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Status unknownNCT02046044DIVA-REFUpdated Jan 27, 2014

Digoxin Versus Ivabradine in Heart Failure With Reduced Ejection Fraction

A Phase 4 interventional study of Digoxin and Ivabradine in Heart Failure, sponsored by Kocaeli University. Status unknown at 1 site in Turkey. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2014-01-27.

Sponsored by Kocaeli University · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2014), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Study hypothesis: Comparing the effect of digoxin and ivabradine in chronic heart failure patients with a left ventricular ejection of 35% or lower and sinus rhythm with heart rate 70 beats per minute or higher, and who are taking maximal dose of a beta blocker if tolerated.

Read the detailed description

Selected patients have chronic heart failure with left ventricular systolic dysfunction and sinus rhythm. They take optimal medical therapy.

02

Conditions studied

  • Heart Failure

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Keywords

  • Heart failure
  • Digoxin
  • Ivabradine
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 planned enrollment of 60 is below the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Kocaeli University is the lead sponsor of 210 studies on the registry; 38 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Left ventricular ejection fraction of 35% or lower (Ischaemic or non-ischaemic etiology)

    • Sinus rhythm with heart rate of 70 beats per minute or higher
    • Symptomatic heart failure with functional capacity of New York Heart Association class II, III, IV

Exclusion criteria

  • Chronic renal failure with glomerular filtration rate \<30 ml/min

    • Atrial fibrillation
    • Pace maker rhythm
    • Advanced stage chronic obstructive lung disease
    • Comorbidity with expected survival below 1 year
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Ivabradine

    Ivabradine: initial dose of 5 mg b.id. dose up-titration to 7,5 mg b.id. in 2 weeks due to the heart rate and maintaining the last dose during 6 months.

    Drug: Ivabradine

  • Experimental
    Digoxin

    Digoxin: Digoxin 0,25 mg once a day 5 days per week during 6 months.

    Drug: Digoxin

Interventions

  • DrugDigoxin
  • DrugIvabradine
06

What researchers measure

Primary outcomes

  1. Cardiac function and functional status and biochemical parameters

    Cardiac function (echocardiography): Systolic function (left ventricular ejection fraction) and diastolic function (Doppler E/A ratio, tissue Doppler e/e1 ratio, Doppler deceleration time of the E wave, left atrium volume index) Maximal oxygen consumption will be evaluated with cardiopulmonary exercise testing Changes in proBNP level (serum value) after treatment

    Time frame: After 6 months

Secondary outcomes

  1. Cardiovascular mortality

    Death from cardiovascular reasons

    Time frame: Up to 6 months

  2. All cause mortality

    Death from any cause.

    Time frame: Up to 6 months

  3. Hospital admission for worsening heart failure

    Time frame: Up to 6 months

  4. Heart rate and blood pressure

    Changes in heart rate and blood pressure.

    Time frame: After 6 months

Other outcomes

  1. Hospitalization for a cardiovascular reason

    Time frame: Up to 6 months

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 27, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02046044
Lead sponsor
Kocaeli University
Responsible party
Kurtulus Karauzum (Kurtulus Karauzum, Kocaeli University) — Principal investigator
First posted
Jan 27, 2014
Start date
Jan 2014
Primary completion
Oct 2014 (estimated)
Completion
Oct 2014 (estimated)
Last update
Jan 27, 2014

Study contacts

Kurtulus Karauzum, MD
Contact
kurtuluskarauzum@yahoo.com
90 555 726 87 90
Kurtulus Karauzum, MD
principal investigator · Kocaeli University

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.

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