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CompletedNCT00490958Updated Oct 17, 2008

Telmisartan in Haemodialysis Patients With Chronic Heart Failure

A Phase 4 interventional study of telmisartan in Heart Failure, Congestive, sponsored by University of Campania Luigi Vanvitelli. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2008-10-17.

Sponsored by University of Campania Luigi Vanvitelli · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
351
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Background: In haemodialysis patients, chronic heart failure (CHF) is responsible for a high mortality rate but, presently, very little data is available regarding this population.

Aim of the study: Aim of this study was to determine whether telmisartan decreases all-cause and cardiovascular mortality and morbidity in haemodialysis patients with CHF and impaired left ventricular ejection fraction (LVEF) when added to standard therapies with ACE inhibitors.

Methods: A 3-year randomized, double-blind, placebo-controlled, multicentre trial was performed involving 30 Italian clinics. Haemodialysis patients with CHF (NYHA class II and III; LVEF 40%) were randomized to telmisartan or placebo in addition to ACE inhibitor therapy. 332 patients were enrolled (165 telmisartan, 167 placebo), and drug dosage was titrated to a target dose of telmisartan of 80 mg or placebo. Mean follow-up period was 35±5 months. Primary outcomes were all-cause mortality, cardiovascular mortality and CHF hospitalization.

02

Conditions studied

  • Heart Failure, Congestive

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Keywords

  • heart Failure
  • haemodialysis
  • telmisartan
  • angiotensin converting enzyme inhibitor
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 351 is above the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

University of Campania Luigi Vanvitelli is the lead sponsor of 170 studies on the registry; 26 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

  • Adult haemodialysis patients with CHF;
  • New York Heart Association (NYHA) class II and III;
  • Ejection fraction less or equal to 40% determined within 6 months; and
  • Therapy with ACE inhibitors individually optimized and unchanged for 30 days before randomization

Exclusion criteria

Exclusion Criteria:

  • Hypotension during dialysis;
  • Atrial fibrillation;
  • Intolerant to low dose of telmisartan
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
351 participants (actual)

Interventions

  • Drugtelmisartan
06

What researchers measure

Primary outcomes

  1. all cause mortality cardiovascular mortality hospitalization for decompensated heart failure

    Time frame: 36 months

Secondary outcomes

  1. acute non-fatal myocardial infarction

    Time frame: 36 months

  2. combined endpoint (cardiovascular mortality in addition to acute non-fatal myocardial infarction)

    Time frame: 36 months

  3. cardiovascular hospital admission

    Time frame: 36 months

  4. nonfatal stroke

    Time frame: 36 months

  5. coronary revascularization

    Time frame: 36 months

  6. permanent premature treatment withdrawals

    Time frame: 36 months

07

Study locations

1 site
  • Chair of Cardiology Second University of Naples
    Naples, 80100, Italy
08

References and documents

Publications

  • Cice G, Di Benedetto A, D'Isa S, D'Andrea A, Marcelli D, Gatti E, Calabro R. Effects of telmisartan added to Angiotensin-converting enzyme inhibitors on mortality and morbidity in hemodialysis patients with chronic heart failure a double-blind, placebo-controlled trial. J Am Coll Cardiol. 2010 Nov 16;56(21):1701-8. doi: 10.1016/j.jacc.2010.03.105. PubMed 21070920 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 17, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00490958
Lead sponsor
University of Campania Luigi Vanvitelli
First posted
Jun 25, 2007
Start date
Jan 1999
Completion
Jun 2005
Last update
Oct 17, 2008

Study contacts

Gennaro Cice, MD
study chair · Chair of cardiology Second University of Naples

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2007. You cannot join it, but the record below documents what was studied.

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