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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 25 March 2013
Main ID:  NCT01228214
Date of registration: 25/10/2010
Primary sponsor: University of Carabobo
Public title: Novel Treatment for Coronary Artery Disease No
Scientific title: Randomized Double-Blind Placebo-Controlled Study of Pyrazinoylguanidine Hydrochloride (Amiloride) in Subjects With Coronary Artery Disease
Date of first enrolment: March 2011
Target sample size: 100
Recruitment status: Active, not recruiting
URL:  http://clinicaltrials.gov/show/NCT01228214
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment  
Countries of recruitment
Venezuela
Contacts
Name:   Antonio R Delgado-Almeida, MD, FAHA, FACC, APS
Address: 
Telephone:
Email:
Affiliation:  Clinical Research Unit at Docent Institute of Urology
Name:   Antonio J Delgado-Leon, MD
Address: 
Telephone:
Email:
Affiliation:  University of Carabobo
Name:   Carlos L Delgado-Leon, MD
Address: 
Telephone:
Email:
Affiliation:  Venezuelan Foundation of Heart Failure
Key inclusion & exclusion criteria

Inclusion Criteria:

1. Male or female, age 35-75 years having angina (Canada Cardiovascular Society Class
II-IV)

2. Essential Hypertension defined as taking at least 1 anti-hypertensive medication, or
average systolic blood pressure =140 mm Hg, or diastolic blood pressure =90 mmHg

3. ST-T changes of LVH (Romhilt-Estes or Framingham Heart Study criteria, with typical
LV strain pattern, or isoelectric, inverted or biphasic T waves)

4. ST-T changes of ischemia in resting ECG (ST depression, isoelectric, biphasic,
negative or inverted T-waves)

5. Serum potassium < 5.0 mmol/L prior to randomization

6. Negative pregnancy test in child-bearing potential women

7. Willing to comply with scheduled visits

8. Informed consent form signed by the subject

Exclusion Criteria:

1. Resistance hypertension despite 3-drugs treatment

2. Myocardial infarction in past 90 days

3. Coronary artery bypass graft surgery in past 90 days

4. Atrial fibrillation with a resting heart rate > 90 bpm

5. Percutaneous coronary intervention in past 30 days

6. Implanted Pacemaker

7. Stroke in past 90 days

8. Left or Right Ventricular Branch Block

9. Aldosterone antagonist or K sparing drug in last 7 days

10. Intolerance to amiloride

11. Lithium use

12. Current participation in any other therapeutic trial

13. Any condition that may prevent the subject from adhering to the trial protocol

14. History of hyperkalemia (K =5.5 mmol/L) in the past six months or K >5.0 mmol/L
within 2 weeks

15. Chronic renal dysfunction

16. Liver disease

17. Chronic pulmonary disease

18. Significant uncorrected valvular heart disease



Age minimum: 35 Years
Age maximum: 75 Years
Gender: Both
Health Condition(s) or Problem(s) studied
Coronary Artery Disease
Intervention(s)
Drug: amiloride
Drug: Placebo
Primary Outcome(s)
RBC Potassium Content [Time Frame: Baseline, 1, 3, 6 and 12 Months during the first year trial, and every 6-months in the 2nd year period]
Regression of Angina Without Recurrence [Time Frame: Baseline, 1, 3, 6 and 12 Months during the first year trial, and every 6-months in the 2nd year period]
Regression of ST-T and T-waves Alterations of Myocardial Ischemia [Time Frame: Baseline, 1, 3, 6 and 12 Months during the first year trial, and every 6-months in the 2nd year period]
Secondary Outcome(s)
Secondary ID(s)
UIC-3 2007
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Clinical Research Unit at the Instituto Docente de Urologia
Northern Metropolitan Hospital
Venezuelan Foundation of Heart Failure
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