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TerminatedNCT00151619Updated Mar 26, 2019

Effects of Amlodipine in the Management of Chronic Heart Failure

A Phase 2 interventional study of Amlodipine in Chronic Heart Failure, sponsored by Rennes University Hospital. Terminated at 2 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-26.

Sponsored by Rennes University Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 6 years 6 months after the study started (first participant enrolled Feb 1999, registered Sep 2005).
Phase
Phase 2
Study type
Interventional
Enrollment
7
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Patients with congestive heart failure are usually treated with a combination of an ACE inhibitor (or an AT1 blocking agent), a diuretic and a beta-blocker. However, some patients remain symptomatic despite an optimal treatment with these drugs. In patients who also have coronary heart disease, nitrates or some calcium-channel blockers could help to relieve symptoms. Therefore, the aim of our study is to evaluate the additional benefit induced by a second generation calcium-channel blocker, amlodipine, in patients with chronic heart failure who remain symptomatic despite an optimal treatment.

Read the detailed description

In patients with congestive heart failure, a treatment with ACE inhibitor combined with digoxin and a diuretic has shown benefits on morbidity and mortality. However, 40% of these patients have persistant symptoms. The rationale for the use of calcium channel blockers in patients with chronic heart failure lies in their vasodilating action, antiischemic effect, ability to reduce left ventricular diastolic dysfunction. The objective of our study is to evaluate the regional and systemic hemodynamic, hormonal and vascular effects and the tolerance to stress test of a 3-months treatment with amlodipine. Patients with stable chronic heart failure (III/IV NYHA) and treated with a combination of enalapril, furosemide and digoxin will be randomized to receive amlodipine 5 or 10 mg or a placebo for a 3-months period.

02

Conditions studied

  • Chronic Heart Failure

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Keywords

  • Calcium channel blockers
  • Heart failure
  • Hemodynamics
03

In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's enrollment of 7 is below the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Rennes University Hospital is the lead sponsor of 440 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients over 18 years
  • Chronic heart failure with New York Heart Association class III or IV.
  • Ischemic or dilated cardiopathy known for at least 3 months
  • Systolic arterial pressure > 110 mmHg under treatment
  • Stroke volume between 20 and 40% under treatment
  • Informed written consent

Exclusion criteria

Exclusion Criteria:

  • History of allergy to one of the studied pharmaceutical classes
  • History of troubles in ventricular rythm (tachycardia, fibrillation) or acute heart failure
  • Chronic renal, hepatic or respiratory failure
  • Diabetes
  • Valvulopathy
  • Myocarditis,constrictive pericarditis
  • Life prognosis \< 6 months due to a non cardiac pathology
  • Absence of woman contraception, pregnancy, breast-feeding
  • Treatment with calcium channel blockers or antiarrythmics class IC
  • Unstable patient under standardized treatment
  • Unable to do a stress test
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
7 participants (actual)

Interventions

  • DrugAmlodipine
06

What researchers measure

Primary outcomes

  1. Humeral blood flow

Secondary outcomes

  1. Systemic hemodynamics:

  2. - Systolic and diastolic arterial pressures

  3. - Heart rate and cardiac output

  4. - Systolic and diastolic left ventricular diameters

  5. - Ambulatory measure of arterial pressure

  6. - Isovolumic relaxation time, pulmonary venous flow

  7. Regional hemodynamics:

  8. - Carotid, humeral and femoral arterial diameters and flows

  9. - Arterial compliance

  10. - Renal and hepatosplanchnic blood flow

  11. Stress test

  12. Biological variables: ionogram, hormonal and cytokines plasma concentrations

  13. Functional well-being measure on a Visual Analogue Scale.

07

Study locations

2 sites
  • Service de Réanimation Médicale - Hôpital Raymond Poincaré
    Garches, 92380, France
  • Service de Réadaptation Cardio-Vasculaire - Clinique St Yves
    Rennes, 35044, France
08

References and documents

Publications

  • Elkayam U, Shotan A, Mehra A, Ostrzega E. Calcium channel blockers in heart failure. J Am Coll Cardiol. 1993 Oct;22(4 Suppl A):139A-144A. doi: 10.1016/0735-1097(93)90478-j. PubMed 8376684 ↗
  • Cohn JN, Johnson G, Ziesche S, Cobb F, Francis G, Tristani F, Smith R, Dunkman WB, Loeb H, Wong M, et al. A comparison of enalapril with hydralazine-isosorbide dinitrate in the treatment of chronic congestive heart failure. N Engl J Med. 1991 Aug 1;325(5):303-10. doi: 10.1056/NEJM199108013250502. PubMed 2057035 ↗
  • Packer M, O'Connor CM, Ghali JK, Pressler ML, Carson PE, Belkin RN, Miller AB, Neuberg GW, Frid D, Wertheimer JH, Cropp AB, DeMets DL. Effect of amlodipine on morbidity and mortality in severe chronic heart failure. Prospective Randomized Amlodipine Survival Evaluation Study Group. N Engl J Med. 1996 Oct 10;335(15):1107-14. doi: 10.1056/NEJM199610103351504. PubMed 8813041 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 26, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00151619
Lead sponsor
Rennes University Hospital
First posted
Sep 9, 2005
Start date
Feb 10, 1999
Primary completion
Sep 6, 2001
Last update
Mar 26, 2019

Study contacts

Eric Bellissant, MD, PhD
principal investigator · CHU Rennes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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