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NCT04549415

The Influence of Metformin on Chronic Heart Failure Clinical Course in Patients With Prediabetes

Completed Phase 4 Last updated 16 September 2020
What this trial tests

Phase 4 trial testing Metformin Hydrochloride in Chronic Heart Failure in 97 participants. Completed in 15 November 2019.

Timeline
1 January 2018
Primary endpoint
1 November 2018
15 November 2019

Quick facts

Lead sponsorNational Center of Cardiology and Internal Medicine named after academician M.Mirrakhimov
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment97
Start date1 January 2018
Primary completion1 November 2018
Estimated completion15 November 2019
Sites1 location across Kyrgyzstan

Drugs / interventions tested

Conditions studied

Sponsor

National Center of Cardiology and Internal Medicine named after academician M.Mirrakhimov

Who can join

Adults 18 to 65, any sex, with Chronic Heart Failure or Coronary Artery Disease. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

It is well known fact, that prediabetes is a predictor of high cardiovascular mortality, increasing the risk of developing such adverse cardiovascular events as myocardial infarction, stroke and sudden cardiac death. The key pathogenetic link in development of carbohydrates metabolism disorders (CMD) is insulin resistance (IR), which is one of the crucial mechanisms for the development and progression of chronic heart failure (CHF). IR disrupts the functioning of the myocardium due to endothelial dysfunction, inflammation, oxidative stress, remodeling and impaired myocardial metabolism. In condition of a combination of CMD and CHF the reverse development of hyperglycemia is also difficult due to hyperactivation of neurohormonal systems - renin-angiotensin-aldosterone system, in particular. So, drug therapy should neutralize the undesirable metabolic effects of hyperglycemia on the course of CHF, as well as prevent the development of micro- and macrovascular complications. The study will investigate the ability of metformin to impact on clinical and laboratory (neurohormonal, lipid profiles, renal function) parameters of ischemic etiology heart failure patients with prediabetes, as well as their quality of life and prognosis (incidence of adverse cardiovascular events). These tests will be assessed at the beginning and repeated after one year. At the end of the study we will investigate the difference between lifestyle modification effect and metformin treatment. The study is funded by Ministry of Education and Science of Kyrgyz Republic.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other trials of Metformin Hydrochloride

Trials testing the same drug.

Other recruiting trials for Chronic Heart Failure

Currently open trials in the same condition.

Other National Center of Cardiology and Internal Medicine named after academician M.Mirrakhimov trials

Trials by the same sponsor.

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Data sources for this page

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