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RecruitingNCT06341101TREASUREUpdated Apr 2, 2024

Timely Recovery After Subclinical Heart Failure

A Phase 4 interventional study of Perindopril in Heart Failure and Diastolic Dysfunction, sponsored by Academisch Ziekenhuis Maastricht. Recruiting at 1 site in Netherlands. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-04-02.

Sponsored by Academisch Ziekenhuis Maastricht · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2026, 8 months ago, but the record still lists the study as recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this randomized controlled trial is to assess the effectiveness of ACE inhibitors versus standard care) in reversing asymptomatic heart failure (HF stage-B) and/or diastolic dysfunction during a two-year open-label treatment period for formerly preeclamptic women on:

  1. Reversibility of structural and functional myocardial impairment in asymptomatic HF towards healthy values;
  2. The progression from asymptomatic to symptomatic HF (symptoms scored based on the NYHA criteria);
  3. Cardiovascular performance (volume- and pressure load), cardio metabolic risk factors (glucose metabolism, lipid status, kidney function) and quality of life (questionnaires);
  4. Novel biomarkers and relevant microRNA's indicative for hypertrophy, fibrosis inflammation and ischemia.

Eligible subjects will be counselled and upon informed consent randomized for either medication group (n=65) or care as usual group (n=65). After a complete cardiovascular assessment, medication will be initiated open-labeled (Perindopril 2 mg or no medication). Thereafter, standard medical check-ups (blood pressure, ECG, kidney function, transthoracic cardiac ultrasound, endothelial function, quality of life questionnaires, medical history taking, blood and urine banking) will be performed every six months for two years.

Researchers will compare ACE inhibitor (Perindopril 2 mg) and care as usual (i.e. no medication) to investigate whether ACE inhibitor allows timely recovery after subclinical heart failure.

02

Conditions studied

  • Heart Failure
  • Diastolic Dysfunction

Keywords

  • Pre-Eclampsia
  • hypertension
  • heart failure
  • treatment
03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's planned enrollment of 130 is above the median of 76 across 4,049 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Academisch Ziekenhuis Maastricht is the lead sponsor of 23 studies on the registry; 8 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
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All women who visit Maastricht Univeristy Medical Center+ for Cardiovascular screening with subclinical/asymptomatic heart failure (HF stage-B) and/or diastolic dysfunction;
  • Aged 18 years and older;
  • Premenopausal women with a history of preeclamptic pregnancy and premenopausal women with a history of normal pregnancy;
  • Between 0.5 and 30 years postpartum;

Exclusion criteria

Exclusion Criteria:

  • Intention to pursue pregnancy within 2 years;
  • Already using antihypertensive medication;
  • Suffering diabetes mellitus, kidney failure (\<60 ml/min/1.73m2), pre-existent auto-immune disease and/or liver insufficiency;
  • Breastfeeding during participation;
  • Previous angio-edema
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

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

Study arms

  • Experimental
    Intervention group (Perindopril 2 mg)

    Eligible subjects will be counselled and upon informed consent randomized for either medication or care as usual (i.e. no medication). After a complete cardiovascular assessment, medication will be initiated open-labeled (Perindopril 2 mg or no medication). In case of side effects Perindopril will be replaced by Valsartan 40 mg twice daily. A blood pressure below 120/80 mmHg is targeted. Blood pressure will be measured once per two weeks until the targeted blood pressure is achieved or until medication dosage has increased 4 times, corresponding Perindopril 10mg as maximum dosage or corresponding Valsartan 320mg (160 mg twice daily) as maximum dosage.

    Drug: Perindopril

  • No intervention
    Standard care group (i.e. no medication)

    Eligible subjects will be counselled and upon informed consent randomized for either medication or care as usual (i.e. no medication).

Interventions

  • In case of side effects Perindopril will be replaced by Valsartan

    Also known as: Valsartan

06

What researchers measure

Primary outcomes

  1. No left Ventricular Hypertrophy

    Left ventricular mass index \<95 g/m2

    Time frame: From enrollment to the end of treatment after 2 years

  2. No concentric remodeling

    Relative Wall Thickness ≤0.43

    Time frame: From enrollment to the end of treatment after 2 years

  3. No impaired systolic function

    Left ventricular ejection fraction ≥55%

    Time frame: From enrollment to the end of treatment after 2 years

  4. Normal diastolic function

    Septal e'≥8 and Lateral e'≥10 and Average e'≥9 and LA \<34 cc/m2

    Time frame: From enrollment to the end of treatment after 2 years

07

Study locations

1 of 1 sites recruiting
  • AZMaastricht
    Maastricht, Limburg 6202AZ, Netherlands
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Mar 2024; primary completion for Mar 2026, 23 months later.

Of 164 non-industry phase 4 interventional studies under Heart Failure, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 56. This study's planned 23 months is below that.

Counting every sponsor, half of 183 studies reached it within 31 months; a quarter within 22 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 26, 2024
First posted
Apr 2, 2024
StartEst.
Mar 26, 2024
Primary completionEst.
Mar 1, 2026
CompletionEst.
Mar 1, 2026
Last update
Apr 2, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 2, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06341101
Lead sponsor
Academisch Ziekenhuis Maastricht
Collaborators
ZonMw: The Netherlands Organisation for Health Research and Development
Responsible party
Zenab Mohseni (PI, Academisch Ziekenhuis Maastricht) — Principal investigator
First posted
Apr 2, 2024
Start date
Mar 26, 2024 (estimated)
Primary completion
Mar 1, 2026 (estimated)
Completion
Mar 1, 2026 (estimated)
Last update
Apr 2, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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Studies of the drug tested here: Perindopril

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