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CompletedNCT01224899SymBlockUpdated Oct 20, 2010

Surgical Sympathetic Blockade in Heart Failure

A Phase 1 interventional study of Left cervico-thoracic sympathetic blockade in Systolic Heart Failure, Beta-blockers Intolerance and Beta-blockers Resistance, sponsored by University of Sao Paulo. Completed at 1 site in Brazil. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2010-10-20.

Sponsored by University of Sao Paulo · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The investigators sought to evaluate the feasibility and safety of surgical sympathetic blockade in systolic heart failure patients and secondary to assess its cardiovascular consequences.

02

Conditions studied

  • Systolic Heart Failure
  • Beta-blockers Intolerance
  • Beta-blockers Resistance

Keywords

  • Heart Failure
  • Sympathetic Nervous System
  • Sympathectomy
  • Adrenergic beta-Antagonists
  • Ventricular Dysfunction, Left
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 15 is below the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

University of Sao Paulo is the lead sponsor of 1,005 studies on the registry; 90 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • chronic heart failure (at least 1 month of symptoms onset)
  • NYHA functional class II or III
  • LV ejection fraction 40% or lower
  • resting heart rate higher than 65 bpm
  • either maximum beta-blocker therapy according to guidelines or no beta-blocker use for intolerance.

Exclusion criteria

Exclusion Criteria:

  • NYHA functional class I or IV
  • cardiogenic shock
  • resting heart rate ≤ 65 bpm
  • systolic blood pressure \< 90 mmHg
  • sustained ventricular tachycardia
  • eligibility to other surgical procedures
  • procedure-limiting comorbidity
  • presence of ICD or pacemaker
  • valvar, chagasic or congenital cardiomyopathy
  • age > 70 years
  • patient refusal
  • contra-indication to videothoracoscopy
  • decompensated thyroid disease
  • atrial fibrillation or flutter
  • active infection
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Surgery

    Procedure: Left cervico-thoracic sympathetic blockade

  • No intervention
    Control

Interventions

  • ProcedureLeft cervico-thoracic sympathetic blockade

    Left cervico-thoracic sympathetic blockade by videothoracoscopic clipping under general anesthesia and single-lumen orotracheal intubation in semi-sitting position.

06

What researchers measure

Primary outcomes

  1. Perioperative mortality and morbidity

    Study interruption criteria: * death attributable to surgical procedure; * cardiogenic shock attributable to surgical procedure; * worsening of heart failure symptoms attributable to surgical procedure; * Horner's syndrome * hypotension or bradiarrhythmia attributable to surgical procedure

    Time frame: 30 days after operation

Secondary outcomes

  1. Cardiovascular effects

    * left ventricle ejection fraction (echo and gated blood pool) * end left ventricle diastolic diameter * mean heart rate * heart rate variability * New York Heart Association functional class * Minesotta Living with Heart Failure Questionnaire Score * peak oxygen consumption * walked distance in 6 minute walking test * BNP * 123-I-Metaiodobenzylguanidine (late heart/mediastinum ratio) * sympathetic peripheral nerve activity (microneurography) * baroreflex parameters (low and high frequency)

    Time frame: 6 months

07

Study locations

1 site
  • Heart Institute (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
    São Paulo, SP 05403000, Brazil
08

References and documents

Publications

  • Conceicao-Souza GE, Pego-Fernandes PM, Cruz Fd, Guimaraes GV, Bacal F, Vieira ML, Grupi CJ, Giorgi MC, Consolim-Colombo FM, Negrao CE, Rondon MU, Moreira LF, Bocchi EA. Left cardiac sympathetic denervation for treatment of symptomatic systolic heart failure patients: a pilot study. Eur J Heart Fail. 2012 Dec;14(12):1366-73. doi: 10.1093/eurjhf/hfs132. Epub 2012 Oct 25. PubMed 23099357 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 20, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01224899
Lead sponsor
University of Sao Paulo
First posted
Oct 20, 2010
Start date
Dec 2006
Primary completion
Nov 2009
Completion
Jul 2010
Last update
Oct 20, 2010

Study contacts

Edimar A Bocchi, MD
study chair · Heart Institute (InCor) HC FMUSP
Paulo M Pego-Fernandes, MD
principal investigator · Heart Institute (InCor) HC FMUSP

Oversight

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

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