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Trial registered on ANZCTR
Registration number
ACTRN12605000735651
Ethics application status
Approved
Date submitted
13/09/2005
Date registered
11/11/2005
Date last updated
29/08/2024
Date data sharing statement initially provided
29/08/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
The BNP Assisted Teatment to Lessen Serial Cardiac Readmissions and Death.
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Scientific title
The BNP Assisted Teatment to Lessen Serial Cardiac Readmissions and Death.
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Universal Trial Number (UTN)
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Trial acronym
The Battle-Scarred Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Heart Failure
887
0
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Condition category
Condition code
Cardiovascular
955
955
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0
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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
Intensive follow up of persons with heart failure, and treatment of heart failure guided by levels of the hormone BNP.
To establish whether intensive follow up of persons admitted to hospital with heart failure, in an out patient clinic setting is more effective than usual follow up. Also, if treatment of heart failure guided by levels of the hormone BNP is better than treatment guided by usual assessment guidelines.
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Intervention code [1]
546
0
Treatment: Other
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Comparator / control treatment
Usual follow up of persons with heart failure, and treatment of heart failure guided by usual assessment guidelines.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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To determine the effect of hormone-guidance of treatment of heart failure on clinical outcomes.
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Assessment method [1]
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Timepoint [1]
1255
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Secondary outcome [1]
2287
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(b) To determine the effect of hormone-guidance of treatment of heart failure on outcomes in subjects <75 years of age.
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Assessment method [1]
2287
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Timepoint [1]
2287
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Secondary outcome [2]
2288
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(c) To determine the effect of standardised regular intensified follow-up on outcomes in heart failure.
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Assessment method [2]
2288
0
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Timepoint [2]
2288
0
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Secondary outcome [3]
2289
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(d) To determine the plasma levels and changes in these concentrations over time of Ucn-I and urotensin-II in subjects with heart failure and relate these plasma concentrations to cardiac structure and function and subsequent clinical outcome.
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Assessment method [3]
2289
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Timepoint [3]
2289
0
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Secondary outcome [4]
2290
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e) To assess the prognostic importance of newer echocardiographic measures of diastolic function in subjects with heart failure and changes in these parameters over time in this population.
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Assessment method [4]
2290
0
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Timepoint [4]
2290
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Eligibility
Key inclusion criteria
Symptomatic congestive HF as defined by Framingham criteria (Table 1), requiring admission to hospital in subjects able to give competent informed consent.
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Minimum age
18
Years
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Maximum age
Not stated
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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
Active myocarditis/pericarditis.Under active consideration for cardiac transplantation. Life expectancy due to non-cardiovascular disease <24 months.Severe hepatic or pulmonary disease (FEV1 <1L).Renal impairment with creatinine at discharge from index admission >0.25mmol/L.Transient HF in association with myocardial infarction treated with acute revascularisation and subsequent ejection fraction during index admission >40%.Severe valvular disease being considered for surgery, or severe aortic stenosis (valve area <1cm2), or symptoms of HF secondary to mitral stenosis.
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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)
random permuted blocks
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
random permuted blocks
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2001
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Actual
1/01/2001
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Date of last participant enrolment
Anticipated
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Actual
13/12/2008
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Date of last data collection
Anticipated
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Actual
31/10/2020
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Sample size
Target
1000
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Accrual to date
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Final
363
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Recruitment outside Australia
Country [1]
212
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New Zealand
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State/province [1]
212
0
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Funding & Sponsors
Funding source category [1]
1053
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Government body
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Name [1]
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Health Research Council of New Zealand
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Address [1]
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Health Research Council of New Zealand
Level 3/110 Stanley Street,
Grafton,
Auckland 1010
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Country [1]
1053
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New Zealand
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Primary sponsor type
Government body
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Name
Health Research Council of New Zealand
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Address
Health Research Council of New Zealand
Level 3/110 Stanley Street,
Grafton,
Auckland 1010
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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n/a
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Address [1]
914
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Country [1]
914
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Health and Disability Ethics Committee
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Ethics committee address [1]
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https://ethics.health.govt.nz/about/southern-health-and-disability-ethics-committee/
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
2352
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Approval date [1]
2352
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24/08/2000
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Ethics approval number [1]
2352
0
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Summary
Brief summary
To establish whether intensive follow up of persons admitted to hospital with heart failure, in an out patient clinic setting is more effective than usual follow up. Also, if treatment of heart failure guided by levels of the hormone BNP is better than treatment guided by usual assessment guidelines. The three possible treatment groups are: 1. Usual Care Group: Individuals will be followed up via standard health care channels ie GP visits, OP clinic visits. 2. Clinical Group: This group will be reviewed at 3 monthly out patient clinics and a standardised clinical score will be applied to guide treatment regimes. 3. NBNP Group: Also reviewed by the research team at 3 monthly intervals and heart failure treatments are to be guided by NBNP values. Patients will either continue their health care treatment post discharge via the normal channels, or will be followed up at 3 month intervals, with treatment guided by NBNP levels and/or clinical assessment tools.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr John Lainchbury
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Address
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Department of Medicine
University of Otago, Christchurch
PO Box 4345
Christchurch 8014
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Country
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New Zealand
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Phone
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+64 3640640
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr John Lainchbury
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Address
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Cardiology Department
Christchurch Hospital
Private Bag 4710
Christchurch
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Country
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New Zealand
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Phone
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+64 3 3640640
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Lorraine Skelton
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Address
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Department of Medicine
Christchurch School of Medicine & Health Sciences
University of Otago
PO Box 4345
Christchurch
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Country
663
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New Zealand
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Phone
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+64 3 3640640
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Fax
663
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+64 3 3641115
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Email
663
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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