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Carperitide (alpha-human atrial natriuretic peptide) improves systemic hemodynamics in patients with heart failure through a vasodilatory action, a natriuretic action, and inhibition of the renin-angiotensin-aldosterone system and has been widely-used in Japan. However, a paucity of report is available on the effects of carperitide on short and long-term prognosis in patients with both cardiac and renal failure. The purpose of this study is to evaluate the effects of carperitide therapy on short and long-term prognosis in patients with both cardiac and renal failure, in comparison with standard therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Therapy | Placebo Comparator | Standard heart failure therapy excluding carperitide administration |
|
| Carperitide Therapy | Active Comparator | Addition of carperitide administration to standard heart failure therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carperitide heart failure therapy | Drug | carperitide(alpha-human atrial natriuretic peptide, 0.025-0.05μg/kg/min) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Unexpected rehospitalization for cardiovascular events, uremic symptom, initiation of maintenance dialysis, and kidney transplantation | at 6 months and 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| All cause mortality | at discharge, 6 months, and 2 years | |
| Sudden death | at discharge, 6 months, and 2 years | |
| Cardiovascular death |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yoshihiko Saito, MD, PhD | First Department of Internal Medicine, Nara Medical University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Department of Internal Medicine, Nara Medical University | Nara | 634-8522 | Japan |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D051437 | Renal Insufficiency |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
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| Standard heart failure therapy | Drug | Loop diuretics, Aldosterone blockers, Beta blockers, ACE inhibitors, Angiotensin receptor blockers, Nitrates, digitalis |
|
| at discharge, 6 months, and 2 years |
| Plasma B-type natriuretic peptide concentration | at discharge, 6 months, and 2 years |
| Estimated GFR | at discharge, 6 months, and 2 years |
| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |