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Effect of Eplerenone on Endothelial Function in Patients With Stable Coronary Heart Disease

Information source: University of Zurich
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Coronary Artery Disease

Phase: Phase 2/Phase 3

Status: Suspended

Sponsored by: University of Zurich

Official(s) and/or principal investigator(s):
Frank Ruschitzka MD, Principal Investigator, Affiliation: University Hospital

Summary

The aim of the present study is to investigate wether endothelial dysfunction associated with stable coronary artery disease is altered by selective aldosterone antagonism with Eplerenone as potential anti-inflammatory drug versus placebo.

Additionally we hypothesize that selective aldosterone antagonism reduces systemic inflammatory response such as C-reactive proteine, oxidative stress and pro-inflammatory cytokines.

Clinical Details

Study design: Longitudinal, Defined Population, Prospective Study

Eligibility

Minimum age: 30 Years. Maximum age: 80 Years. Gender(s): Both.

Criteria:

Inclusion criteria:

- Male patients (> 30 years of age) with history of coronary artery disease (documented

by coronary angiogram, nuclear imaging, positive stress test)

- Stable cardiovascular medication for at least 4 months Evaluation of the patients will

take place at the Department of Internal Medicine, Cardiology, University Hospital Zurich.

Exclusion criteria:

- Evidence for myocardial infarction, unstable angina, stroke within 3 months prior to

study entry

- coronary intervention/re-vascularisation procedure within 3 months prior to study

entry

- long acting nitrates

- uncontrolled arterial hypertension, defined as RR>160/90 mmHg

- congestive heart failure (> NYHA I)

- Ejection fraction <50%

- AV-Block>I˚

- creatinine clearance <50 mL/min

- insulin-dependent diabetes mellitus

- type 2 diabetes with microalbuminuria

- age < 30 years

- anemia (Hb<10 g/dl)

- malignancy chronic infection

- smoking

- serum potassium >5. 5 meq/L

- drug abuse

- potassium supplements or potassium-sparing diuretics (amiloride, spironolactone, or

triamterene)

- concomitant use of strong inhibitors of CYP450 3A4 (e. g., ketoconazole, itraconazole)

- known history of Cushing disease or Morbus Addisons or diseases of the thyroid gland

Locations and Contacts

Additional Information

Starting date: July 2004
Last updated: January 30, 2007

Page last updated: June 20, 2008

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