body mass index (BMI) > 35
16. Unable to give informed consent
17. Reduced compliance
18. All women of child bearing potential will be required to use adequate contraception
19. Pregnant or lactating women
20. Treatment with a tricyclic antidepressant or CYP2D6 substrates other than beta-blockers or treatment with digoxin.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
30/09/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
30/09/2015
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Sample size
Target
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Accrual to date
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Final
70
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Monash Center of Cardiovascular Research. - Melbourne
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Recruitment hospital [2]
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Department of Cardiology, Royal North Shore Hospital. - Sydney
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Recruitment postcode(s) [1]
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- Melbourne
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Recruitment postcode(s) [2]
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- Sydney
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Recruitment outside Australia
Country [1]
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Denmark
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State/province [1]
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Copenhagen Ø
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Funding & Sponsors
Primary sponsor type
Other
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Name
Henning Bundgaard
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Objective: The objective of the study is to assess the structural and functional cardiac effects of treatment with the beta 3 AR agonist Mirabegron in patients with chronic heart failure. Design: The investigators are planning a study aiming at establishing proof of concept that treatment of patients with HF with Mirabegron has significant positive effects, as assessed by clinical and biochemistry measurements, but not by hard endpoints. The investigators are performing a combined dose-finding - chronic efficacy study. The study is a randomized, placebo-controlled, double-blinded trial. The follow-up period is 6 months. 70 patients with chronic heart failure will be included. Specific aims 1. Determine safety of administration of Mirabegron to patients with heart failure. 2. Determine if treatment with Mirabegron for 6 months induces beneficial cardiac structural remodelling in patients with heart failure. 3. Determine if Mirabegron improves symptoms and exercise capacity as indicated by questionnaires and 6 min walk test in patients with heart failure. 4. Determine effects of Mirabegron on cardiac conduction, repolarisation and rhythms and arrhythmias in patients with heart failure. 5. Determine effects of Mirabegron on circulating biomarkers in patients with heart failure.
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Trial website
https://clinicaltrials.gov/study/NCT01876433
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Trial related presentations / publications
Bundgaard H, Axelsson A, Hartvig Thomsen J, Sorgaard M, Kofoed KF, Hasselbalch R, Fry NA, Valeur N, Boesgaard S, Gustafsson F, Kober L, Iversen K, Rasmussen HH. The first-in-man randomized trial of a beta3 adrenoceptor agonist in chronic heart failure: the BEAT-HF trial. Eur J Heart Fail. 2017 Apr;19(4):566-575. doi: 10.1002/ejhf.714. Epub 2016 Dec 18.
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Public notes
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Contacts
Principal investigator
Name
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Henning Bundgaard, MD, PhD, DMSc
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Address
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Rigshospitalet Copenhagen University Hospital, Department of Cardiology
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01876433
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