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natriuretic peptide, brain

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Description

Natriuretic Peptide, Brain: A PEPTIDE that is secreted by the BRAIN and the HEART ATRIA, stored mainly in cardiac ventricular MYOCARDIUM. It can cause NATRIURESIS; DIURESIS; VASODILATION; and inhibits secretion of RENIN and ALDOSTERONE. It improves heart function. It contains 32 AMINO ACIDS. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID53325981
MeSH IDM0029829

Synonyms (20)

Synonym
l-seryl-l-prolyl-l-lysyl-l-methionyl-l-valyl-l-glutaminylglycyl-l-serylglycyl-l-cysteinyl-l-phenylalanylglycyl-l-arginyl-l-lysyl-l-methionyl-l-aspartyl-l-arginyl-l-isoleucyl-l-seryl-l-seryl-l-seryl-l-serylglycyl-l-leucylglycyl-l-cysteinyl-l-lysyl-l-valyl-
human brain natriuretic factor-32
natriuretic factor-32 (human brain clone lambdahbnp57)
l-histidine, l-seryl-l-prolyl-l-lysyl-l-methionyl-l-valyl-l-glutaminylglycyl-l-serylglycyl-l-cysteinyl-l-phenylalanylglycyl-l_arginyl-l-lysyl-l-methionyl-l-alpha-aspartyl-l-arginyl-l-isoleucyl-l-seryl-l-seryl-l-seryl-l-serylglycyl-l-leucylglycyl-l-cystein
natriuretic factor-32 (human brain clone lambda hbnp57)
brain natriuretic peptide-32 (human)
nesiritide [usan:inn]
natriuretic peptide type-b
human brain natriuretic peptide-32
natriuretic peptide, brain
natriuretic factor, brain
1,2-dithia-5,8,11,14,17,20,23,26,29,32,35,38,41,44,47,50-hexadecaazacyclotripentacontane, cyclic peptide deriv.
unii-p7wi8ul647
p7wi8ul647 ,
brain natriuretic factor
b-tye natriuretic peptide
07y2v56iup ,
unii-07y2v56iup
bnp (1-32), human
DTXSID101026612

Research Excerpts

Toxicity

ExcerptReferenceRelevance
" Nesiritide is an attractive therapeutic option because of its more rapid and sustained hemodynamic profile with less adverse effects than alternative heart failure treatments, such as nitroglycerine or dobutamine."( Nesiritide: practical guide to its safe and effective use.
Fonarow, GC, 2001
)
0.31
" Adverse effects for nesiritide are generally lower than for other vasoactive agents used for heart failure."( Safety and efficacy of nesiritide for the treatment of decompensated heart failure.
Emerman, CL, 2002
)
0.31
"In patients with RI, nesiritide was safe and improved haemodynamics and dyspnoea."( The efficacy and safety of B-type natriuretic peptide (nesiritide) in patients with renal insufficiency and acutely decompensated congestive heart failure.
Butler, J; Emerman, C; Mathur, VS; Peacock, WF; Young, JB, 2004
)
0.32
"Nesiritide is as safe as NTG in heart failure patients with acute coronary syndromes."( Nesiritide in congestive heart failure associated with acute coronary syndromes: a pilot study of safety and efficacy.
Emerman, CL; Peacock, WF; Young, J, 2004
)
0.32
" A totalof 1,645 nesiritide infusions was administered; 11 (< 1%) were discontinued due to an adverse event."( Safety and feasibility of using serial infusions of nesiritide for heart failure in an outpatient setting (from the FUSION I trial).
Berkowitz, RL; Bertolet, B; Burnham, K; Horton, DP; Oren, RM; Saltzberg, MT; Silver, MA; Vijayaraghavan, K; Walker, K; Yancy, CW, 2004
)
0.32
" The clinical importance of this research is the life prolongation effect of the treatment, which allows the late-appearing toxic cardiomyopathy, resulting in congestive heart failure and increasing mortality."( [Cardiotoxicity induced by chemotherapy: possibilities of diagnosis].
Forster, T; Nagy, AC; Nagykálnai, T; Tolnay, E, 2004
)
0.32
" Repeated sauna bathing was safely completed without any adverse effects in all patients."( Safety and efficacy of repeated sauna bathing in patients with chronic systolic heart failure: a preliminary report.
Imaizumi, T; Kai, H; Matsumoto, A; Miyamoto, H; Mizuta, Y; Nakaura, H; Osada, K, 2005
)
0.33
"Repeated 60 degrees C sauna bathing was safe and improved symptoms and exercise tolerance in chronic CHF patients."( Safety and efficacy of repeated sauna bathing in patients with chronic systolic heart failure: a preliminary report.
Imaizumi, T; Kai, H; Matsumoto, A; Miyamoto, H; Mizuta, Y; Nakaura, H; Osada, K, 2005
)
0.33
" Two of 204 infusions resulted in symptomatic hypotension, and there were no adverse renal events."( Safety and tolerability of serial home infusions of nesiritide for advanced heart failure.
Atkinson, J; Chung, ES; Daly, KA; Ibanez, K; Kereiakes, DJ; Menon, SG; Peterson, T; Robertson, R, 2006
)
0.33
" Age-related plasma brain natriuretic peptide levels increased at 24 hours after ALB but did not predict cardiac adverse events."( The ALIAS Pilot Trial: a dose-escalation and safety study of albumin therapy for acute ischemic stroke--I: Physiological responses and safety results.
Ginsberg, MD; Hill, MD; Palesch, YY; Ryckborst, KJ; Tamariz, D, 2006
)
0.33
"Cardiac troponin T (cTnT), high sensitivity C-reactive protein (hs-CRP) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) have emerged as strong predictors of adverse events among patients presenting with acute coronary syndromes (ACS)."( A multi-marker approach for the prediction of adverse events in patients with acute coronary syndromes.
Cameron, SJ; Green, GB; Laterza, OF; Shah, S; Sokoll, LJ, 2007
)
0.34
" Adverse events (AEs) occurring within 30 days (death, myocardial infarction, unstable angina and the need for revascularization procedures) were recorded and ROC curves were constructed."( A multi-marker approach for the prediction of adverse events in patients with acute coronary syndromes.
Cameron, SJ; Green, GB; Laterza, OF; Shah, S; Sokoll, LJ, 2007
)
0.34
" Early detection of adverse effects of anthracyclines is therefore very important for proper prevention of congestive heart failure."( [Usefulness of determining the blood levels of B-type natriuretic peptide in the evaluation of cardiotoxicity in children treated with anthracyclines].
Jackowska, T; Wasilewski, R,
)
0.13
" Aggressive treatment of decompensated heart failure is associated with improved outcomes; however, therapies must be tailored to the presenting characteristics of each patient and most carry a risk of adverse events stemming from the pharmaceutical itself."( Safety and efficacy of nesiritide for acute decompensated heart failure: recent literature and upcoming trials.
Abraham, WT; Hiestand, B, 2007
)
0.34
" Patients were also monitored for adverse effects."( Efficacy and safety of torasemide in children with heart failure.
Ishido, H; Kamiyama, M; Katogi, T; Kobayashi, T; Kyo, S; Masutani, S; Senzaki, H; Taketazu, M, 2008
)
0.35
" Serum concentrations of sodium and uric acid had not changed after torasemide treatment, and there were no serious adverse events that necessitated drug withdrawal."( Efficacy and safety of torasemide in children with heart failure.
Ishido, H; Kamiyama, M; Katogi, T; Kobayashi, T; Kyo, S; Masutani, S; Senzaki, H; Taketazu, M, 2008
)
0.35
"we investigated whether higher concentrations of N-terminal pro-B-type natriuretic peptide (NT-proBNP) predicts cardiovascular adverse events (CV-AEs) in patients with osteoarthritis treated with antiinflammatory drugs."( N-terminal pro-B-type natriuretic peptide concentrations predict the risk of cardiovascular adverse events from antiinflammatory drugs: a pilot trial.
Brune, K; Giannitsis, E; Jaffe, AS; Katus, HA; Moecks, J; Spanuth, E, 2008
)
0.35
" TRT, the delivery of therapeutic agents directly to the kidneys by renal arterial infusion, has the advantage of providing a higher local effective dose with potentially greater renal effects, while limiting systemic adverse effects due to renal first-pass elimination."( Safety and performance of targeted renal therapy: the Be-RITe! Registry.
Allie, DE; Cohen, MG; Danna, P; Fearon, WF; Filby, SJ; Findeiss, L; Kyriazis, D; Leon, MB; Mehran, R; Moses, JW; Price, MJ; Sachdev, N; Teirstein, PS; Vora, K; Walker, CM; Weinstock, BS; Weisz, G; Wiechmann, BN, 2009
)
0.35
"Relaxin was safe and well-tolerated in patients with stable HF, and preliminary pharmacodynamic responses suggest it causes vasodilation."( Intravenous recombinant human relaxin in compensated heart failure: a safety, tolerability, and pharmacodynamic trial.
Baumann, G; Boehmer, J; Dschietzig, T; Richter, C; Stangl, K; Teichman, S; Unemori, E; Wood, S, 2009
)
0.35
" Adverse events were similar between groups; nesiritide was associated with more hypotension but less predefined worsening renal function."( Safety and efficacy of outpatient nesiritide in patients with advanced heart failure: results of the Second Follow-Up Serial Infusions of Nesiritide (FUSION II) trial.
Cheng, M; Evans, R; Kim, SS; Krum, H; Massie, BM; Silver, MA; Stevenson, LW; Yancy, CW, 2008
)
0.35
" Previous therapies that focused on increased inotropy have generally failed to improve symptoms without adverse consequences."( Efficacy and safety of nesiritide in patients with acute decompensated heart failure.
DeWald, TA; Hernandez, AF, 2010
)
0.36
" The negative predictive value of the combined measure for long-term adverse events was 94%."( Independent and additive prognostic ability of serum carboxy-terminal telopeptide of collagen type-I in heart failure patients: a multi-marker approach with high-negative predictive value to rule out long-term adverse events.
Boudoulas, H; Chalikias, GK; Chatzikyriakou, SV; Konstantinides, S; Lantzouraki, A; Mitrousi, K; Papazoglou, D; Stakos, D; Thomaidi, A; Tziakas, DN, 2012
)
0.38
"001) for predicting future adverse events."( In-hospital percentage BNP reduction is highly predictive for adverse events in patients admitted for acute heart failure: the Italian RED Study.
Ballarino, P; Bertazzoni, G; Carpinteri, G; Clopton, P; Di Somma, S; Ferri, E; Magrini, L; Maisel, A; Marino, R; Mastrantuono, A; Mulè, P; Pazzaglia, M; Pittoni, V; Semplicini, A; Shah, K, 2010
)
0.36
" The results indicate that intracoronary injection of allogenic multipotent stromal precursors is a safe procedure."( Safety and efficiency of transplantation of allogenic multipotent stromal cells in surgical treatment of dilatated cardiomyopathy.
Bochkov, NP; D'yachkov, AV; Fatkhutdinov, TKh; Goldstein, DV; Koroteyev, AV, 2010
)
0.36
" No serious adverse event was observed."( Safety and efficacy of peginterferon alpha plus ribavirin in patients with chronic hepatitis C and coexisting heart disease.
De Vincentiis, L; Durante-Mangoni, E; Iossa, D; Pinto, D; Ragone, E; Utili, R, 2011
)
0.37
" We evaluated the incidence of adverse events among an elderly population of trastuzumab-treated HER-2-positive breast cancer patients in adjuvant settings."( Safety of adjuvant trastuzumab for HER-2-overexpressing elderly breast cancer patients: a multicenter cohort study.
Horio, A; Mizuno, T; Mukai, H; Nakayama, T; Ohashi, Y; Sawaki, M; Taira, N; Tokudome, N; Uemura, Y; Watanabe, T; Yamamoto, Y, 2012
)
0.38
" Adverse events occurred in 11 patients (28."( Safety of adjuvant trastuzumab for HER-2-overexpressing elderly breast cancer patients: a multicenter cohort study.
Horio, A; Mizuno, T; Mukai, H; Nakayama, T; Ohashi, Y; Sawaki, M; Taira, N; Tokudome, N; Uemura, Y; Watanabe, T; Yamamoto, Y, 2012
)
0.38
"The clinical application of intravenous rhBNP is safe and effective for treatment of acute decompensated heart failure and acute exacerbation of chronic heart failure in this large patient cohort."( [Efficacy and safety of intravenous recombinant human brain natriuretic peptide in patients with decompensated acute heart failure: a multicenter, randomized, open label, controlled study].
Hu, DY, 2011
)
0.37
" Previous studies are of limited value due to their focus on adverse clinical events within several months after diagnosis of PE."( A prognostic model for short term adverse events in normotensive patients with pulmonary embolism.
Agterof, MJ; Biesma, DH; Eijkemans, MJ; Moumli, N; Schutgens, RE; Tromp, EA; van der Griend, R, 2011
)
0.37
"The most severe side effect in breast cancer patients, treated with chemotherapy and/or radiotherapy is cardiotoxicity, leading to chronic heart failure and worsening the quality of life."( Myocardial scintigraphy, echocardiography and proBNP for early detection of myocardial cardiotoxicity in breast cancer patients after chemo-radiotherapy.
Atanasova, M; Chakarova, A; Piperkova, E; Tzonevska, A; Tzvetkov, K,
)
0.13
"  Treatment with bosentan is both safe and effective in patients with both simple and complex forms of ES."( Efficacy and safety of bosentan in adults with simple and complex Eisenmenger's syndrome.
Aboulhosn, J; Houser, L; Miner, P; Williams, R,
)
0.13
"Nesiritide resulted in improvements in dyspnea and edema, and similar adverse effects compared with conventional treatment."( Efficacy and safety of a modified dosage regimen of nesiritide in patients older than 75 years with acute heart failure.
Bai, Y; Fu, S; Luo, L; Wang, H; Wang, L; Ye, P; Yi, S; Zhu, B, 2012
)
0.38
"Doxorubicin [(DOX) Adriamycin] is an effective anticancer agent whose major limiting side effect is cardiotoxicity."( Chronic doxorubicin cardiotoxicity modulates cardiac cytochrome P450-mediated arachidonic acid metabolism in rats.
Alsaad, AM; El-Kadi, AO; El-Sherbeni, AA; Zordoky, BN, 2012
)
0.38
" The primary safety end point was a major adverse cardiac event."( An open-label dose escalation study to evaluate the safety of administration of nonviral stromal cell-derived factor-1 plasmid to treat symptomatic ischemic heart failure.
Aras, R; Clemens, R; Farr, M; Losordo, DW; Mendelsohn, FO; Pastore, J; Penn, MS; Rouy, D; Schaer, GL; Sherman, W, 2013
)
0.39
" However, it is feared that an intensified, NT-proBNP-guided therapy carries a risk of adverse effects."( Safety and tolerability of intensified, N-terminal pro brain natriuretic peptide-guided compared with standard medical therapy in elderly patients with congestive heart failure: results from TIME-CHF.
Brunner-La Rocca, HP; Erne, P; Estlinbaum, W; Kiencke, S; Maeder, M; Mayer, K; Muzzarelli, S; Neuhaus, M; Pfisterer, ME; Sanders-van Wijk, S; Tobler, D, 2013
)
0.39
" All adverse events (AEs) were recorded during the 18-month trial period."( Safety and tolerability of intensified, N-terminal pro brain natriuretic peptide-guided compared with standard medical therapy in elderly patients with congestive heart failure: results from TIME-CHF.
Brunner-La Rocca, HP; Erne, P; Estlinbaum, W; Kiencke, S; Maeder, M; Mayer, K; Muzzarelli, S; Neuhaus, M; Pfisterer, ME; Sanders-van Wijk, S; Tobler, D, 2013
)
0.39
"NT-proBNP-guided therapy is safe in elderly and highly co-morbid HF patients."( Safety and tolerability of intensified, N-terminal pro brain natriuretic peptide-guided compared with standard medical therapy in elderly patients with congestive heart failure: results from TIME-CHF.
Brunner-La Rocca, HP; Erne, P; Estlinbaum, W; Kiencke, S; Maeder, M; Mayer, K; Muzzarelli, S; Neuhaus, M; Pfisterer, ME; Sanders-van Wijk, S; Tobler, D, 2013
)
0.39
" Adverse events related to BAY 94-8862 were infrequent and mostly mild."( Safety and tolerability of the novel non-steroidal mineralocorticoid receptor antagonist BAY 94-8862 in patients with chronic heart failure and mild or moderate chronic kidney disease: a randomized, double-blind trial.
Filippatos, G; Gheorghiade, M; Kim, SY; Kober, L; Kolkhof, P; Krum, H; Nowack, C; Pitt, B; Ponikowski, P; Zannad, F, 2013
)
0.39
" Patient-reported adverse events included headache (4%) and heartburn (2%)."( Safety, tolerability, and efficacy of overnight switching from sildenafil to tadalafil in patients with pulmonary arterial hypertension.
Doran, AK; Hill, W; Shapiro, S; Traiger, G; Zhang, L, 2013
)
0.39
"The main objective of this study was to investigate whether cardiac troponin (cTn) and N-terminal, protein B-type natriuretic peptide (NT-proBNP) can be useful as indicators for amitriptyline cardiotoxicity which is a known drug having sublethal toxic cardiac effects."( Cardiac troponin T and NT-proBNP as biomarkers of early myocardial damage in amitriptyline-induced cardiovascular toxicity in rats.
Jaba, IM; Sava, A; Sorodoc, L; Sorodoc, V; Ungureanu, D,
)
0.13
" No decrease of LVEF, increase of serum brain natriuretic peptide or any other adverse events were reported."( Safety assessment of intravenous administration of trastuzumab in 100ml saline for the treatment of HER2- positive breast cancer patients.
Abe, H; Kawai, Y; Kubota, Y; Mori, T; Tani, T; Tomida, K; Umeda, T; Yamazaki, K, 2013
)
0.39
"Intravenous infusion of TRS with 100 ml saline over 30 minutes in breast cancer patients can be considered safe based on results from the study."( Safety assessment of intravenous administration of trastuzumab in 100ml saline for the treatment of HER2- positive breast cancer patients.
Abe, H; Kawai, Y; Kubota, Y; Mori, T; Tani, T; Tomida, K; Umeda, T; Yamazaki, K, 2013
)
0.39
" We conclude that with appropriate patient selection and a risk-adapted treatment approach, HDM/SCT is safe and effective in patients with AL amyloidosis and cardiac involvement."( Safety and efficacy of high-dose melphalan and auto-SCT in patients with AL amyloidosis and cardiac involvement.
Berk, JL; Doros, G; Girnius, S; Meier-Ewert, HK; Quillen, K; Ruberg, FL; Sanchorawala, V; Seldin, DC; Sloan, JM, 2014
)
0.4
"It is unclear whether adaptive servo-ventilation (ASV) is safe and effective in patients with severe systolic heart failure (HF)."( Safety and efficacy of adaptive servo-ventilation in patients with severe systolic heart failure.
Kurabayashi, M; Takama, N, 2014
)
0.4
"Our study demonstrated that ASV therapy is safe and effective for use in very severe systolic HF patients as well as in relatively mild systolic HF patients."( Safety and efficacy of adaptive servo-ventilation in patients with severe systolic heart failure.
Kurabayashi, M; Takama, N, 2014
)
0.4
"Cardiotoxicity is a dose-limiting side-effect of cancer chemotherapeutics such as anthracyclines."( BNP predicts chemotherapy-related cardiotoxicity and death: comparison with gated equilibrium radionuclide ventriculography.
Hasbak, P; Kjaer, A; Skovgaard, D, 2014
)
0.4
"The results of our study confirm that MTX therapy is safe for carefully selected and closely monitored MS patients."( The N-terminal pro-brain natriuretic peptide as a marker of mitoxantrone-induced cardiotoxicity in multiple sclerosis patients.
Kamińska, AM; Kochanowski, J; Kwieciński, H; Opolski, G; Podlecka-Piętowska, A; Zakrzewska-Pniewska, B, 2014
)
0.4
" Our aim was to evaluate the use of the 5-point Likert scale for dyspnea to assess the degree of pulmonary congestion and to determine the prognostic value of this scale for predicting adverse events in heart failure outpatients."( The five-point Likert scale for dyspnea can properly assess the degree of pulmonary congestion and predict adverse events in heart failure outpatients.
Kalil, RA; Leiria, TL; Miglioranza, MH; Moraes, MA; Rover, MM; Sant'anna, RT; Weber, CK, 2014
)
0.4
" The patients were then assessed every 30 days during follow-up to identify adverse clinical outcomes."( The five-point Likert scale for dyspnea can properly assess the degree of pulmonary congestion and predict adverse events in heart failure outpatients.
Kalil, RA; Leiria, TL; Miglioranza, MH; Moraes, MA; Rover, MM; Sant'anna, RT; Weber, CK, 2014
)
0.4
"In our series, higher baseline scores on the 5-point Likert scale were related to pulmonary congestion and were independently associated with adverse events during follow-up."( The five-point Likert scale for dyspnea can properly assess the degree of pulmonary congestion and predict adverse events in heart failure outpatients.
Kalil, RA; Leiria, TL; Miglioranza, MH; Moraes, MA; Rover, MM; Sant'anna, RT; Weber, CK, 2014
)
0.4
" No significant differences were found in terms of safety and feasibility between the different delivery routes, with no significant difference in procedural complications or major adverse cardiac events."( Safety and feasibility of intramyocardial versus intracoronary delivery of autologous cell therapy in advanced heart failure: the REGENERATE-IHD pilot study.
Agrawal, S; Ako, E; Archbold, RA; Arnous, S; Brookman, P; Locca, D; Martin, J; Mathur, A; Mills, P; Mozid, A; Rothman, M; Saunders, N; Yeo, C, 2014
)
0.4
"Peripheral mobilization of BMSCs with or without subsequent direct myocardial delivery appears safe and feasible in patients with chronic ischemic heart failure."( Safety and feasibility of intramyocardial versus intracoronary delivery of autologous cell therapy in advanced heart failure: the REGENERATE-IHD pilot study.
Agrawal, S; Ako, E; Archbold, RA; Arnous, S; Brookman, P; Locca, D; Martin, J; Mathur, A; Mills, P; Mozid, A; Rothman, M; Saunders, N; Yeo, C, 2014
)
0.4
"26) was consistently high irrespective of LVEF, and there was no major exercise-related adverse event."( Targeting of high peak respiratory exchange ratio is safe and enhances the prognostic power of peak oxygen uptake for heart failure patients.
Arakawa, T; Goto, Y; Kumasaka, R; Nakanishi, M; Noguchi, T; Sugimachi, M; Takaki, H, 2014
)
0.4
"The purpose of this study was to investigate the predictive values of baseline and changes in cystatin C (CysC) and its derived equations for short-term adverse outcomes and the effect of nesiritide therapy on CysC in acute decompensated heart failure (ADHF)."( Comparative assessment of short-term adverse events in acute heart failure with cystatin C and other estimates of renal function: results from the ASCEND-HF trial.
Anker, SD; Armstrong, PW; Butler, J; Califf, RM; Dupont, M; Felker, GM; Gottlieb, SS; Hernandez, AF; Hsu, AP; Massie, BM; McMurray, JJ; Metra, M; O'Connor, CM; Starling, RC; Tang, WHW; Troughton, RW; Voors, AA, 2015
)
0.42
" Higher baseline (but not follow-up) CysC levels were associated with increased risk of 30-day adverse events and less improvement in dyspnea after 24 h as well as 180-day mortality, although not incremental to blood urea nitrogen."( Comparative assessment of short-term adverse events in acute heart failure with cystatin C and other estimates of renal function: results from the ASCEND-HF trial.
Anker, SD; Armstrong, PW; Butler, J; Califf, RM; Dupont, M; Felker, GM; Gottlieb, SS; Hernandez, AF; Hsu, AP; Massie, BM; McMurray, JJ; Metra, M; O'Connor, CM; Starling, RC; Tang, WHW; Troughton, RW; Voors, AA, 2015
)
0.42
" However, worsening renal function based on CysC rise was not predictive of adverse events."( Comparative assessment of short-term adverse events in acute heart failure with cystatin C and other estimates of renal function: results from the ASCEND-HF trial.
Anker, SD; Armstrong, PW; Butler, J; Califf, RM; Dupont, M; Felker, GM; Gottlieb, SS; Hernandez, AF; Hsu, AP; Massie, BM; McMurray, JJ; Metra, M; O'Connor, CM; Starling, RC; Tang, WHW; Troughton, RW; Voors, AA, 2015
)
0.42
"Serious adverse events (SAEs) from heart failure (HF) therapy are frequent; however, techniques to identify at-risk patients are inadequate."( Characterization and prediction of adverse events from intensive chronic heart failure management and effect on quality of life: results from the pro-B-type natriuretic peptide outpatient-tailored chronic heart failure therapy (PROTECT) study.
Belcher, AM; Gaggin, HK; Gandhi, PU; Januzzi, JL; Motiwala, SR; Szymonifka, J, 2015
)
0.42
" With the exception of CVA, all adverse events were significantly higher in positive Tn T group as compared to negative Tn T group."( Relationship between Troponin Elevation, Cardiovascular History and Adverse Events in Patients with acute exacerbation of COPD.
Campo, G; Ceconi, C; Contoli, M; Guerzoni, F; Malagù, M; Napoli, N; Papi, A; Pavasini, R; Punzetti, S, 2015
)
0.42
"5 (3-33) months follow-up cardiac adverse events occurred in 5 (9."( The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer.
Akbulut, H; Demirkazık, A; İçli, F; Onur, H; Oztuna, DG; Şenler, FC; Ürun, Y; Utkan, G; Yalcin, B, 2015
)
0.42
" This is a significant limitation because sustained changes in blood pressure are often accompanied by changes in heart rate and together can lead to cardiac hypertrophy and myocardial degeneration in animals, and major adverse cardiovascular events (MACE) in humans."( Natriuretic Peptides as Cardiovascular Safety Biomarkers in Rats: Comparison With Blood Pressure, Heart Rate, and Heart Weight.
Engle, SK; Watson, DE, 2016
)
0.43
" However, it increased the risk of cardiovascular adverse events."( Efficacy and safety of nesiritide in patients with decompensated heart failure: a meta-analysis of randomised trials.
Gong, B; Li, Z; Wu, Z, 2016
)
0.43
"3 days, adverse events occurred during follow up in 17 % of cases."( Carbohydrate-antigen-125 levels predict hospital stay duration and adverse events at long-term follow-up in Takotsubo cardiomyopathy.
Brunetti, ND; Di Biase, M; Di Martino, L; Ferraretti, A; Ieva, R; Musaico, F; Santoro, F; Tarantino, N, 2016
)
0.43
" The primary endpoint was 30-day adverse outcome defined as PE- or bleeding-related mortality, cardiopulmonary resuscitation, or intensive care unit admission."( Efficacy and Safety of Outpatient Treatment Based on the Hestia Clinical Decision Rule with or without N-Terminal Pro-Brain Natriuretic Peptide Testing in Patients with Acute Pulmonary Embolism. A Randomized Clinical Trial.
Brouwer, RE; de Vreede, MJ; den Exter, PL; Dolsma, J; Eijsvogel, M; Faber, LM; Grootenboers, MJ; Heller-Baan, R; Hovens, MM; Huisman, MV; Jonkers, GJ; Klok, FA; Melissant, CF; Peltenburg, H; Post, JP; van de Ree, MA; van Gerwen, M; van Kralingen, KW; Vlasveld, LT; Zondag, W, 2016
)
0.43
"Outpatient treatment of patients with PE selected on the basis of the Hestia criteria alone was associated with a low risk of adverse events."( Efficacy and Safety of Outpatient Treatment Based on the Hestia Clinical Decision Rule with or without N-Terminal Pro-Brain Natriuretic Peptide Testing in Patients with Acute Pulmonary Embolism. A Randomized Clinical Trial.
Brouwer, RE; de Vreede, MJ; den Exter, PL; Dolsma, J; Eijsvogel, M; Faber, LM; Grootenboers, MJ; Heller-Baan, R; Hovens, MM; Huisman, MV; Jonkers, GJ; Klok, FA; Melissant, CF; Peltenburg, H; Post, JP; van de Ree, MA; van Gerwen, M; van Kralingen, KW; Vlasveld, LT; Zondag, W, 2016
)
0.43
"The sarcopenia screening test can be used to predict future adverse events in patients with HF."( A simple sarcopenia screening test predicts future adverse events in patients with heart failure.
Araki, S; Hanatani, S; Hokimoto, S; Izumiya, Y; Kaikita, K; Kimura, Y; Kojima, S; Onoue, Y; Sakamoto, K; Tanaka, T; Tsujita, K; Yamamoto, E; Yamamura, S; Yamamuro, M, 2016
)
0.43
"Cardiotoxicity is an important side effect of trastuzumab therapy and cardiac surveillance is recommended."( A Prospective Cohort Study on Cardiotoxicity of Adjuvant Trastuzumab Therapy in Breast Cancer Patients.
Blagus, R; Jug, B; Matos, E; Zakotnik, B, 2016
)
0.43
"To investigate the effect of proteinuria on in-hospital severe adverse events and prognosis of the patients with heart failure(HF)."( [Predictive value of proteinuria for in-hospital severe adverse events and prognosis of the patients with heart failure].
He, KR; Huang, C; Li, ZL; Liang, XL; Liu, X; Zeng, WX; Zhen, XF, 2016
)
0.43
" Univariate and multivariate Logistic regression analysis were used to evaluate the correlations of proteinuria with in-hospital adverse events and prognosis."( [Predictive value of proteinuria for in-hospital severe adverse events and prognosis of the patients with heart failure].
He, KR; Huang, C; Li, ZL; Liang, XL; Liu, X; Zeng, WX; Zhen, XF, 2016
)
0.43
" Proteinuria should be a potential marker for in-hospital adverse events and prognosis of severe hospitalized HF patients."( [Predictive value of proteinuria for in-hospital severe adverse events and prognosis of the patients with heart failure].
He, KR; Huang, C; Li, ZL; Liang, XL; Liu, X; Zeng, WX; Zhen, XF, 2016
)
0.43
" Patients given urapidil had fewer associated adverse events, specifically headache (p=0."( Efficacy and Safety of Intravenous Urapidil for Older Hypertensive Patients with Acute Heart Failure: A Multicenter Randomized Controlled Trial.
Chen, XM; Fu, Y; Guo, JC; He, JY; Hua, Q; Li, J; Qin, J; Qin, S; Wang, Z; Yang, W; Zhan, H; Zhou, YJ, 2017
)
0.46
"Intravenous administration of urapidil, compared with nitroglycerin, was associated with better control of blood pressure and preserved cardiac function, as well as fewer adverse events, for elderly patients with hypertension and acute heart failure."( Efficacy and Safety of Intravenous Urapidil for Older Hypertensive Patients with Acute Heart Failure: A Multicenter Randomized Controlled Trial.
Chen, XM; Fu, Y; Guo, JC; He, JY; Hua, Q; Li, J; Qin, J; Qin, S; Wang, Z; Yang, W; Zhan, H; Zhou, YJ, 2017
)
0.46
" Major adverse clinical events that would potentially halt testing were pre-defined."( Feasibility, safety, and tolerance of subcutaneous synthetic canine B-type natriuretic peptide (syncBNP) in healthy dogs and dogs with stage B1 mitral valve disease.
Oyama, MA; Solter, PF; Stern, JA; Thorn, CL, 2017
)
0.46
" The rhBNP is effective and safe for the treatment of cardiac insufficiency."( [Efficacy and safety of intravenous recombinant human brain natriuretic peptide in patients with severe heart failure: a prospective multicenter clinical study].
Feng, X; Meng, Y; Wei, Y; Wu, Y, 2017
)
0.46
"To investigate the effects of dexmedetomidine on perioperative cardiac adverse events in elderly patients with coronary heart disease."( [Effects of dexmedetomidine on perioperative cardiac adverse events in elderly patients with 
coronary heart disease].
Han, D; Shen, J; Sun, Y; Zhao, W; Zhu, K, 2017
)
0.46
" Mineralocorticoid receptor antagonists administered at high doses may relieve congestion, overcome diuretic resistance, and mitigate the effects of adverse neurohormonal activation in AHF."( Efficacy and Safety of Spironolactone in Acute Heart Failure: The ATHENA-HF Randomized Clinical Trial.
Anstrom, KJ; Braunwald, E; Butler, J; Desvigne-Nickens, P; Felker, GM; Givertz, MM; Hernandez, AF; Kalogeropoulos, AP; Konstam, MA; Mann, DL; Margulies, KB; McNulty, SE; Mentz, RJ; Redfield, MM; Shah, M; Tang, WHW; Whellan, DJ, 2017
)
0.46
" Given the current lack of biomarkers in HF with preserved ejection fraction (HFpEF), we aimed to investigate the prognostic performance of the newly developed high-sensitivity (hs) assays for cardiac troponin I (hsTnI) compared with troponin T (hsTnT) for adverse events in HFpEF vs."( The prognostic value of highly sensitive cardiac troponin assays for adverse events in men and women with stable heart failure and a preserved vs. reduced ejection fraction.
Chong, JPC; de Kleijn, DPV; den Ruijter, H; Gohar, A; Jaufeerally, F; Lam, CSP; Leong, GKT; Liew, OW; Ling, LH; Ong, HY; Richards, AM; Sim, D; Yeo, DPS, 2017
)
0.46
" During follow-up for a period of 275 person-years, 50 adverse events were recorded."( Parathyroid hormone, calcidiol, calcitriol and adverse events in the acute coronary syndrome.
Castañeda Sancirilo, M; Castillo Moreno, JA; Clavel Ruipérez, G; Consuegra Sánchez, L; García de Guadiana Romualdo, L; García Escribano, I; Jaulent Huertas, L; Martínez Díaz, JJ; Merelo Nicolás, M; Ramos Ruiz, P; Soria Arcos, F; Wasniewski, S, 2018
)
0.48
" The primary outcomes include major adverse cardiovascular events (including angina, acute myocardial infarction, pulmonary embolism and aortic dissection)."( Efficacy and safety of the Shexiang Baoxin Pill for the treatment of coronary artery disease not amenable to revascularisation: study protocol for a randomised, placebo-controlled, double-blinded trial.
Gao, J; Li, J; Li, Y; Tian, PP, 2018
)
0.48
" Eligible RCTs were included that reported mortality, the change of EuroQol Group 5-Dmensional Self-report Questionnaire (EQ-5D) US index, N-terminal pro-B-type natriuretic peptide (NT-proBNP), or serious adverse events (SAEs)."( The efficacy and safety of soluble guanylate cyclase stimulators in patients with heart failure: A systematic review and meta-analysis.
Huang, J; Xiong, B; Zheng, W; Zheng, X, 2018
)
0.48
" The underlying mechanism of these adverse cardiac effects is largely unknown."( Ponatinib-induced cardiotoxicity: delineating the signalling mechanisms and potential rescue strategies.
Becker, JR; Force, T; Galindo, CL; Glennon, MS; Gupte, M; Lal, H; Singh, AP; Umbarkar, P; Zhang, Q, 2019
)
0.51
" Compared with spironolactone and eplerenone, finerenone 10 mg was associated with low risk in the occurrence of cardiovascular mortality, hospitalization, and adverse events (P < 0."( Comparative efficacy and safety of mineralocorticoid receptor antagonists in heart failure: a network meta-analysis of randomized controlled trials.
Chen, X; Shen, W; Wu, Q; Wu, T; Xu, G; Xu, X; Yang, P; Zhu, D, 2019
)
0.51
"Cardiac dysfunction is a common adverse effect of trastuzumab."( Decline in Left Ventricular Ejection Fraction Following Anthracyclines Predicts Trastuzumab Cardiotoxicity.
Abdi, E; Asghari, R; Barry, W; Bastick, P; Beith, J; Bell, R; Chantrill, L; Goel, S; Guo, H; Harrison, M; Kiely, BE; Kohonen-Corish, M; Liu, J; Lynch, J; Murray, B; Rutovitz, J; Sullivan, A, 2019
)
0.51
"STRONG-HF is the first study to assess whether rapid up-titration of evidence-based guideline-recommended therapies with close follow-up in a large cohort of patients discharged from an acute HF admission is safe and can affect adverse outcomes during the first 90 days after discharge."( Safety, Tolerability and efficacy of Rapid Optimization, helped by NT-proBNP and GDF-15, of Heart Failure therapies (STRONG-HF): rationale and design for a multicentre, randomized, parallel-group study.
Addad, F; Celutkiene, J; Chioncel, O; Cotter, G; Damasceno, A; Davison, B; Diaz, R; Duengen, HD; Filippatos, G; Goncalvesova, E; Kimmoun, A; Mebazaa, A; Merai, I; Metra, M; Ponikowski, P; Privalov, D; Sani, MU; Shogenov, Z; Sliwa, K; Solal, AC; Takagi, K; Voors, AA, 2019
)
0.51
"The use of PS, with either low or high inflation pressures, is safe and has no detrimental effects on hemodynamic parameters or BNP levels in patients with severely reduced LVEF following clinical stabilization and optimal medical therapy."( The Safety and Hemodynamic Effects of Pneumatic Sleeves in Patients with Severe Left Ventricular Dysfunction.
Atar, S; Bickel, A; Khader, M; Moady, G; Shturman, A, 2019
)
0.51
" Whereas, several adverse events caused by SGLT2is were also reported."( Investigation of efficacy and safety of low-dose sodium glucose transporter 2 inhibitors and differences between two agents, canagliflozin and ipragliflozin, in patients with type 2 diabetes mellitus.
Abe, I; Abe, M; Fujii, H; Kobayashi, K; Kudo, T; Minezaki, M; Mukoubara, S; Ochi, K; Ohe, K; Ohishi, H; Ohnishi, Y; Shinagawa, T; Sugimoto, K; Takashi, Y; Yamao, Y, 2019
)
0.51
"This prospective study aimed to evaluate the value of the cardiac cycle time-corrected electromechanical activation time (EMATc) measured at admission for predicting major cardiac adverse events (MACEs) in hospitalized patients with chronic heart failure (CHF)."( Predictive Value of Electromechanical Activation Time for In-Hospital Major Cardiac Adverse Events in Heart Failure Patients.
Liu, WX; Lyu, SZ; Zhang, J, 2020
)
0.56
" Levosimendan is therefore effective and safe in the short-term treatment of chronic systolic heart failure."( Short-term efficacy and safety of levosimendan in patients with chronic systolic heart failure.
Bai, L; Cui, XR; Jia, M; Li, RB; Wang, D; Yang, XH; Zhang, JD,
)
0.13
" Safety endpoints included time to clinical worsening and incidence of adverse events (AEs)."( Efficacy and safety of ambrisentan in Chinese patients with connective tissue disease-pulmonary arterial hypertension: a post-hoc analysis.
Huo, Y; Ji, Q; Jing, ZC; Li, M; Li, Y; Liu, J; Wang, P; Wu, B; Yu, Z; Zeng, X; Zhang, G; Zhong, J; Zhu, P; Zhu, W, 2020
)
0.56
" Adverse events were reported in 52 (73."( Efficacy and safety of ambrisentan in Chinese patients with connective tissue disease-pulmonary arterial hypertension: a post-hoc analysis.
Huo, Y; Ji, Q; Jing, ZC; Li, M; Li, Y; Liu, J; Wang, P; Wu, B; Yu, Z; Zeng, X; Zhang, G; Zhong, J; Zhu, P; Zhu, W, 2020
)
0.56
" We select literature according to prespecified inclusion and exclusion criteria and record data such as drug type, mortality, and adverse reactions."( Network Meta-Analysis of the Safety of Drug Therapy for Cardiogenic Shock.
Chen, X; Lei, J; Liao, X; Qian, L; Zhang, S, 2020
)
0.56
" Milrinone was most effective at reducing mortality and had the lowest incidence of adverse reactions."( Network Meta-Analysis of the Safety of Drug Therapy for Cardiogenic Shock.
Chen, X; Lei, J; Liao, X; Qian, L; Zhang, S, 2020
)
0.56
"This network meta-analysis demonstrated that milrinone was the most effective medication at reducing mortality and adverse events in patients suffering from cardiogenic shock."( Network Meta-Analysis of the Safety of Drug Therapy for Cardiogenic Shock.
Chen, X; Lei, J; Liao, X; Qian, L; Zhang, S, 2020
)
0.56
" We assessed demographic, hemodynamic, and laboratory data, including BNP and hs-TnT levels, for the prediction of cardiac adverse events in 85 patients."( Risk Factors for Cardiac Adverse Events in Infants and Children with Complex Heart Disease Scheduled for Bi-ventricular Repair: Prognostic Value of Pre-operative B-Type Natriuretic Peptide and High-Sensitivity Troponin T.
Inoue, N; Kaneko, S; Mori, Y; Murakami, T; Nakashima, Y, 2020
)
0.56
" Due to cardiotoxicity is the most important side effect of trastuzumab treatment, cardiac monitoring should be a priority."( NT-proBNP as predictor factor of cardiotoxicity during trastuzumab treatment in breast cancer patients.
Blancas, I; Garrido, JM; Martín-Pérez, FJ; Rodríguez-Serrano, F, 2020
)
0.56
" Early initiation during an acute heart failure (AHF) hospitalization may facilitate decongestion, improve natriuresis, and facilitate safe transition to a beneficial outpatient therapy for both diabetes and heart failure."( Efficacy and safety of dapagliflozin in acute heart failure: Rationale and design of the DICTATE-AHF trial.
Aaron, M; Collins, SP; Cox, ZL; Davidson, BT; Fowler, M; Hernandez, GA; Iii, ATM; Jenkins, CA; Jr, FEH; Kampe, C; Lindenfeld, J; Lindsell, CJ; Miller, KF; Stubblefield, WB, 2021
)
0.62
"The use of levosimendan was safe and associated with clinical improvement and reduction in BNP level in AdvHF patients hospitalized due to HF decompensation, although the mortality and re-hospitalization rate during the one-year follow-up remains high."( Multicenter experiences with levosimendan therapy and its safety in patients with decompensated advanced heart failure.
Gruchała, M; Korościk, E; Lelonek, M; Stopczyńska, I; Straburzyńska-Migaj, E, 2020
)
0.56
"Breast cancer treatment is associated with the occurrence of various cardiac adverse events."( Genetic Variability of Antioxidative Mechanisms and Cardiotoxicity after Adjuvant Radiotherapy in HER2-Positive Breast Cancer Patients.
Dolžan, V; Goričar, K; Marinko, T; Stojanov Konda, JT, 2020
)
0.56
"Myocardial toxicity is a common side effect of doxorubicin (DOXO) therapy in breast cancer patients."( Interleukin-10 Levels are Associated with Doxorubicin-Related Cardiotoxicity in Breast Cancer Patients in a One-Year Follow-Up Study.
Alves, MT; de Oliveira, AN; Gomes, KB; Oliveira, HHM; Pestana, RMC; Sabino, AP; Silva, LM; Simões, R; Soares, CE, 2022
)
0.72
"Improvements in cancer survival have led to the emergence of cardiovascular disease as an important determinant of adverse outcome in survivors."( Circulating Biomarkers for Cardiotoxicity Risk Prediction.
Akhter, N; Cascino, GJ; Gong, FF; Murtagh, G, 2021
)
0.62
" Dyspnoea severity, the ratio of E to e' (E/e'), the incidence of side effects and adverse events, N-terminal pro-brain natriuretic peptide (NT-proBNP) level, left ventricular ejection fraction (LVEF; left ventricular systolic function) before discharge, average length of hospitalisation, LVEF and soluble suppression of tumorigenicity-2 (sST2) at 3 months after discharge, incidence of major adverse cardiac and cerebrovascular events (MACCE) and readmission rate within 3 months were recorded and compared between the two groups."( Effectiveness and Safety of Intravenous Nicorandil Application in Patients With Acute Heart Failure With Low Baseline Blood Pressure.
Cai, Z; Ke, S; Ke, X; Qiu, W; Wu, Y; Zhang, Y, 2022
)
0.72
"Background Assessing the risk of serious adverse events (SAEs) during hypertension treatment is important for understanding the benefit-harm trade-offs of lower blood pressure goals."( Associations of High-Sensitivity Troponin and Natriuretic Peptide Levels With Serious Adverse Events in SPRINT.
Ambrosius, WT; Ascher, SB; Ballantyne, CM; Berry, JD; Bullen, AL; de Lemos, JA; Estrella, MM; Garimella, PS; Ix, JH; Jotwani, VK; Killeen, AA; Nambi, V; Scherzer, R; Shlipak, MG, 2022
)
0.72
" Five serious adverse events (0."( Multiple cArdiac seNsors for mAnaGEment of Heart Failure (MANAGE-HF) - Phase I Evaluation of the Integration and Safety of the HeartLogic Multisensor Algorithm in Patients With Heart Failure.
Ahmed, R; Albert, NM; Allen, LA; Averina, V; Boehmer, JP; Chien, CV; Cowie, MR; Galvao, M; Hernandez, AF; Klein, L; Kwan, B; Lam, CSP; Ruble, SB; Stein, K; Stolen, CM, 2022
)
0.72
" The potential risk factors for the discontinuation events caused by sac/val-related adverse events (AEs) were explored."( Effectiveness and safety of sacubitril/valsartan for patients with hypertension and heart failure in the real-world setting: A retrospective study in China.
Chen, C; Fan, L; Li, J; Li, X; Lv, Q; Tian, D; Zuo, C, 2022
)
0.72
" Besides, statistics were made in terms of serum B-type natriuretic peptide (BNP), C-reactive protein (CRP) and mean arterial pressure (MAP) concentrations, time of asthma relief, heart rate recovery (HRR), edema resolution, and hospitalization, as well as incidence of adverse reactions (ARs)."( Continuous Renal Replacement Therapy for Hypertension Complicated by Refractory Heart Failure: An Analysis of Safety and Nursing Highlights.
Li, J; Zhang, M, 2022
)
0.72
"In addition, no serious adverse effects associated with SMI were observed during the study period, thus suggesting that SMI is safe."( Efficacy and safety evaluation of Shenmai injections for dilated cardiomyopathy: A systematic review and meta-analysis of randomised controlled trials.
Kong, Y; Liu, Q; Wang, D; Wang, Y; Zhong, G, 2023
)
0.91
"In the present work, we provide evidence that combined SMI therapy is beneficial and safe for improving cardiac function in patients with DCM."( Efficacy and safety evaluation of Shenmai injections for dilated cardiomyopathy: A systematic review and meta-analysis of randomised controlled trials.
Kong, Y; Liu, Q; Wang, D; Wang, Y; Zhong, G, 2023
)
0.91
" In terms of safety, the total adverse events in the combined group of ZYC were comparable to those in the conventional group, and TSA demonstrated that this result needed more research and demonstration."( Efficacy and safety of Zhenyuan capsule in the treatment of chronic heart failure: A meta-analysis and trial sequential analysis.
Liu, J; Zhang, Z, 2023
)
0.91

Pharmacokinetics

ExcerptReferenceRelevance
" These results suggest that clearance receptor is involved in the clearance of the physiological levels of alpha-rANP and that NEP plays a major role in the clearance of a pharmacological dose of alpha-rANP, at which clearance receptors are thought to be saturated, and also indicate a pharmacokinetic difference between alpha-rANP and rBNP."( Clearance mechanisms of atrial and brain natriuretic peptides in rats.
Hama, N; Hashimoto, Y; Hori, R; Imura, H; Mori, S; Nakao, K; Yamaguchi, M; Yasuhara, M, 1994
)
0.29
" The population analysis was useful for analyzing such pharmacodynamic data for which the individual analysis could not be applied easily."( Nonlinear mixed effect modeling of the pharmacodynamics of natriuretic peptides in rats.
Hama, N; Hashimoto, Y; Hori, R; Imura, H; Mori, S; Nakao, K; Yamaguchi, M; Yasuhara, M, 1993
)
0.29
" The serum concentration of pertuzumab declined slowly (terminal half-life is approximately 3 weeks)."( Phase I and pharmacokinetic study of HER2-targeted rhuMAb 2C4 (Pertuzumab, RO4368451) in Japanese patients with solid tumors.
Fujisaka, Y; Fujiwara, Y; Shimizu, T; Tamura, T; Yamada, K; Yamada, Y; Yamamoto, N, 2009
)
0.35
" We determined safety, tolerability, and pharmacodynamic effects of human Relaxin in stable HF."( Intravenous recombinant human relaxin in compensated heart failure: a safety, tolerability, and pharmacodynamic trial.
Baumann, G; Boehmer, J; Dschietzig, T; Richter, C; Stangl, K; Teichman, S; Unemori, E; Wood, S, 2009
)
0.35
"Relaxin was safe and well-tolerated in patients with stable HF, and preliminary pharmacodynamic responses suggest it causes vasodilation."( Intravenous recombinant human relaxin in compensated heart failure: a safety, tolerability, and pharmacodynamic trial.
Baumann, G; Boehmer, J; Dschietzig, T; Richter, C; Stangl, K; Teichman, S; Unemori, E; Wood, S, 2009
)
0.35
" HSA-(BNP)(2), derived from the joining of human BNP to the C-terminus of human serum albumin (HSA), has been developed to prolong the BNP pharmacodynamic action."( A sandwich ELISA for assessment of pharmacokinetics of HSA-(BNP)2 fusion protein in mouse plasma.
Chen, Y; Ding, YD; Jin, J; Lei, JY, 2010
)
0.36
"This study sought to determine the pharmacodynamic effect of modulation of volume status by withdrawal and reinstitution of diuretic treatment on markers of renal and tubular function."( Volume status and diuretic therapy in systolic heart failure and the detection of early abnormalities in renal and tubular function.
Collinson, PO; Damman, K; Gaze, D; Hillege, HL; Lip, GY; MacFadyen, RJ; Ng Kam Chuen, MJ; van Oeveren, W; van Veldhuisen, DJ; Voors, AA, 2011
)
0.37
" The pharmacokinetic exposure of the LCZ696 analytes in patients with HF observed in this study is comparable to that observed in the pivotal Phase III study."( Pharmacodynamic and Pharmacokinetic Profiles of Sacubitril/Valsartan (LCZ696) in Patients with Heart Failure and Reduced Ejection Fraction.
Albrecht, D; Averkov, O; Ayalasomayajula, S; Chandra, P; Jordaan, P; Kobalava, Z; Kotovskaya, Y; Langenickel, TH; Moiseev, V; Pal, P; Pavlikova, E; Prescott, MF; Rajman, I, 2016
)
0.43
" Exposure to anthracycline and trastuzumab was simulated based on available dosing records and by using a kinetic-pharmacodynamic (K-PD) and a fixed pharmacokinetic (PK) model from literature, respectively."( Pharmacodynamic modeling of cardiac biomarkers in breast cancer patients treated with anthracycline and trastuzumab regimens.
Boekhout, AH; Burylo, AM; de Vries Schultink, AHM; Dorlo, TPC; Gietema, JA; Huitema, ADR; Schellens, JHM; van Hasselt, JGC, 2018
)
0.48
"The objective of this article was to characterize the pharmacokinetics and pharmacokinetic variability of vericiguat combined with guideline-directed medical therapy (standard of care), and identify exposure-response relationships for safety (hemodynamics) and pharmacodynamic markers of efficacy (N-terminal pro-B-type natriuretic peptide concentration [NT-proBNP]) in patients with heart failure and left ventricular ejection fraction < 45% in the SOCRATES-REDUCED study (NCT01951625)."( Population Pharmacokinetics and Pharmacodynamics of Vericiguat in Patients with Heart Failure and Reduced Ejection Fraction.
Austin, R; Becker, C; Frei, M; Garmann, D; Grevel, J; Klein, D; Meyer, M; Pieske, B; Roessig, L; Ruehs, H, 2021
)
0.62
" Pharmacokinetic (PK) data from the phase II trial SOCRATES-REDUCED (Soluble Guanylate Cyclase Stimulator in Heart Failure Study) and the phase III trial VICTORIA (Vericiguat Global Study in Patients With Heart Failure With Reduced Ejection Fraction) were used to characterize vericiguat PK."( Population Pharmacokinetics of Vericiguat in Patients With Heart Failure With Reduced Ejection Fraction: An Integrated Analysis.
Armstrong, PW; Arrington, L; Becker, C; Blaustein, RO; Gheyas, F; Meyer, M; Passarell, J; Patel, Y; Trujillo, ME; Wenning, L, 2022
)
0.72

Compound-Compound Interactions

ExcerptReferenceRelevance
"The objective of this study is to determine the effect of nesiritide (human recombinant BNP [hBNP]) in combination with standard therapy on the concentrations of B-type natriuretic peptide (BNP) and N-terminal probrain natriuretic peptide (NT-proBNP)."( Effect of nesiritide in combination with standard therapy on serum concentrations of natriuretic peptides in patients admitted for decompensated congestive heart failure.
Bhalla, V; Chiu, A; Clopton, P; Cremo, R; Fitzgerald, RL; Gardetto, N; Maisel, AS, 2005
)
0.33
"Nesiritide, in combination with standard therapy, significantly lowered the endogenous concentrations of natriuretic peptides during infusion and after dosing was completed."( Effect of nesiritide in combination with standard therapy on serum concentrations of natriuretic peptides in patients admitted for decompensated congestive heart failure.
Bhalla, V; Chiu, A; Clopton, P; Cremo, R; Fitzgerald, RL; Gardetto, N; Maisel, AS, 2005
)
0.33
"This paper reports a miniaturized immunosensor designed to determine a trace level cardiac marker, B-type natriuretic peptide (BNP), using a microfluidic device combined with a portable surface plasmon resonance (SPR) sensor system."( On-chip enzyme immunoassay of a cardiac marker using a microfluidic device combined with a portable surface plasmon resonance system.
Kurita, R; Mizutani, F; Niwa, O; Sato, Y; Yokota, Y, 2006
)
0.33
"TDI combined with pulsed-wave Doppler echocardiography predicted the LVEDP of VSD infants, whereas the plasma BNP value did not have a significant association with the LVEDP."( Noninvasive estimation of left ventricular end-diastolic pressure using tissue Doppler imaging combined with pulsed-wave Doppler echocardiography in patients with ventricular septal defects: a comparison with the plasma levels of the B-type natriuretic Pe
Aoki-Okazaki, M; Harada, K; Oyamada, J; Shimada, S; Takahashi, T; Tamura, M; Toyono, M, 2008
)
0.35
"NT-proBNP is correlated with MVD severity and could be used in combination with clinical status to predict cardiac outcome."( Plasma N-terminal pro-B-type natriuretic peptide concentration helps to predict survival in dogs with symptomatic degenerative mitral valve disease regardless of and in combination with the initial clinical status at admission.
Chetboul, V; Daste, T; Gouni, V; Hawa, G; Lefebvre, HP; Pouchelon, JL; Poujol, L; Sampedrano, CC; Serres, F; Tissier, R; Trumel, C, 2009
)
0.35
" However, little evidence exists regarding the prognostic role of RV systolic and diastolic function indexes in combination with plasma B-type natriuretic peptide (BNP) in advanced CHF."( Prognostic value of tissue Doppler right ventricular systolic and diastolic function indexes combined with plasma B-type natriuretic Peptide in patients with advanced heart failure secondary to ischemic or idiopathic dilated cardiomyopathy.
Bistola, V; Filippatos, G; Flessas, N; Ikonomidis, I; Iliodromitis, E; Kremastinos, DT; Nikolaou, M; Panou, F; Paraskevaidis, I; Parissis, JT, 2010
)
0.36
"We investigated the prognostic utility of changes in N-terminal pro-brain natriuretic peptide (NT-proBNP) in combination with Sequential Organ Failure Assessment (SOFA) score in patients with acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) concomitant with septic shock."( Prognostic utility of changes in N-terminal pro-brain natriuretic Peptide combined with sequential organ failure assessment scores in patients with acute lung injury/acute respiratory distress syndrome concomitant with septic shock.
Chang, J; Jung, JY; Kang, YA; Kim, EY; Kim, SK; Kim, YS; Lim, JE; Park, BH; Park, MS, 2011
)
0.37
" We attempt to evaluate the prognostic potential of NT-proBNP in combination with the sequential organ failure assessment (SOFA) score in sepsis."( Predictive value of N-terminal pro-brain natriuretic peptide in combination with the sequential organ failure assessment score in sepsis.
He, YZ; Ju, MJ; Luo, Z; Tu, GW; Wu, ZG; Xue, ZG; Zhu, DM, 2012
)
0.38
"The aim of this study was to investigate the effects of a noninvasive positive pressure ventilation therapy on cardiac structure and function in patients with coronary heart disease combined with obstructive sleep apnea/hypopnea syndrome (OSAHS)."( Cardiac structure and function improvements in coronary artery disease combined with severe obstructive sleep apnea/hypopnea syndrome patients via noninvasive positive pressure ventilation therapy.
Cao, G; Feng, L; Huang, H; Liu, X; Xu, Q; Yu, J; Zhang, S; Zhou, M, 2014
)
0.4
"For patients with coronary heart disease combined with OSAHS, noninvasive mechanical ventilation therapy can significantly improve heart functions and reduce the occurrence of cardiovascular complications."( Cardiac structure and function improvements in coronary artery disease combined with severe obstructive sleep apnea/hypopnea syndrome patients via noninvasive positive pressure ventilation therapy.
Cao, G; Feng, L; Huang, H; Liu, X; Xu, Q; Yu, J; Zhang, S; Zhou, M, 2014
)
0.4
"To study the protective effects of valsartan (Val) and benazepril, (Ben) combined with atorvastatin (Ato), on cardiorenal syndrome (CRS) in rats."( Protective effects of valsartan and benazepril combined with atorvastatin on cardiorenal syndrome in rats.
Chen, J; Hu, YJ; Peng, DF; Tang, SY, 2015
)
0.42
"Valsartan and benazepril, combined with atorvastatin, can have significant protective effects on cardiorenal functions of rats with CRS, with no significant difference between these two drugs."( Protective effects of valsartan and benazepril combined with atorvastatin on cardiorenal syndrome in rats.
Chen, J; Hu, YJ; Peng, DF; Tang, SY, 2015
)
0.42
"The aims to investigate the different protective effects of valsartan and benazepril when combined with atorvastatin in the cardio-renal functions of cardio-renal syndrome (CRS) patients."( Comparison of valsartan and benazepril when combined with atorvastatin in protecting patients with early cardio-renal syndrome (CRS).
Chen, J; Hu, YJ; Huang, Q; Peng, DF; Peng, X; Tang, SY, 2015
)
0.42
"When combined with atorvastatin, both valsartan and benazepril effectively improved the cardio-renal functions of early CRS patients."( Comparison of valsartan and benazepril when combined with atorvastatin in protecting patients with early cardio-renal syndrome (CRS).
Chen, J; Hu, YJ; Huang, Q; Peng, DF; Peng, X; Tang, SY, 2015
)
0.42
"In this small study, use of ADMA in combination with NT-proBNP produced excellent sensitivity and specificity for the non-invasive identification of SSc-PAH."( The role of asymmetric dimethylarginine alone and in combination with N-terminal pro-B-type natriuretic peptide as a screening biomarker for systemic sclerosis-related pulmonary arterial hypertension: a case control study.
Gabbay, E; Lester, S; Nash, P; Nikpour, M; Prior, D; Proudman, SM; Rabusa, C; Rischmueller, M; Roddy, J; Sahhar, J; Stevens, W; Thakkar, V; Walker, JG; Youssef, P; Zochling, J,
)
0.13
"The patients were divided into three groups according to specific criteria: patients with AECOPD (group A), patients with COPD combined with CHD (group B), and patients with CHD (group C)."( Vitamin D should be supplemented more actively in elderly patients with coronary heart disease combined with COPD.
Yuan, QY; Zhang, L, 2016
)
0.43
" The ATHENA-HF (Aldosterone Targeted Neurohormonal Combined with Natriuresis Therapy in Heart Failure) trial is a randomized, double-blind, placebo-controlled study of the safety and efficacy of 100 mg/day spironolactone versus placebo (or continued low-dose spironolactone use in participants who are already receiving spironolactone at baseline) in 360 patients hospitalized for AHF."( Rationale and Design of the ATHENA-HF Trial: Aldosterone Targeted Neurohormonal Combined With Natriuresis Therapy in Heart Failure.
Anstrom, KJ; Braunwald, E; Butler, J; Felker, GM; Hernandez, AF; Kalogeropoulos, A; Konstam, MA; Redfield, MM; Shah, MR; Tang, WH, 2016
)
0.43
"Aim of the present study is to investigate the clinical efficacy of recombinant human brain natriuretic peptide (rhBNP) and dopamine combination treatment in patients with cardiorenal syndrome type 4 (CRS4) combined with hypotension."( Clinical therapeutic strategy of recombinant human brain natriuretic peptide and dopamine in cardiorenal syndrome type 4 patients combined with hypotension.
Han, B; Li, H; Ma, Q, 2017
)
0.46
"To investigate the therapeutic strategy for the multiple ventricular septal defects (VSD) combined with a muscular ventricular septal defect (MVSD) in the infants and young children."( Therapeutic strategy for multiple VSD combined with MVSD in infants and young children.
Hu, YB; Liu, GY; Wang, L; Zou, JQ, 2017
)
0.46
" This study explores if the Doppler myocardial performance (Tei) index combined with the plasma B-type natriuretic peptide (BNP) levels can assess cardiac function in patients with decompensated cirrhosis."( Doppler myocardial performance index combined with plasma B-type natriuretic peptide levels as a marker of cardiac function in patients with decompensated cirrhosis.
An, XF; Han, C; Wang, LK; Wang, YC; Wu, XL; Yang, JL; Yang, RM; Zhang, SM, 2018
)
0.48
" We aimed to test the long-term prognostic value of CA-125 in combination with N-terminal pro-brain natriuretic peptide (NT-proBNP) in patients with acute decompensated heart failure (ADHF)."( Serum levels of carbohydrate antigen 125 in combination with N-terminal pro-brain natriuretic peptide in patients with acute decompensated heart failure.
Bae, MH; Chae, SC; Cho, HJ; Cho, Y; Jang, SY; Kim, CY; Kim, NK; Lee, JH; Park, HS; Roh, JH; Son, J; Yang, DH; Yoon, JY, 2019
)
0.51
" Addition of CA-125 in combination with NT-proBNP and established risk factors further increased the predictive power for mortality in patients with ADHF."( Serum levels of carbohydrate antigen 125 in combination with N-terminal pro-brain natriuretic peptide in patients with acute decompensated heart failure.
Bae, MH; Chae, SC; Cho, HJ; Cho, Y; Jang, SY; Kim, CY; Kim, NK; Lee, JH; Park, HS; Roh, JH; Son, J; Yang, DH; Yoon, JY, 2019
)
0.51
"This experiment aimed to study the effect of trimetazidine combined with perindopril on NT-proBNP levels in rats with dilated cardiomyopathy (DCM)."( Effect of trimetazidine combined with perindopril on NT-proBNP level in rats with dilated cardiomyopathy.
Chen, L; Lin, J; Yan, J; Zhong, B, 2020
)
0.56
"This study aims to explore the clinical efficacy of ticagrelor combined with aspirin in patients with coronary heart disease angina pectoris and the effects on N terminal pro B type natriuretic peptide (NT-ProBNP) and creatine kinase-MB (CK-MB) levels."( Clinical efficacy of ticagrelor combined with aspirin in patients with coronary heart disease angina pectoris and its effects on NT-ProBNP and CK-MB levels.
Chen, LL; Lu, WL; Tang, DD; Wang, JP; Wang, W; Yan, SR; Zhao, LH, 2020
)
0.56
"Ticagrelor combined with aspirin has definite therapeutic effect on patients with coronary heart disease angina pectoris, with low prevalence of adverse reactions."( Clinical efficacy of ticagrelor combined with aspirin in patients with coronary heart disease angina pectoris and its effects on NT-ProBNP and CK-MB levels.
Chen, LL; Lu, WL; Tang, DD; Wang, JP; Wang, W; Yan, SR; Zhao, LH, 2020
)
0.56
"The objective was to explore the value of serum carbohydrate antigen 125 (CA125) combined with N-terminal pro B-type natriuretic peptide (NT-proBNP) in predicting the clinical prognosis of patients with acute heart failure (AHF)."( Prognostic value of carbohydrate antigen 125 combined with N-terminal pro B-type natriuretic peptide in patients with acute heart failure.
Chen, X; Huang, M; Wu, M; Xu, K; Zhuo, X, 2021
)
0.62
"Elevated CA125 is an independent predictor of poor prognosis in patients with AHF, and combined with NT-proBNP can improve the efficiency of risk identification."( Prognostic value of carbohydrate antigen 125 combined with N-terminal pro B-type natriuretic peptide in patients with acute heart failure.
Chen, X; Huang, M; Wu, M; Xu, K; Zhuo, X, 2021
)
0.62
"In conclusion, cMRI in combination with echocardiography was sufficiently informative to follow-up this PVS patient both before and after BPV."( Balloon Valvuloplasty to Treat Adult Symptomatic Pulmonary Valve Stenosis with Sequential Follow-Up Using Cardiac Magnetic Resonance Imaging in Combination with Echocardiography.
Ando, J; Fujiwara, T; Inaba, T; Inuzuka, R; Ishii, S; Komuro, I; Takeda, N, 2020
)
0.56
"To investigate the clinical effects of Xinkeshu combined with levosimendan on perioperative heart failure in oldest-old patients with hip fractures."( Effects of Xinkeshu combined with levosimendan on perioperative heart failure in oldest-old patients with hip fractures.
Fu, M; Liu, Y; Wang, Z, 2020
)
0.56
" Clinical manifestations; left ventricular ejection fraction (LVEF); left ventricular end-diastolic dimension (LVEDD); left ventricular end-systolic dimension (LVESD); B-type natriuretic peptide (BNP), superoxide dismutase (SOD), malondialdehyde (MDA), nitric oxide (NO), and endothelin-1 (ET-1) levels; and self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores were compared between before and after treatment to evaluate the curative effects of Xinkeshu combined with levosimendan."( Effects of Xinkeshu combined with levosimendan on perioperative heart failure in oldest-old patients with hip fractures.
Fu, M; Liu, Y; Wang, Z, 2020
)
0.56
"Levosimendan combined with Xinkeshu can improve cardiac function, alleviate oxidative stress, and relieve anxiety and depression in oldest-old patients with perioperative heart failure and hip fracture."( Effects of Xinkeshu combined with levosimendan on perioperative heart failure in oldest-old patients with hip fractures.
Fu, M; Liu, Y; Wang, Z, 2020
)
0.56
"The safety and efficacy of Naoxintong Capsules combined with Western medicine in treatment of chronic heart failure(CHF) were analyzed based on Meta-analysis system."( [Meta-analysis of Naoxintong Capsules combined with Western medicine in treatment of chronic heart failure].
Ji-Fang, B; Rui, Q, 2020
)
0.56
" This study aimed to assess the effects of NE at different administration time and NE combined with SP treatment on the cardiac function and prognosis of SS."( Effect of norepinephrine combined with sodium phosphocreatine on cardiac function and prognosis of patients with septic shock.
Kang, D; Li, X; Wang, H; Xia, J; Yu, J; Zhao, Y,
)
0.13
"BNP combined with echocardiographic parameters has outstanding value to predict the risk of cardioembolic stroke, especially for BNP and LAD."( BNP combined with echocardiographic parameters to predict the risk of cardioembolic stroke.
Ma, A; Pan, X; Peng, Q; Wang, Y; Wei, J; Zhang, M, 2021
)
0.62
"To investigate clinical value for the risk model of acute heart failure index (AHFI) combined with emergency heart failure mortality risk grade (EHMRG) in evaluating clinical outcomes and prognosis of patients with acute heart failure (AHF)."( The role of acute heart failure index (AHFI) combined with emergency heart failure mortality risk grade (EHMRG) in the evaluation of clinical outcomes and prognosis in patients with acute heart failure.
Dong, Y; Gao, Q; Jiang, H; Wang, Z; Zhang, Q, 2022
)
0.72
"AHFI combined with the EHMRG model was associated with cardiac function status and EHMRG score was positively related to the level of Troponin I, BNP, and NT-proBNP."( The role of acute heart failure index (AHFI) combined with emergency heart failure mortality risk grade (EHMRG) in the evaluation of clinical outcomes and prognosis in patients with acute heart failure.
Dong, Y; Gao, Q; Jiang, H; Wang, Z; Zhang, Q, 2022
)
0.72
"AHFI combined with a high EHMRG risk model was associated with clinical outcomes and prognosis."( The role of acute heart failure index (AHFI) combined with emergency heart failure mortality risk grade (EHMRG) in the evaluation of clinical outcomes and prognosis in patients with acute heart failure.
Dong, Y; Gao, Q; Jiang, H; Wang, Z; Zhang, Q, 2022
)
0.72
" The aim of this study was to investigate efficacy of levosimendan when combined with rhBNP in patients with diuretic resistance and low ejection fraction (EF) rate."( Effect of levosimendan combined with recombinant human brain natriuretic peptide on diuretic resistance.
Jun, M; Lan, L; Libiya, Z; Shubin, J; Xiangli, S, 2021
)
0.62
"909 when NT-proBNP combined with D-dimer."( Predictive value of N-terminal pro-B-type natriuretic peptide (NT-pro BNP) combined with D-dimer for no-reflow phenomenon in patients with acute coronary syndrome after emergency of percutaneous coronary intervention.
Diao, Y; Sun, B; Yin, M; Zhang, B, 2021
)
0.62
"To investigate the significance of echocardiography combined with N-terminal pro-B-type natriuretic peptide (NT-pro BNP) levels in the evaluation and prognosis of diastolic heart failure (DHF)."( The Value of Echocardiography Combined with NT-pro BNP Level in Assessment and Prognosis of Diastolic Heart Failure.
Chen, S; Li, P; Shi, S; Wu, H; Wu, X; Zhou, Y, 2022
)
0.72
"The diagnosis of echocardiography combined with NT-pro BNP levels has the potential to distinguish the NYHA class in heart function of patients with DHF and determine the prognosis of patients."( The Value of Echocardiography Combined with NT-pro BNP Level in Assessment and Prognosis of Diastolic Heart Failure.
Chen, S; Li, P; Shi, S; Wu, H; Wu, X; Zhou, Y, 2022
)
0.72
"RDW can predict prognosis in HF at various time-points and combination with NT-proBNP improves the prognostic value."( Prognostic value of RDW alone and in combination with NT-proBNP in patients with heart failure.
Feng, J; Huang, B; Huang, L; Liang, L; Tian, P; Zhang, J; Zhang, Y; Zhao, L; Zhao, X, 2022
)
0.72
"This study was to investigate the correlation between glycated haemoglobin (HbA1c) level, cardiac function, and prognosis in patients with diabetes mellitus combined with myocardial infarction."( Correlation between Glycated Haemoglobin Level, Cardiac Function, and Prognosis in Patients with Diabetes Mellitus Combined with Myocardial Infarction.
An, H; Fang, D; Li, W; Sun, M; Zeng, G; Zheng, Q, 2022
)
0.72
"HbA1c level in patients with diabetes mellitus combined with myocardial infarction is closely related to the degree of cardiac function damage."( Correlation between Glycated Haemoglobin Level, Cardiac Function, and Prognosis in Patients with Diabetes Mellitus Combined with Myocardial Infarction.
An, H; Fang, D; Li, W; Sun, M; Zeng, G; Zheng, Q, 2022
)
0.72
"The value of serum carbohydrate antigen 125 (CA125) combined with N-terminal pro-B-type natriuretic peptide (NT-proBNP) in the evaluation of acute heart failure (AHF) after ST-segment elevation myocardial infarction (STEMI) remains unclear."( Carbohydrate antigen 125 combined with N-terminal pro-B-type natriuretic peptide in the prediction of acute heart failure following ST-elevation myocardial infarction.
Chen, X; Huang, M; Weng, Y; Wu, M; Xu, K; Zhuo, X, 2022
)
0.72
"This study examined the effects of recombinant human brain natriuretic peptide (rhBNP) combined with tolvaptan on cardiac and renal function and serum inflammatory factors in patients with severe heart failure (HF)."( Effects of recombinant human brain natriuretic peptide combined with tolvaptan on cardiac and renal function and serum inflammatory factors in patients with severe heart failure.
Guo, M; Hao, M; Yang, J; Zhang, L, 2023
)
0.91

Bioavailability

ExcerptReferenceRelevance
" An imbalance in favour of oxidants leads to oxidative stress, and contributes to myocyte apoptosis, direct negative inotropic effects, and reduced bioavailability of nitric oxide (NO)."( Role of oxidative and nitrosative stress biomarkers in chronic heart failure.
Anzalone, R; Carbone, M; Colombo, M; Di Stefano, A; Eleuteri, E; Giannuzzi, P; Gnemmi, I; La Rocca, G; Magno, F; Tarro Genta, F; Zummo, G, 2009
)
0.35
" Further studies exploring whether DPP IV inhibitors increase the bioavailability of BNP(1-32), delay the progression of heart failure, and increase the efficacy of exogenous administration of BNP(1-32) in decompensated heart failure are needed."( Dipeptidyl-peptidase IV and B-type natriuretic peptide. From bench to bedside.
Bartunek, J; De Meester, I; Goethals, M; Lambeir, AM; Scharpé, S; Vanderheyden, M; Verstreken, S, 2009
)
0.35
"The lungs of patients with pulmonary arterial hypertension (PAH) exhibit decreased bioavailability of nitric oxide and downstream signaling through cyclic guanosine monophosphate (cGMP)."( Pulmonary hemodynamic response to acute combination and monotherapy with sildenafil and brain natriuretic peptide in rats with monocrotaline-induced pulmonary hypertension.
Alpert, MA; Carlino, C; Dellsperger, KC; Demarco, VG; Grueber, RE; Heller, RL; Schneider, RI; Tobias, JD, 2010
)
0.36
" Further studies are needed to explore whether DPP IV inhibitors increase the bioavailability of BNP(1-32), delay the progression of heart failure and increase the efficacy of exogenously administered BNP(1-32) in decompensated heart failure."( B-type natriuretic peptide as a marker of heart failure: new insights from biochemistry and clinical implications.
Bartunek, J; Beunk, J; Goethals, M; Vanderheyden, M; Verstreken, S; Vrints, C, 2010
)
0.36
" A phase I clinical trial of a novel H2 S prodrug (SG1002) was designed to assess safety and changes in H2 S and NO bioavailability in healthy and HF subjects."( A novel hydrogen sulfide prodrug, SG1002, promotes hydrogen sulfide and nitric oxide bioavailability in heart failure patients.
Giordano, T; Gojon, G; Krum, H; Li, Z; Pattillo, CB; Polhemus, DJ, 2015
)
0.42
" ProANP is found in the human circulation, but its bioavailability is undefined."( Pro-Atrial Natriuretic Peptide: A Novel Guanylyl Cyclase-A Receptor Activator That Goes Beyond Atrial and B-Type Natriuretic Peptides.
Burnett, JC; Huntley, BK; Ichiki, T; Sangaralingham, SJ, 2015
)
0.42
"Prior studies have suggested that transfusion of stored red blood cells (RBCs) with increased levels of cell-free hemoglobin might reduce the bioavailability of recipient nitric oxide (NO) and cause myocardial strain."( B-type natriuretic peptide and plasma hemoglobin levels following transfusion of shorter-storage versus longer-storage red blood cells: Results from the TOTAL randomized trial.
Ainomugisha, B; Cserti-Gazdewich, C; Ddungu, H; Dhabangi, A; Dzik, WH; Kyeyune, D; Musisi, E; Opoka, R; Stowell, CP, 2017
)
0.46
"The heart plays a pivotal role as a regulator of the endocrine response in systolic dysfunction, not only by directly releasing NPs but also by contributing to circulating sNEP, which in turn determines the bioavailability of other numerous vasoactive peptides."( The heart regulates the endocrine response to heart failure: cardiac contribution to circulating neprilysin.
Arrigo, M; Ballan, P; Bizouarn, P; Carpentier, A; Cholley, B; Cohen-Solal, A; Gendron, N; Latremouille, C; Launay, JM; Ludes, PO; Mebazaa, A; Nougué, H; Pemberton, CJ; Pottecher, J; Richards, AM; Sadoune, M; Samuel, JL; Singh, JP; Smadja, DM; Szymonifka, J; Truong, QA; Vodovar, N, 2018
)
0.48
"Vericiguat pharmacokinetics were well described by a one-compartment model with apparent clearance, apparent volume of distribution, and absorption rate constant."( Population Pharmacokinetics and Pharmacodynamics of Vericiguat in Patients with Heart Failure and Reduced Ejection Fraction.
Austin, R; Becker, C; Frei, M; Garmann, D; Grevel, J; Klein, D; Meyer, M; Pieske, B; Roessig, L; Ruehs, H, 2021
)
0.62
" Altogether, our results identified BNP and all therapies aimed to increase BNP's bioavailability as new cardioprotective targets as BNP treatment leads to an increased number of CMs in neonatal, adult unmanipulated and infarcted hearts."( Brain Natriuretic Peptide Protects Cardiomyocytes from Apoptosis and Stimulates Their Cell Cycle Re-Entry in Mouse Infarcted Hearts.
Bielmann, C; Bon-Mathier, AC; Déglise, T; Mazzolai, L; Rignault-Clerc, S; Rosenblatt-Velin, N, 2022
)
0.72

Dosage Studied

ExcerptRelevanceReference
" In the presence of dithiothreitol, the dose-response curve of guanylate cyclase activation was shifted rightward by a factor of 30."( Characterization and regulation of atrial natriuretic peptide (ANP)-R1 receptors in the human neuroblastoma cell line NB-OK-1.
Christophe, J; Delporte, C; Gossen, D; Poloczek, P; Tastenoy, M; Winand, J, 1991
)
0.28
" Further elucidation of the possible role of BNP as a circulating hormone in man awaits measurement of tissue and plasma concentrations of human BNP in health and disease and provision of fuller dose-response data for human as well as porcine BNP."( Brain natriuretic peptide administered to man: actions and metabolism.
Espiner, E; Ikram, H; McGregor, A; Richards, M; Yandle, T, 1990
)
0.28
" This inhibition reflects the ability of GnRH to shift the CNP dose-response curve rightward (increasing the EC50 for CNP action approximately 10-fold both with and without 3-isobutyl-1-methylxanthine)."( Cyclic guanosine monophosphate production in the pituitary: stimulation by C-type natriuretic peptide and inhibition by gonadotropin-releasing hormone in alpha T3-1 cells.
Käppler, K; McArdle, CA; Poch, A, 1993
)
0.29
" The present study was designed to examine the relationship between the dosing (intravenous constant infusion) rates and the diuretic actions of alpha-rat atrial natriuretic peptide (alpha-rANP) and rat brain natriuretic peptide (rBNP) in rats, and population (nonlinear mixed effect model) analysis was applied to these complicated diuretic actions."( Nonlinear mixed effect modeling of the pharmacodynamics of natriuretic peptides in rats.
Hama, N; Hashimoto, Y; Hori, R; Imura, H; Mori, S; Nakao, K; Yamaguchi, M; Yasuhara, M, 1993
)
0.29
" In the present work we determine ANF and BNP synthesis and secretion in the aortic-banded rat treated with dosage schedules of the ACE inhibitor ramipril that result in the prevention or regression of both hypertension and hypertrophy (high dosage) or in the prevention or regression of hypertrophy alone with persistent hypertension (low dosage)."( Evidence for load-dependent and load-independent determinants of cardiac natriuretic peptide production.
Bruneau, BG; Chen, JH; de Bold, AJ; Eid, H; Kuroski de Bold, ML; Linz, W; Ogawa, T; Schölkens, BA; Stevenson, M, 1996
)
0.29
" The dose-response curve was bell-shaped."( Pituitary adenylate cyclase-activating polypeptide protects rat-cultured cortical neurons from glutamate-induced cytotoxicity.
Hirai, A; Morio, H; Saito, Y; Tamura, Y; Tatsuno, I, 1996
)
0.29
"We investigated 45 patients (age 55 +/- 10 years) with stable CHF who presented with a maintenance dosage of enalapril of either 5 mg given twice daily (E10; n = 16), 10 mg given twice daily (E20; n = 18), or 20 mg given twice daily (E40; n = 11)."( Within-patient comparison of effects of different dosages of enalapril on functional capacity and neurohormone levels in patients with chronic heart failure.
Brunner-La Rocca, HP; Candinas, R; Follath, F; Kiowski, W; Maly, FE; Weilenmann, D, 1999
)
0.3
" Thus patients with congestive heart failure may benefit from increasing dosage of ACE inhibitors."( Within-patient comparison of effects of different dosages of enalapril on functional capacity and neurohormone levels in patients with chronic heart failure.
Brunner-La Rocca, HP; Candinas, R; Follath, F; Kiowski, W; Maly, FE; Weilenmann, D, 1999
)
0.3
"Twenty patients with mild to moderate CHF receiving stable conventional therapy including an ACE inhibitor were randomly assigned to titration of ACE inhibitor dosage according to serial measurement of plasma BNP concentration (BNP group) or optimal empirical ACE inhibitor therapy (clinical group) for 8 weeks."( Titration of vasodilator therapy in chronic heart failure according to plasma brain natriuretic peptide concentration: randomized comparison of the hemodynamic and neuroendocrine effects of tailored versus empirical therapy.
Blue, L; Byrne, J; Dargie, HJ; Farmer, R; McDonagh, TA; Morton, JJ; Murdoch, DR, 1999
)
0.3
" In the second study two BNP (n = 5) or ANP (n = 5) dose-response curves were performed in order to assess the repeatability of the BNP/ANP infusions."( Effects of brain natriuretic peptide on forearm vasculature: comparison with atrial natriuretic peptide.
de Leeuw, PW; Houben, AJ; Kroon, AA; van der Zander, K, 1999
)
0.3
" The slopes of the BNP dose-response curves differed significantly from those of the ANP curves (18."( Effects of brain natriuretic peptide on forearm vasculature: comparison with atrial natriuretic peptide.
de Leeuw, PW; Houben, AJ; Kroon, AA; van der Zander, K, 1999
)
0.3
"5% 2 h after dosing with 8 mg of candesartan cilexetil."( Hemodynamic and hormonal effects of the angiotensin II antagonist, candesartan cilexetil, in patients with congestive heart failure.
Yasue, H; Yoshimura, M, 2000
)
0.31
" Plasma atrial and brain natriuretic peptide and cGMP levels were stable acutely (P=NS), while brain natriuretic peptide increased after repeated dosing in severe HF (P<0."( Beneficial renal and hemodynamic effects of omapatrilat in mild and severe heart failure.
Espiner, EA; Frampton, CM; Nicholls, MG; Powell, JD; Rademaker, MT; Richards, AM; Troughton, RW; Yandle, TG, 2000
)
0.31
" Patients who could not be dosed with up to 40 mg daily of metoprolol or 20 mg daily of carvedilol were defined as intolerant."( Comparative left ventricular functional and neurohumoral effects of chronic treatment with carvedilol versus metoprolol in patients with dilated cardiomyopathy.
Hanatani, A; Hirooka, K; Hori, M; Ishida, Y; Komamura, K; Miyatake, K; Nakatani, S; Yamagishi, M; Yasumura, Y, 2001
)
0.31
" The purpose was to measure the effect of ibuprofen on urinary excretion of aquaporin-2 (u-AQP2), urinary output, urinary osmolality (u-osm) and plasma concentration of vasopressin (AVP) in a dose-response study using placebo and ibuprofen 600mg and 1200mg."( Effect of an acute oral ibuprofen intake on urinary aquaporin-2 excretion in healthy humans.
Bech, JN; Bentzen, H; Pedersen, EB; Pedersen, RS, 2001
)
0.31
" Optimal dosing will become increasingly difficult to judge."( BNP in hormone-guided treatment of heart failure.
Lainchbury, JG; Nicholls, MG; Richards, AM; Troughton, RW; Yandle, TG,
)
0.13
" At first, BNP dosage is a potential tool for detecting heart failure and left ventricular dysfunction."( [Ultra-rapid measurement of brain natriuretic peptide].
Logeart, D, 2002
)
0.31
" However, the dosage of the ACE inhibitor influenced short-term survival in this population."( Prediction of outcome by neurohumoral activation, the six-minute walk test and the Minnesota Living with Heart Failure Questionnaire in an outpatient cohort with congestive heart failure.
Berger, R; Bergler-Klein, J; Bojic, A; Hülsmann, M; Pacher, R; Sturm, B; Woloszczuk, W, 2002
)
0.31
" Little is known about its safety, efficacy, pharmacokinetics, and dosing profile in children."( The Pediatric Randomized Carvedilol Trial in Children with Heart Failure: rationale and design.
Boucek, MM; Burch, GH; Burr, J; Curtin, EL; Hsu, DT; LaSalle, B; Mahony, L; Pahl, E; Schlencker-Herceg, R; Shaddy, RE; Sower, B; Tani, LY, 2002
)
0.31
"In our population BNP dosage confirms the high negative predictive value reported in the literature and may be useful to exclude diagnosis of CHF in patients with suspect signs and symptoms."( [Diagnosis of heart failure in general medicine: role of cerebral natriuretic peptide. Results of a pilot study of a population sample from Calabria].
Battista, F; Caporale, R; Misuraca, G; Plastina, F; Serafini, O, 2002
)
0.31
" Bed-side dosage of B-type natriuretic peptide is useful to make or exclude the diagnosis of heart failure in patients with acute dyspnea from various causes."( [Diagnosis of systolic heart failure].
André-Fouët, X; Ginon, I; Thivolet, S, 2002
)
0.31
" When remarkable hemodynamic changes appeared rhBNP was infused intravenously at the dosage of 10, 30 and 100 ng."( [Recombinant human brain natriuretic peptide on the cardiac hemodynamics and renal function in dogs with heart failure].
Liu, HX; Xu, XW; Yang, Y; Zeng, GY, 2002
)
0.31
"048 g/cm(2)), indicating a dosage effect."( Association of the -381T/C promoter variation of the brain natriuretic peptide gene with low bone-mineral density and rapid postmenopausal bone loss.
Emi, M; Ezura, Y; Hosoi, T; Inoue, S; Ishida, R; Iwasaki, H; Kajita, M; Kodaira, M; Orimo, H; Shiraki, M; Suzuki, T; Yoshida, H, 2003
)
0.32
" It is a sensitive marker of ventricular dysfunction in symptomatic and asymptomatic patients, and its dosage is correlated with the severity of the dysfunction."( [B-type natriuretic peptide for the diagnostic and prognostic assessment in cardiology. Its interest and perspectives of application].
Bergmann, JF; Devaux, JY; Fulla, Y; Martins, E; Meune, C, 2003
)
0.32
"We tested the hypothesis that, in heart transplant recipients, plasma aminoterminal pro-brain natriuretic peptide (NT-proBNP) dosage is useful for diagnosis of high ventricular loading pressures in the absence of systolic dysfunction."( Aminoterminal pro-brain natriuretic peptide and ventricular filling pressures in heart transplant recipients.
Ambrosi, P; Aviérinos, JF; Bouvenot, G; Habib, G; Métras, D; Oddoze, C; Portugal, H; Riberi, A; Vailloud, JM, 2003
)
0.32
" All underwent clinical and echocardiographic evaluations and a test to determine the serum dosage of ProBNP."( ProBNP for stratifying patients with heart failure.
Cassaro-Strunz, C; de Oliveira, MT; Franco, FG; Pereira-Barretto, AC, 2003
)
0.32
" A ProBNP dosage test was an excellent auxiliary in the clinical characterization of patients with HF."( ProBNP for stratifying patients with heart failure.
Cassaro-Strunz, C; de Oliveira, MT; Franco, FG; Pereira-Barretto, AC, 2003
)
0.32
" The decrease in BNP was significantly associated with ACE-i dosage and with the use of a beta-blocker."( Prognostic information provided by serial measurements of brain natriuretic peptide in heart failure.
Azevedo, A; Bettencourt, P; Dias, P; Ferreira, A; Friões, F; Pimenta, J; Rocha-Gonçalves, F, 2004
)
0.32
" The decrease in BNP levels was proportional to ACE-i dosage and larger among patients on beta-blockers."( Prognostic information provided by serial measurements of brain natriuretic peptide in heart failure.
Azevedo, A; Bettencourt, P; Dias, P; Ferreira, A; Friões, F; Pimenta, J; Rocha-Gonçalves, F, 2004
)
0.32
" Patients were randomized to different dosage levels of darusentan (30, 100, or 300 mg) for 3 weeks."( Neurohumoral and hemodynamic effects of the selective endothelin antagonist darusentan in advanced chronic heart failure.
Berger, R; Bergler-Klein, J; Bojic, A; Pacher, R; Stanek, B, 2004
)
0.32
"Utility of the dosage of brain natriuretic factor (BNP) in the diagnosis and treatment of heart failure."( [Use of brain natriuretic peptide (BNP) in the diagnosis and treatment of heart failure].
Martin-Du Pan, RC; Ricou, F, 2003
)
0.32
" When the diuretic dosage was increased on clinical grounds, SP-B had increased 39% (P<0."( Plasma surfactant protein-B: a novel biomarker in chronic heart failure.
Arnolda, LF; Aylward, PE; Bersten, AD; Chew, DP; De Pasquale, CG; Doyle, IR, 2004
)
0.32
" The potential applications of nesiritide and dosing regimens for this agent in the ECMO population are discussed."( Nesiritide during extracorporeal membrane oxygenation.
Berkenbosch, JW; Gustafson, RA; Rosen, DA; Rosen, KR; Russo, P; Siu, BL; Smith, T; Tobias, JD, 2005
)
0.33
" The dosage or drugs chosen for salvage therapy are limited by doxorubicin-induced cardiomyopathy."( Phase I/II study of the rituximab-EPOCT regimen in combination with granulocyte colony-stimulating factor in patients with relapsed or refractory follicular lymphoma including evaluation of its cardiotoxicity using B-type natriuretic peptide and troponin
Hayama, M; Higashihara, M; Kajiwara, K; Khori, M; Niitsu, N; Tamaru, J, 2005
)
0.33
" Dose-response curves revealed that at 100 microM, the vessel dilator decreased 92% of the cancer cells in 24 h while BNP had no effect, but CNP caused a 39% decrease."( Five cardiac hormones decrease the number of human small-cell lung cancer cells.
Alli, AA; Fitz, SR; Gower, WR; Sanchez-Ramos, J; Solivan, SM; Song, S; Vesely, BA; Vesely, DL, 2005
)
0.33
" No consistent relationship existed between the expression of putative transcriptional targets and Nkx2-5 gene dosage in the physiologically relevant range."( Haploinsufficiency of the cardiac transcription factor Nkx2-5 variably affects the expression of putative target genes.
Dorfman, AL; Izumo, S; Jay, PY; Lu, Y; Rozhitskaya, O; Sherwood, MC; Tarnavski, O; Ueyama, T, 2005
)
0.33
" The dosage of beta-blockers were increased gradually to target or the tolerant dosages (bisoprolol 10 mg qd, carvedilol 25 mg bid) during 3 months in 36 patients."( [Beneficial neurohormonal profiles of beta-blockades in chronic left heart failure].
Bian, WY; Duan, B; Jia, X; Li, W; Li, YS; Wang, F; Wang, L; Xu, ZM, 2005
)
0.33
"Bedside dosage of B-type natriuretic peptide as a marker of congestive heart failure is of major interest in the evaluation of acute dyspnea."( [Acute dyspnea: what is the diagnostic role of B-type natriuretic peptide?].
Sarasin, FP, 2005
)
0.33
"Nesiritide, in combination with standard therapy, significantly lowered the endogenous concentrations of natriuretic peptides during infusion and after dosing was completed."( Effect of nesiritide in combination with standard therapy on serum concentrations of natriuretic peptides in patients admitted for decompensated congestive heart failure.
Bhalla, V; Chiu, A; Clopton, P; Cremo, R; Fitzgerald, RL; Gardetto, N; Maisel, AS, 2005
)
0.33
" The clinical group had beta-blocker dosage increased according to standard care, whereas the BNP group had beta-blocker dosage up-titrated according to plasma BNP levels plus standard care."( BNP-guided therapy not better than expert's clinical assessment for beta-blocker titration in patients with heart failure.
Beck-da-Silva, L; de Bold, A; Fraser, M; Haddad, H; Williams, K,
)
0.13
"Sixty-six patients with chronic heart failure were randomly divided into 2 groups: low-dose group, treated by perindopril with the dosage of 2 mg/d initially and gradually increased up to 2-4 mg/d, and high-dose group, treated by perindopril with the dosage of 2 mg/d initially and gradually increased up to 8 approximately 10 mg/d."( [Effects of angiotensin converting enzyme inhibitor with different doses on plasma brain natriuretic peptide and norepinephrine in patients with chronic heart failure].
Deng, B; Luo, M; Song, HM; Zhang, J, 2005
)
0.33
" This case report demonstrates the lack of adverse events in a pediatric patient administered nesiritide beyond the recommended dosing parameters."( Administration of a large nesiritide bolus dose in a pediatric patient: case report and review of nesiritide use in pediatrics.
Clunie, S; Denfield, S; Dreyer, WJ; Jefferies, JL; Moffett, BS; Price, JF; Towbin, JA, 2006
)
0.33
"The dosage of plasma levels of NT-proBNP is useful into patients with suspected HFS, if the other methods of diagnosis are not reliable."( [The correlation between NT-proBNP plasma levels and heart failure syndrome].
Chendereş, RM; Enea, E; Glişici, M; Nanu, PD; Puşchiţă, M,
)
0.13
" As far as the prescription of diuretics go, drugs which are effective in a condition associated with a poor quality of life, it is important to use the minimal dosage because of their deleterious stimulant effects on the rennin-angiotensin-aldosterone system and their metabolic side effects."( [The diuretic in chronic cardiac failure: a clumsy partner].
Rocca, C, 2006
)
0.33
" Data about BNP dosage for cardiovascular monitoring of patients with ALA on renal replacement therapy are lacking."( Role of B-type natriuretic peptide in cardiovascular state monitoring in a hemodialysis patient with primary amyloidosis.
Cantelli, S; Catizone, L; Fabbian, F; Molino, C; Russo, G; Russo, M; Sartori, S; Stabellini, N, 2006
)
0.33
" BNP levels did not correlate with erythrocyte sedimentation rate/C-reactive protein levels, SLEDAI scores, total steroid dosage used, or other echocardigraphic parameters."( B-type natriuretic peptide (BNP) levels in female systemic lupus erythematosus patients: what is the clinical significance?
Akdogan, A; Aksoyek, S; Atalar, E; Calguneri, M; Ertenli, AI; Kalyoncu, U; Karadag, O; Kiraz, S; Ozmen, F; Yavuz, B, 2007
)
0.34
"FUSION II is a 900-patient randomized, placebo-controlled, double-blind, phase IIb trial designed to further assess the safety, efficacy, and optimal dosing frequency of outpatient nesiritide for advanced heart failure."( The Second Follow-up Serial Infusions of Nesiritide (FUSION II) trial for advanced heart failure: study rationale and design.
Cheng, M; Evans, R; Kim, SS; Krum, H; Massie, BM; Silver, MA; Stevenson, LW; Yancy, CW, 2007
)
0.34
"We demonstrated that as the drug dosage increased, systolic ejection fraction (EF) and shortening fraction (FS) values decreased (EF r2=0."( Early prediction of anthracycline induced cardiotoxicity.
Can, M; Demirtas, S; Erkus, B; Genc, Y; Karaca, L; Yarpuzlu, AA, 2007
)
0.34
"05), whereas the mean increase in furosemide dosage was similar in both groups."( Plasma brain natriuretic peptide-guided therapy to improve outcome in heart failure: the STARS-BNP Multicenter Study.
Aumont, MC; Aupetit, JF; Cohen-Solal, A; Donal, E; Eicher, JC; Funck, F; Galinier, M; Gueffet, P; Jondeau, G; Jourdain, P; Juillière, Y; Le Helloco, A, 2007
)
0.34
" Few studies have demonstrated that hormone dosage can add clinical and prognostic information with respect to the traditional laboratory analysis (i."( Emerging cardiac markers in coronary disease: role of brain natriuretic peptide and other biomarkers.
Gallotta, M; Iovine, F; Nuti, R; Palazzuoli, A, 2007
)
0.34
" When used for approved indications and according to recommended dosage and administration regimens, nesiritide represents a reasonable treatment adjunct for ADHF."( Benefit-risk assessment of nesiritide in the treatment of acute decompensated heart failure.
Yancy, CW, 2007
)
0.34
"Patients were randomized in a 1:1:1 ratio to twice-daily dosing with placebo, low-dose carvedilol (0."( Carvedilol for children and adolescents with heart failure: a randomized controlled trial.
Blume, ED; Boucek, MM; Boucek, RJ; Burr, J; Canter, CE; Dodd, DA; Holubkov, R; Hsu, DT; LaSalle, B; Lukas, MA; Mahony, L; Pahl, E; Rosenthal, DN; Ross, RD; Shaddy, RE; Tani, LY, 2007
)
0.34
" Doppler-echocardiography and the dosage of BNP can probably help to detect and consequently to treat prematurely heart failure in the diabetic patient."( [Diabetes and heart failure, a fatal association].
Cohen-Solal, A; Logeart, D,
)
0.13
" Few studies demonstrated that hormones dosage could add clinical and prognostic information respect to the traditional laboratory analysis (i."( Natriuretic peptides in coronary disease with non-ST elevation: new tools ready for clinical application?
Giannotti, G; Iovine, F; Nuti, R; Palazzuoli, A, 2007
)
0.34
" The mean dosing interval was 66."( Repeated infusions of levosimendan: well tolerated and improves functional capacity in decompensated heart failure - a single-centre experience.
Best, M; Dembo, L; Driscoll, GO; Parle, NM; Thomas, MD, 2008
)
0.35
"05) and this effect showed a dose-response relationship."( B-type natriuretic peptide decreases gastric emptying and absorption.
Addisu, A; Dietz, JR; Gower, WR; Landon, CS, 2008
)
0.35
" Patients without noticeable changes in left ventricular ejection fraction with a low to moderate carvedilol dosage show an increase in NT Pro BNP plasma levels."( N-terminal prohormone brain natriuretic peptide plasma levels in heart failure are affected both directly and indirectly by carvedilol.
Cokkinos, DV; Dritsas, A; Kallistratos, MS; Laoutaris, ID,
)
0.13
" B-type natriuretic peptide dosage is also able to uncover new onset of left heart failure associated with weaning difficulties from mechanical ventilation in chronic obstructive pulmonary disease patients."( Detection of acute heart failure in chronic obstructive pulmonary disease patients: role of B-type natriuretic peptide.
Abroug, F; Ouanes-Besbes, L, 2008
)
0.35
" In all patients, diuretics were administered according to a standardized dosing algorithm."( The effects of nesiritide on renal function and diuretic responsiveness in acutely decompensated heart failure patients with renal dysfunction.
Burnett, JC; Chen, HH; Frantz, RP; Hodge, DO; Karon, BL; Miller, WL; Owan, TE; Redfield, MM; Rodeheffer, RJ, 2008
)
0.35
" The clinical experience including indications for use, contraindications, dosage and monitoring has been reviewed."( Nesiritide: the clinical experience.
Weeks, SG, 2008
)
0.35
" In all patients we performed echocardiographic examination, dosage of plasma brain natriuretic peptide, serum carboxy-terminal propeptide and telopeptide of procollagen type I and amino-terminal propeptide of procollagen type III at days 1 and 3, and at 1 and 6 months after index infarction."( Time course of serum collagen types I and III metabolism products after reperfused acute myocardial infarction in patients with and without systemic hypertension.
Antoniucci, D; Buonamici, P; Cerisano, G; Dovellini, EV; Migliorini, A; Parodi, G; Raspanti, S; Taddeucci, E; Tommasi, M; Valenti, R, 2009
)
0.35
" Despite increasing numbers of studies using NPs in therapy of acute and chronic CHF, several controversies regarding safety, efficacy, and dosing of NPs need to be addressed."( Insights into natriuretic peptides in heart failure: an update.
Boerrigter, G; Burnett, JC; Korinek, J; Mohammed, SF, 2008
)
0.35
"14); furosemide dosage (0."( Nesiritide following maze and mitral valve surgery.
Arnaoutakis, GJ; Beaver, TM; Ejaz, AA; Hess, PJ; Martin, TD; Peng, YG; Winterstein, A,
)
0.13
" Indomethacin dosing was withheld in the BNP-guided group if the 12 or 24 h BNP concentrations were found to be <100 pg/ml."( B-type natriuretic peptide concentrations to guide treatment of patent ductus arteriosus.
Attridge, JT; Kaufman, DA; Lim, DS, 2009
)
0.35
"To evaluate the usefulness of monthly brain natriuretic peptide (BNP) dosage in assessing dry weight in hemodialysis patients."( Brain natriuretic peptide variations are linked to volume status in hemodialysis patients.
Abbassi, A; Chauffert, ML; Kihal, K; Martin, E; Poli, I; Roueff, S; Saint-Georges, M; Yazbeck, F, 2008
)
0.35
"Thirty-three newly diagnosed breast cancer patients who received a total doxorubicin dosage of 240 mg/m2 over four treatment cycles as part of adjuvant chemotherapy after curative breast surgery were included in this study."( Use of N-terminal pro-brain natriuretic peptide to assess left ventricular function after adjuvant doxorubicin therapy in early breast cancer patients: a prospective series.
Akin, AM; Alan, S; Altintas, A; Cil, T; Isikdogan, A; Kaplan, AM, 2009
)
0.35
"Several studies have demonstrated the usefulness of B-type natriuretic peptide (BNP) dosage in patients referring for acute dyspnea in the emergency department."( [B-type natriuretic peptide and Doppler echocardiography in the diagnosis of heart failure: alternative or complementary tools?].
Agricola, E; Ballo, P; Buralli, S; D'Andrea, A; D'Errico, A; Galderisi, M; Gallotta, M; Losi, MA; Mele, D; Mondillo, S; Nistri, S; Nuti, R; Palazzuoli, A; Sciomer, S, 2009
)
0.35
" Thus, it may prove more efficient to develop efforts to increase physicians' adhesion to guidelines than to rely on the dosage of a biomarker."( [BNP-guided therapy of chronic heart failure: what is the evidence?].
Copt, C; Nendaz, M, 2009
)
0.35
"Our data showed that BNP could not be dosed on different collection tubes without altering the results."( Measurement of Type B natriuretic peptide in heparin and K(2) EDTA plasma.
Cemin, R; Daves, M; Pusceddu, I, 2010
)
0.36
" There was a reduction in the dosage and in the number of patients who were treated with paricalcitol and sevelamer."( Cholecalciferol supplementation in hemodialysis patients: effects on mineral metabolism, inflammation, and cardiac dimension parameters.
Aires, I; Amaral, T; Borges, M; Cortez, J; Ferreira, A; Ferreira, C; Gil, C; Jorge, C; Matias, PJ, 2010
)
0.36
" It allows reduction of vitamin D deficiency, better control of mineral metabolism with less use of active vitamin D, attenuation of inflammation, reduced dosing of erythropoiesis-stimulating agents, and possibly improvement of cardiac dysfunction."( Cholecalciferol supplementation in hemodialysis patients: effects on mineral metabolism, inflammation, and cardiac dimension parameters.
Aires, I; Amaral, T; Borges, M; Cortez, J; Ferreira, A; Ferreira, C; Gil, C; Jorge, C; Matias, PJ, 2010
)
0.36
" Verapamil heart tissue and plasma levels after intraperitoneal dosing of spontaneously hypertensive and normotensive rats were investigated."( Impaired tissue clearance of verapamil in rat cardiac hypertrophy results in transcriptional repression of ion channels.
Borlak, J; Zwadlo, C, 2010
)
0.36
"The safety of once-daily (qd) dosing of valsartan in heart failure (HF) patients is not known."( Comparison of once-daily versus twice-daily dosing of valsartan in patients with chronic stable heart failure.
Anand, IS; Deswal, A; Kereiakes, DJ; Purkayastha, D; Zappe, DH, 2010
)
0.36
" Similar proportions of patients tolerated qd vs bid dosing (bid 67% vs qd 68%)."( Comparison of once-daily versus twice-daily dosing of valsartan in patients with chronic stable heart failure.
Anand, IS; Deswal, A; Kereiakes, DJ; Purkayastha, D; Zappe, DH, 2010
)
0.36
"Valsartan administered qd has a similar safety and tolerability profile with comparable 24-hour RAAS blockade, as assessed by increases in PRA, as bid dosing in patients with moderate to severe (NYHA class II-III) heart failure."( Comparison of once-daily versus twice-daily dosing of valsartan in patients with chronic stable heart failure.
Anand, IS; Deswal, A; Kereiakes, DJ; Purkayastha, D; Zappe, DH, 2010
)
0.36
" dosage effect), with an increase associated with two copies that varied between 20 and 100 pg/ml across populations."( Genome-wide association analysis and fine mapping of NT-proBNP level provide novel insight into the role of the MTHFR-CLCN6-NPPA-NPPB gene cluster.
Del Greco M, F; Franke, A; Fuchsberger, C; Heid, IM; Hicks, AA; Krawczak, M; Luchner, A; Melville, SA; Minelli, C; Pattaro, C; Peters, A; Pichler, I; Pramstaller, PP; Schreiber, S; Wichmann, HE; Wiedermann, CJ; Winkler, T, 2011
)
0.37
" However, no study has evaluated the comparative safety, efficacy, and biomarkers of optimally dosed nesiritide versus nitroglycerin in ADHF."( Renal function and neurohormonal changes following intravenous infusions of nitroglycerin versus nesiritide in patients with acute decompensated heart failure.
Chew, E; Chow, SL; Heywood, JT; O'Barr, SA; Pak, F; Patel, P; Patterson, JH; Peng, J; Quist, R, 2011
)
0.37
"01) while dosage of beta-blocker therapy has been comparable in both groups."( [Heart rate and functional impairment are predictors of outcome in heart failure patients in the real world. Data from the Austrian Heart Failure registry].
Altenberger, J; Dornaus, C; Ebner, C; Fruhwald, FM; Kaltenbach, L; Pacher, R; Pölzl, G; Reiter, S; Ulmer, H; Wieser, M, 2011
)
0.37
"To explore the safety of intravenous recombinant human brain natriuretic peptide (rhBNP) in treating acute decompensated heart failure and acute exacerbation of chronic heart failure, and to compare the differences in efficacy with different dosage and administration time."( [Efficacy and safety of intravenous recombinant human brain natriuretic peptide in patients with decompensated acute heart failure: a multicenter, randomized, open label, controlled study].
Hu, DY, 2011
)
0.37
"Retrospective medical records analysis of all patients hospitalised between January 2003 and May 2009 with the final diagnosis of acute exacerbation of COPD, and who had undergone BNP dosage at admission followed by an echocardiography."( Use of brain natriuretic peptide to detect previously unknown left ventricular dysfunction in patients with acute exacerbation of chronic obstructive pulmonary disease.
Agoritsas, T; Delabays, A; Gariani, K; Perneger, TV, 2011
)
0.37
"To explore efficacy and safety of a modified dosage regimen of nesiritide in patients (≥75 years) with acute heart failure (AHF)."( Efficacy and safety of a modified dosage regimen of nesiritide in patients older than 75 years with acute heart failure.
Bai, Y; Fu, S; Luo, L; Wang, H; Wang, L; Ye, P; Yi, S; Zhu, B, 2012
)
0.38
"In the Japan Morning Surge-Target Organ Protection (J-TOP) study, which was an open-label multicenter trial to compare bedtime or awakening dosing of candesartan (+ diuretics as needed) among individuals with home SBP higher than 135  mmHg, we evaluated 254 hypertensive patients who underwent ambulatory BP monitoring, and measured their BNP at baseline and after 6th month of treatment."( Association between asleep blood pressure and brain natriuretic peptide during antihypertensive treatment: the Japan Morning Surge-Target Organ Protection (J-TOP) study.
Eguchi, K; Hoshide, S; Ishikawa, J; Ishikawa, S; Kario, K; Shimada, K; Shimizu, M; Yano, Y, 2012
)
0.38
" Anemia is a deteriorating situation that causes increase of drug dosing in patients with heart failure."( Effects of levosimendan on TNF-alpha, BNP and MMP-1 in patients with heart failure with anemia.
Büyüklü, M; Kürüm, AT; Set, T; Tatlý, E, 2012
)
0.38
" The cumulative doxorubicin dosage was 240 mg/m(2) according to the AIEOP (Associazione Italiana Ematologia Oncologia Pediatrica) ALL 2000 protocol."( Myocardial performance index and biochemical markers for early detection of doxorubicin-induced cardiotoxicity in children with acute lymphoblastic leukaemia.
De Nisco, A; De Rosa, G; Leo, A; Maurizi, P; Mordente, A; Riccardi, R; Rizzo, D; Ruggiero, A; Vendittelli, F; Zuppi, C, 2013
)
0.39
" CRP quartiles 1 and 2 showed no significant difference followed by a significant inverse dose-response relationship."( Association of objectively measured physical activity with established and novel cardiovascular biomarkers in elderly subjects: every step counts.
Denkinger, M; Klenk, J; Koenig, W; Nikolaus, T; Peter, R; Rothenbacher, D, 2013
)
0.39
"There is a dose-response relationship in women between the severity of sleep apnea during the night and the levels of BNP in the morning."( Association between obstructive sleep apnea and elevated levels of type B natriuretic peptide in a community-based sample of women.
Lindahl, B; Lindberg, E; Ljunggren, M; Theorell-Haglöw, J, 2012
)
0.38
"Results from the DOSE-AHF study suggest that an initial continuous infusion of loop diuretics is not superior to bolus dosing with regard to clinical endpoints in acute heart failure."( Effect of admission oral diuretic dose on response to continuous versus bolus intravenous diuretics in acute heart failure: an analysis from diuretic optimization strategies in acute heart failure.
Braunwald, E; Felker, GM; Givertz, MM; McNulty, S; O'Connor, CM; Shah, RV, 2012
)
0.38
"The dosage of natriuretic peptides improves diagnostic performance in patients with acute dyspnea when combined with clinical elements."( [Performance of natriuretic peptide as a marker in patients with chronic obstructive pulmonary disease].
Gariani, K; Marti, C; Perrier, A, 2012
)
0.38
" Carvedilol maintenance dosage was lower in patients with preserved EF (7."( Clinical status and outcome of Japanese heart failure patients with reduced or preserved ejection fraction treated with carvedilol.
Hiramatsu, K; Kobayashi, F; Mori, Y; Nishikawa, Y, 2013
)
0.39
" New insight has been gained regarding volume management, including dosing strategies for intravenous loop diuretics and the role of ultrafiltration in patients with heart failure and renal dysfunction."( Acute decompensated heart failure: update on new and emerging evidence and directions for future research.
Albert, NM; Butler, J; Carson, PE; Collins, SP; Colvin-Adams, M; Dimarco, JP; Ezekowitz, JA; Fang, JC; Givertz, MM; Hernandez, AF; Hershberger, RE; Katz, SD; Krishnamani, R; Rogers, JG; Spertus, JA; Starling, RC; Stevenson, WG; Stough, WG; Sweitzer, NK; Tang, WH; Teerlink, JR; Walsh, MN; Westlake Canary, CA, 2013
)
0.39
" BNP and NT-proBNP were dosed with commercial kits."( Depletion of proBNP1-108 in patients with heart failure prevents cross-reactivity with natriuretic peptides.
Cristol, JP; Davy, JM; Delseny, D; Dupuy, AM; Fareh, J; Guerrier, L; Larue, C; Leclercq, F; Merle, D; Pasquie, JL; Roubille, F; Salvetat, N, 2013
)
0.39
" All patients underwent echocardiography in their acute phase and benefited from the dosage of BNP during the first 4 hours."( [Is BNP assay useful for the diagnosis of acute dyspnea in emergencies departments?].
Ben Ammar, L; Borsali Falfoul, N; Drissa, H; Hamouda, C; Kaabachi, N; Lakhdhar, R; Majed, K; Moncef, F,
)
0.13
"Time spent walking was associated with reduced risk of onset of stroke in dose-response fashion, independent of walking pace."( Protective effect of time spent walking on risk of stroke in older men.
Jefferis, BJ; Papacosta, O; Wannamethee, SG; Whincup, PH, 2014
)
0.4
" Therefore, we decided to execute a meta-analysis of published randomized controlled trials (RCTs) to test the hypothesis that an improvement of clinical outcomes in outpatients with CHF may be achieved by adjustment of pharmacologic dosing performed according to natriuretic peptide determinations."( B-type natriuretic peptide-guided versus symptom-guided therapy in outpatients with chronic heart failure: a systematic review with meta-analysis.
Ariano, C; Cioppa, C; De Vecchis, R; Di Biase, G; Esposito, C; Giasi, A, 2014
)
0.4
" Use of additional antihypertensive medication, ultrafiltration volume, and dialysis dosage were not different."( No significant effect of angiotensin II receptor blockade on intermediate cardiovascular end points in hemodialysis patients.
Bibby, BM; Christensen, KL; Jensen, JD; Jensen, LT; Jespersen, B; Kjaergaard, KD; Novosel, MK; Peters, CD; Sloth, E; Strandhave, C; Tietze, IN, 2014
)
0.4
" Concerning the treatment, recent data suggest that fluid removal, which is often indicated in such instances, could be guided by the dosage of B-type natriuretic peptide."( Weaning the cardiac patient from mechanical ventilation.
Dres, M; Monnet, X; Teboul, JL, 2014
)
0.4
" Results showed that the fusion protein HSA-(BNP)2 activated human natriuretic peptide receptor A (hNPR-A) with potency similar to that of BNP, despite using a 10-fold higher dosage than BNP."( The effects of fusion structure on the expression and bioactivity of human brain natriuretic peptide (BNP) albumin fusion proteins.
Deng, L; Ding, Y; Fu, Q; Jin, J; Peng, Y; Wu, Y, 2014
)
0.4
" The central venous pressure ( CVP ), mean arterial pressure ( MAP ) and the time reaching their standard values, and the norepinephrine dosage and 3-day fluid balance in severe septic shock patients were compared between milrinone and non-milrinone usage groups."( [Value of pulse indicator continuous cardiac output monitoring of cardiac function in septic shock patients: a prospective study].
Guo, X; Yao, G; Yi, M, 2015
)
0.42
" The heart rate (HR), mean arterial pressure (MAP), central venous pressure (CVP), and dosage of vasoactive drugs before and 1 day and 5 days after treatment were determined for hemodynamics assessment."( [Effect of Xuebijing injection on hemodynamics and endothelial function in patients with severe sepsis: a prospective study].
Guo, L; He, J; Tan, Z; Zhang, M, 2015
)
0.42
"After treatment, HR, MAP, CVP, Lac, ScvO2, and Pv-aCO2 were improved in both groups compared with those before treatment, and the dosage of norepinephrine (NE) was decreased in Xuebijing group."( [Effect of Xuebijing injection on hemodynamics and endothelial function in patients with severe sepsis: a prospective study].
Guo, L; He, J; Tan, Z; Zhang, M, 2015
)
0.42
"After treatment, HR, MAP, CVP, Lac, ScvO2, and Pv-aCO2 were improved in both groups compared with those before treatment, and the dosage of norepinephrine (NE) was decreased in Xuebijing group."( [Effect of Xuebijing injection on hemodynamics and endothelial function in patients with severe sepsis: a prospective study].
Guo, L; He, J; Tan, Z; Zhang, M, 2015
)
0.42
" Cross-sectional study that evaluated 48 patients between 6 and 18 years-old that underwent a six-minute walk test (6MWT), respiratory muscle strength, dosage of B-type natriuretic peptide and echocardiography."( Exercise capacity in children and adolescents with corrected congenital heart disease.
Coronel, CC; Feltez, G; Lukrafka, JL; Pellanda, LC, 2015
)
0.42
" Ultimately, crizotinib was administrated at a dose of 250 mg twice daily every 3 day dosing for 13 months with maintenance of the anti-tumor effect."( Effective Crizotinib schedule for an elderly patient with ALK rearranged non-small-cell lung cancer: a case report.
Chubachi, K; Fukuizumi, A; Gemma, A; Kato, Y; Kubota, K; Kunugi, S; Matsumoto, M; Minegishi, Y; Miyanaga, A; Nakamichi, S; Noro, R; Seike, M, 2015
)
0.42
" The influence of the different diagnostic tests on diuretic dosing was assessed descriptively and in linear regression analyses."( Adding point of care ultrasound to assess volume status in heart failure patients in a nurse-led outpatient clinic. A randomised study.
Dalen, H; Graven, T; Gundersen, GH; Haug, HH; Kleinau, JO; Norekval, TM; Skjetne, K, 2016
)
0.43
" Dosing of diuretics differed between the teams in 31 out of 119 consultations."( Adding point of care ultrasound to assess volume status in heart failure patients in a nurse-led outpatient clinic. A randomised study.
Dalen, H; Graven, T; Gundersen, GH; Haug, HH; Kleinau, JO; Norekval, TM; Skjetne, K, 2016
)
0.43
" The primary analysis specified pooled comparison of the 3 highest-dose vericiguat groups with placebo, and secondary analysis evaluated a dose-response relationship with vericiguat and the primary end point."( Effect of Vericiguat, a Soluble Guanylate Cyclase Stimulator, on Natriuretic Peptide Levels in Patients With Worsening Chronic Heart Failure and Reduced Ejection Fraction: The SOCRATES-REDUCED Randomized Trial.
Butler, J; Filippatos, G; Gheorghiade, M; Greene, SJ; Kraigher-Krainer, E; Lam, CS; Maggioni, AP; Müller, K; Pieske, B; Ponikowski, P; Roessig, L; Samano, ET; Shah, SJ; Solomon, SD, 2015
)
0.42
" The exploratory secondary analysis suggested a dose-response relationship whereby higher vericiguat doses were associated with greater reductions in NT-proBNP level (P < ."( Effect of Vericiguat, a Soluble Guanylate Cyclase Stimulator, on Natriuretic Peptide Levels in Patients With Worsening Chronic Heart Failure and Reduced Ejection Fraction: The SOCRATES-REDUCED Randomized Trial.
Butler, J; Filippatos, G; Gheorghiade, M; Greene, SJ; Kraigher-Krainer, E; Lam, CS; Maggioni, AP; Müller, K; Pieske, B; Ponikowski, P; Roessig, L; Samano, ET; Shah, SJ; Solomon, SD, 2015
)
0.42
" Further clinical trials of vericiguat based on the dose-response relationship in this study are needed to determine the potential role of this drug for patients with worsening chronic HF."( Effect of Vericiguat, a Soluble Guanylate Cyclase Stimulator, on Natriuretic Peptide Levels in Patients With Worsening Chronic Heart Failure and Reduced Ejection Fraction: The SOCRATES-REDUCED Randomized Trial.
Butler, J; Filippatos, G; Gheorghiade, M; Greene, SJ; Kraigher-Krainer, E; Lam, CS; Maggioni, AP; Müller, K; Pieske, B; Ponikowski, P; Roessig, L; Samano, ET; Shah, SJ; Solomon, SD, 2015
)
0.42
"Prospective monocenter observational study including all consecutive patients who received LT for cirrhosis and for whom a preoperative BNP serum dosage was available between January 2011 and December 2014."( Prognostic Value of Preoperative Brain Natriuretic Peptide Serum Levels in Liver Transplantation.
Cohen, J; Delefosse, D; Gayat, E; Guillemet, L; Janny, S; Khoy-Ear, L; Paugam-Burtz, C; Toussaint, A; Weiss, E, 2016
)
0.43
"The objective of this study was to establish the benefit of bisoprolol up-titration toward recommended dosage targets, versus lower-dose maintenance, in heart failure (HF) patients with systolic dysfunction."( Beneficial Effect on Surrogate Markers of Heart Failure with Bisoprolol Up-Titration to Recommended Targets in Korean Patients with Heart Failure and Left Ventricular Systolic Dysfunction.
Cha, TJ; Choi, DJ; Choi, SW; Han, SW; Hwang, KK; Jeon, H; Kim, HJ; Kim, JH; Kim, SH; Kim, YJ; Ryu, KH; Shim, WJ; Shin, MS; Yoo, BS, 2016
)
0.43
" In study 2, darbepoetin showed a U-shaped dose-response curve with maximal infarct size-reducing effect at 5μg/kg compared to the vehicle (44."( Novel, selective EPO receptor ligands lacking erythropoietic activity reduce infarct size in acute myocardial infarction in rats.
Bencsik, P; Bhandari, A; Csonka, C; Csont, T; Ferdinandy, P; Görbe, A; Holmes, CP; Kiss, K; Kocsis, GF; Murlasits, Z; Pálóczi, J; Pan, Y; Pipis, J; Sárközy, M; Shamloo, M; Szűcs, G; Woodburn, KW, 2016
)
0.43
" Despite morning dosing of both drugs, ambulatory blood pressure reductions were more pronounced at nighttime than at daytime or the 24-hour average."( Effects of Sacubitril/Valsartan (LCZ696) on Natriuresis, Diuresis, Blood Pressures, and NT-proBNP in Salt-Sensitive Hypertension.
Hinder, M; Hirschhorn, E; Ihm, SH; Langenickel, TH; Lee, HY; Pal, P; Prescott, MF; Rhee, MY; Tan, RS; Tomlinson, B; Wang, TD; Yang, F, 2017
)
0.46
"Omecamtiv mecarbil dosing guided by pharmacokinetics achieved plasma concentrations associated with improved cardiac function and decreased ventricular diameter."( Chronic Oral Study of Myosin Activation to Increase Contractility in Heart Failure (COSMIC-HF): a phase 2, pharmacokinetic, randomised, placebo-controlled trial.
Adams, KF; Cleland, JG; Ezekowitz, JA; Felker, GM; Goudev, A; Honarpour, N; Johnston, J; Macdonald, P; Malik, FI; McMurray, JJ; Metra, M; Mitrovic, V; Monsalvo, ML; Ponikowski, P; Serpytis, P; Solomon, SD; Spinar, J; Teerlink, JR; Tomcsányi, J; Vandekerckhove, HJ; Voors, AA, 2016
)
0.43
"5 and 5 μg/kg SC syncBNP followed by an additional three dogs dosed at 5 and 10 μg/kg."( Feasibility, safety, and tolerance of subcutaneous synthetic canine B-type natriuretic peptide (syncBNP) in healthy dogs and dogs with stage B1 mitral valve disease.
Oyama, MA; Solter, PF; Stern, JA; Thorn, CL, 2017
)
0.46
"This study explored the impact of intensive daily dosing of atorvastatin on in-hospital N-terminal pro-B-type natriuretic peptide level, left ventricular systolic function and incidence of major adverse cardiac events in non-ST-segment elevation myocardial infarction patients."( Prognostic impact of intensive statin therapy on N-terminal pro-BNP level in non-ST-segment elevation acute myocardial infarction patients.
Dardiri, M; Samir, A; Shehata, M, 2017
)
0.46
" Repeated measurements of LVEF, troponin T and NT-proBNP and dosing records of anthracyclines and trastuzumab were available from a previously published clinical trial."( Pharmacodynamic modeling of cardiac biomarkers in breast cancer patients treated with anthracycline and trastuzumab regimens.
Boekhout, AH; Burylo, AM; de Vries Schultink, AHM; Dorlo, TPC; Gietema, JA; Huitema, ADR; Schellens, JHM; van Hasselt, JGC, 2018
)
0.48
" Furthermore, the dosage forms and dose of the pesticide, and the interval between pesticide taking and doctor visit were compared between these two groups."( Manifestations of and risk factors for acute myocardial injury after acute organophosphorus pesticide poisoning.
Chen, KX; Sun, CA; Yan, PX; Zhou, XH, 2019
)
0.51
" The purified rNT-proBNP was detected by enzyme-linked immunosorbent assay and chemiluminescence enzyme immunoassay using commercial monoclonal antibodies recognizing different epitopes, showing a linear dose-response relationship in the range of tested concentrations (slope = 3."( High-level production of N-terminal pro-brain natriuretic peptide, as a calibrant of heart failure diagnosis, in Escherichia coli.
Ahn, J; Jeon, WY; Karisa, N; Kim, YC; Kim, YS; Lee, H, 2019
)
0.51
" We aimed to assess the dose-response effect of neladenoson bialanate on cardiac structure and function, clinical outcome, and safety in patients with heart failure (HF) with reduced ejection fraction (HFrEF)."( Safety and efficacy of the partial adenosine A1 receptor agonist neladenoson bialanate in patients with chronic heart failure with reduced ejection fraction: a phase IIb, randomized, double-blind, placebo-controlled trial.
Bax, JJ; Butler, J; Ferreira, AC; Hernandez, AF; Pap, AF; Senni, M; van der Laan, M; Voors, AA; Wirtz, AB, 2019
)
0.51
" To obtain greater sensitivity the dosage of natriuretic peptides, Bioelectrical Impedance Analysis (BIA) and, more recently, Lung Ultra-Sound (LUS) can all be used."( [Different methods to manage dry weight in hemodialysis patients].
Cupisti, A; D'Alessandro, C; Egidi, MF; Giannese, D; Puntoni, A; Varricchio, E, 2020
)
0.56
"Twenty-four HD patients underwent LUS and BNP dosage at the end of the mid-week HD session, monthly for 6 months ."( Lung ultrasound and BNP to detect hidden pulmonary congestion in euvolemic hemodialysis patients: a single centre experience.
Cupisti, A; D'Alessandro, C; Egidi, MF; Giannese, D; Mannucci, C; Morganti, R; Puntoni, A; Serio, P; Varricchio, E, 2021
)
0.62
" Tous avaient un dosage du BNP et ont été suivis pendant six mois."( Prognostic Significance of Pre-Discharge Plasma BNP among Heart Failure Patients in Ilorin, Nigeria.
Bello, HS; Dele-Ojo, BF; Gbadamosi, MS; Katibi, IA; Kolo, PM; Ogunmodede, JA; Omotoso, AB, 2021
)
0.62
" Thus, it is important to consider the dosage and timing of dexamethasone introduction on a patient-severity basis."( Dexamethasone is associated with early deaths in light chain amyloidosis patients with severe cardiac involvement.
Agbulut, O; Audard, V; Bézard, M; Damy, T; Galat, A; Gilles, F; Guendouz, S; Hamon, D; Kharoubi, M; Kordeli, E; Le Bras, F; Lemonnier, F; Molinier-Frenkel, V; Oghina, S; Poullot, E; Shourick, J; Teiger, E; Vitiello, D; Zaroui, A, 2021
)
0.62
" During the first 2 weeks, the dosage was titrated according to systolic blood pressure (SBP)."( 3-Month Enalapril Treatment in Pediatric Fontan Patients With Moderate to Good Systolic Ventricular Function.
Blom, NA; Harteveld, LM; Hazekamp, MG; Kuipers, IM; Rammeloo, LAJ; Ten Harkel, ADJ; Terol Espinosa de Los Monteros, C; van Dijk, JG, 2022
)
0.72
" The distribution of steady-state doses in VICTORIA was similar across CL/F quartiles, suggesting that the ability to reach and maintain dosing at the target 10-mg dose was not related to vericiguat exposure."( Population Pharmacokinetics of Vericiguat in Patients With Heart Failure With Reduced Ejection Fraction: An Integrated Analysis.
Armstrong, PW; Arrington, L; Becker, C; Blaustein, RO; Gheyas, F; Meyer, M; Passarell, J; Patel, Y; Trujillo, ME; Wenning, L, 2022
)
0.72
"Conclusions: The most significant for clinical and prognostic assessment of the post-infarction period complicated by decompensated HF is the response of the patient's body to dosed physical exertion and the levels of NT-prpBNP, copeptin and ST2."( MARKER DIAGNOSTIC HEART FAILURE PROGRESSION IN THE POST-INFARCTION PERIOD.
Levandovska, KV; Naluzhna, TV; Vakaliuk, IP, 2022
)
0.72
" Elevated PAGln levels were independently associated with a higher risk of the primary endpoint in a dose-response manner, regardless of HF subtype."( Increased circulating phenylacetylglutamine concentration elevates the predictive value of cardiovascular event risk in heart failure patients.
Chen, C; Huang, J; Li, C; Peng, L; Song, Y; Sun, Y; Wang, DW; Wang, H; Wei, H; Wu, J; Xiao, L; Zhang, Y; Zhao, C; Zhou, Z, 2023
)
0.91
"The literature recognizes the dosage of BNP/NT-proBNP as the gold stan-dard for diagnosing HF."( The role of laboratory medicine in a value-based healthcare system: the example of heart failure patient management in the Italian context.
Aspromonte, N; Banfi, G; Barocci, S; Bartolucci, D; Chiani, V; Clerico, A; Fasano, T; Gallucci, F; Gnerre, P; Lo Sasso, B; Mariottini, A; Medea, G; Paolini, D; Pecoraro, V; Perrone, MA; Ruscio, M; Sciacovelli, L; Trenti, T, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
polypeptideA peptide containing ten or more amino acid residues.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (1)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Atrial natriuretic peptide receptor 1Homo sapiens (human)IC50 (µMol)0.00600.00600.02100.0360AID551695
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (16)

Processvia Protein(s)Taxonomy
cGMP biosynthetic processAtrial natriuretic peptide receptor 1Homo sapiens (human)
cell surface receptor signaling pathwayAtrial natriuretic peptide receptor 1Homo sapiens (human)
receptor guanylyl cyclase signaling pathwayAtrial natriuretic peptide receptor 1Homo sapiens (human)
G protein-coupled receptor signaling pathwayAtrial natriuretic peptide receptor 1Homo sapiens (human)
body fluid secretionAtrial natriuretic peptide receptor 1Homo sapiens (human)
regulation of blood pressureAtrial natriuretic peptide receptor 1Homo sapiens (human)
positive regulation of cGMP-mediated signalingAtrial natriuretic peptide receptor 1Homo sapiens (human)
negative regulation of angiogenesisAtrial natriuretic peptide receptor 1Homo sapiens (human)
cGMP-mediated signalingAtrial natriuretic peptide receptor 1Homo sapiens (human)
negative regulation of cell growthAtrial natriuretic peptide receptor 1Homo sapiens (human)
positive regulation of urine volumeAtrial natriuretic peptide receptor 1Homo sapiens (human)
positive regulation of renal sodium excretionAtrial natriuretic peptide receptor 1Homo sapiens (human)
dopamine metabolic processAtrial natriuretic peptide receptor 1Homo sapiens (human)
regulation of vascular permeabilityAtrial natriuretic peptide receptor 1Homo sapiens (human)
negative regulation of smooth muscle cell proliferationAtrial natriuretic peptide receptor 1Homo sapiens (human)
blood vessel diameter maintenanceAtrial natriuretic peptide receptor 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (10)

Processvia Protein(s)Taxonomy
guanylate cyclase activityAtrial natriuretic peptide receptor 1Homo sapiens (human)
protein kinase activityAtrial natriuretic peptide receptor 1Homo sapiens (human)
ATP bindingAtrial natriuretic peptide receptor 1Homo sapiens (human)
GTP bindingAtrial natriuretic peptide receptor 1Homo sapiens (human)
G protein-coupled peptide receptor activityAtrial natriuretic peptide receptor 1Homo sapiens (human)
natriuretic peptide receptor activityAtrial natriuretic peptide receptor 1Homo sapiens (human)
peptide hormone bindingAtrial natriuretic peptide receptor 1Homo sapiens (human)
hormone bindingAtrial natriuretic peptide receptor 1Homo sapiens (human)
peptide receptor activityAtrial natriuretic peptide receptor 1Homo sapiens (human)
adenylate cyclase activityAtrial natriuretic peptide receptor 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (3)

Processvia Protein(s)Taxonomy
plasma membraneAtrial natriuretic peptide receptor 1Homo sapiens (human)
ANPR-A receptor complexAtrial natriuretic peptide receptor 1Homo sapiens (human)
receptor complexAtrial natriuretic peptide receptor 1Homo sapiens (human)
plasma membraneAtrial natriuretic peptide receptor 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (1)

Assay IDTitleYearJournalArticle
AID551695Displacement of [125I]ANP from NPR-A expressed in HeLa cells after 3 hrs by gamma counting2011Bioorganic & medicinal chemistry, Jan-15, Volume: 19, Issue:2
Intramolecular azo-bridge as a cystine disulfide bond surrogate: Somatostatin-14 and brain natriuretic peptide (BNP) analogs.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (15,640)

TimeframeStudies, This Drug (%)All Drugs %
pre-199038 (0.24)18.7374
1990's807 (5.16)18.2507
2000's5146 (32.90)29.6817
2010's7477 (47.81)24.3611
2020's2172 (13.89)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials1,867 (11.44%)5.53%
Reviews1,649 (10.11%)6.00%
Case Studies342 (2.10%)4.05%
Observational590 (3.62%)0.25%
Other11,869 (72.74%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (81)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
B-type Natriuretic Peptide Affects the Initial Response to Intravenous Glucose in a Placebo-controlled Cross-over Study in Healthy Volunteers [NCT01324739]10 participants (Actual)Interventional2010-05-31Completed
The Relationship Between Urine Metanephrine Concentration and Myocardial and Lung Injury in Subarachnoid Haemorrhage Patients: a Prospective Observational Study [NCT05408988]30 participants (Anticipated)Observational2022-01-22Recruiting
Pulmonary Echography and BNP Value Pre- and Post- Elective Cesarean Section in Spinal Anesthesia [NCT03851679]80 participants (Actual)Observational2016-12-17Completed
Hemodynamic Effects of Nesiritide on Congestive Heart Failure Patients Receiving Mechanical Ventilation: A Prospective Observational Study [NCT04455477]30 participants (Anticipated)Observational2020-05-14Recruiting
Testosterone Regulation of the Natriuretic Peptide System [NCT02269072]0 participants (Actual)Interventional2015-02-28Withdrawn(stopped due to Lack of funding)
Assessment of the Impact of Selected Factors on the Cardiovascular System in Patients With Different Chronic Kidney Disease Stages [NCT05214872]252 participants (Actual)Observational2016-03-25Completed
Prospective Cohort Evaluation of Cardiac Function With Echocardiography and Serum B-type Natriuretic Peptide (BNP) in Obstetrical Patients With and Without a History of Cardiac Disease [NCT00759733]0 participants (Actual)Observational2008-07-31Withdrawn(stopped due to No participants enrolled)
A Randomized, Double Blinded Placebo Controlled Cross-over Study of Low Dose B-type Natriuretic Peptide (Nesiritide) With or Without Concomitant Phosphodiesterase V (PDE V) Inhibition(Sildenafil) in Congestive Heart Failure Patients With Renal Dysfunction [NCT00818701]Phase 11 participants (Actual)Interventional2009-02-28Terminated(stopped due to started a NIH study that is competing for same subjects)
Metabolic Effects of Natriuretic Peptide Hormones [NCT03397966]Phase 45 participants (Actual)Interventional2018-07-01Terminated(stopped due to Study drug no longer available)
Clinical Proteomics and Protein Therapeutics in Human Hypertension (BNP in Human Hypertension - Phase 1) [NCT00953472]Phase 18 participants (Anticipated)Interventional2009-02-28Terminated
Natriuretic Peptides and Metabolic Risk in Obesity [NCT02642523]Early Phase 10 participants (Actual)InterventionalWithdrawn(stopped due to Preliminary data run on rat samples showed that this study question and design would not produce conclusive results. The PI decided not to carry out the study.)
Evaluation of Resuscitation Markers in Trauma Patients [NCT02772653]66 participants (Actual)Observational2016-05-31Completed
Evaluation of Synergy Between Natrecor and Furosemide on Renal and Neurohormone Responses in Chronic Heart Failure: A Phase-IV Study [NCT00652652]Phase 40 participants Interventional2003-03-31Completed
A Pilot, Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Nesiritide Infusion, Initiated Post-Induction of Anesthesia, in the Management of Coronary Artery Bypass Graft (CABG) Patients Requiring CardioPulmonary Bypass (CPB) [NCT00653042]Phase 2305 participants (Actual)Interventional2004-03-31Completed
Efficacy of Intra-renal Infusion of BNP in Enhancing Renal Function in Human CHF With Cardiorenal Syndrome: A Pilot Study [NCT00348556]Phase 1/Phase 24 participants (Actual)Interventional2005-12-31Terminated(stopped due to Company providing catheter bought out, funding and supplies terminated)
To Define in Human Preclinical Systolic Dysfunction (PSD) the Actions of Chronic Administration of Subcutaneous (SQ) BNP on the Left Ventricular, Renal, and Humoral Function and on the Integrated Response to Acute Sodium Loading [NCT00405639]Phase 1/Phase 237 participants (Actual)Interventional2006-06-30Completed
An Exploratory Study of JNS004 (Nesiritide) in Patients With Acute Heart Failure (J2) [NCT00490724]Phase 267 participants (Actual)Interventional2007-03-31Completed
Specific Aims 3: Define in Hospitalized Decompensated CHF Patients With Renal Dysfunction, the Renal Actions of Low Dose Intravenous Infusion of BNP in the Presence and Absence of Acute PDE V Inhibition in Improving Renal Function [NCT00972569]Phase 1/Phase 260 participants (Actual)Interventional2009-10-31Completed
Nesiritide as an Adjunctive Therapy for Children With Dilated Cardiomyopathy Admitted to the Intensive Care Unit [NCT00709163]20 participants (Actual)Interventional2003-12-31Completed
An Open-label, Single Arm, Multi-centered Clinical Trial on the Hemodynamics and Safety of Nesiritide in the Treatment of Patients With Acute Decompensate Heart Failure [NCT00813202]Phase 341 participants (Actual)Interventional2006-10-31Completed
Screening of Pulmonary Hypertension in Methamphetamine Abusers (SOPHMA): Rationale and Design of a Multicenter, Cross-sectional Study [NCT04019600]200 participants (Anticipated)Observational [Patient Registry]2019-12-23Suspended(stopped due to Recruitment in out-patient clinic has been suspended due to COVID-19 pandemic)
Acutely Decompensated Heart Failure in a County Emergency Department: A Double Blind Randomized Controlled Comparison of Nesiritide vs. Placebo Treatment [NCT00559338]Phase 4104 participants (Actual)Interventional2003-12-31Completed
Role of Natriuretic Peptides in the Treatment of Acutely Decompensated Heart Failure Patient With Obstructive Airways Disease [NCT00562692]Phase 36 participants (Actual)Interventional2007-09-30Terminated(stopped due to Recruitment very difficult. Study drug expired so we have stopped the study.)
Double-Blind, Placebo-Controlled, Multicenter Acute Study of Clinical Effectiveness of Nesiritide in Subjects With Decompensated Heart Failure (ASCEND-HF) [NCT00475852]Phase 37,141 participants (Actual)Interventional2007-05-31Completed
Investigation of the Use of Natrecor (Nesiritide) in Transplant-Eligible Management of Congestive Heart Failure-TMAC [NCT00338455]Phase 216 participants (Actual)Interventional2006-09-30Terminated(stopped due to DSMC acknowledged no safety concerns with the trial, recommending that the trial be terminated due to slow enrollment)
Acute Effect of Recombinant Human Brain Natriuretic Peptide in Patients With Pulmonary Hypertension Associated With Acute Exacerbation of Chronic Pulmonary Disease [NCT02742909]Phase 49 participants (Actual)Interventional2015-12-31Completed
Therapeutic Effects of BNP in Hypertensive Patients [NCT02608996]Phase 1/Phase 215 participants (Anticipated)Interventional2015-12-31Recruiting
Cardiac Hormone Replacement With BNP in Heart Failure: A Novel Therapeutic Strategy [NCT00252187]Phase 1/Phase 245 participants (Actual)Interventional2000-01-31Completed
Nesiritide Therapy for the Preservation of Left Ventricular Function Post Anterior Myocardial Infarction [NCT00573144]Phase 259 participants (Actual)Interventional2006-09-30Completed
To Define in Human Preclinical Diastolic Dysfunction (PDD) the Actions of Chronic Administration of Subcutaneous (SQ) BNP on the Left Ventricular, Renal and Humoral Function and on the Integrated Response to Acute Sodium Loading [NCT00405548]Phase 1/Phase 241 participants (Actual)Interventional2008-03-31Completed
Rapid Assessment of Bedside BNP In Treatment of Heart Failure (RABBIT) [NCT00206856]Phase 4720 participants Interventional2003-07-31Terminated(stopped due to Slow enrollment)
Effects of rhBNP in Pediatrics After Corrective Repair of Tetralogy Of Fallot [NCT01941576]120 participants (Actual)Interventional2013-09-01Completed
Nesiritide and Vo2 Max in Heart Failure Patients [NCT00240084]Phase 220 participants (Actual)Interventional2003-07-31Completed
BNP Pharmacodynamics and Effects on Metabolism in Lean and Obese Subjects [NCT01977859]Phase 14 participants (Actual)Interventional2013-11-30Completed
Impact of Empiric Nesiritide or Milrinone Infusion on Early Postoperative Recovery Following Fontan Surgery: a Randomized, Double-blind, Placebo-controlled Clinical Trial [NCT00543309]Phase 2106 participants (Actual)Interventional2007-10-31Terminated(stopped due to DSMB recommended termination based on interim outcomes analysis)
A Single-center, Pharmacokinetic Evaluation of Nesiritide in the Pediatric Population With Heart Failure [NCT00166010]0 participants (Actual)Interventional2004-10-31Withdrawn(stopped due to Observational study that DSMB placed on hold (withdrew 4 subjects). Protocol revised and received IND to become interventional PK study (no subjects enrolled).)
BNP as Adjuvant Therapy to Preserve Renal Function and Facilitate Diuresis in Hospitalized Patients With Heart Failure [NCT00170183]Phase 3104 participants (Anticipated)Interventional2003-03-31Completed
Acute Responses in Diastolic Heart Failure [NCT00204945]15 participants (Actual)Interventional2005-02-28Completed
B-type Natriuretic Peptide for Cardio-Renal Decompensation Syndrome [NCT00186329]Phase 4100 participants Interventional2004-03-31Completed
BNP Therapy Observation Unit Outcomes STudy [NCT00453453]Phase 417 participants (Actual)Interventional2007-03-31Terminated
B-natriuretic Peptide (BNP), Serum Troponin-I, and D-dimer as Risk Factors for In-hospital Death in Patients With COVID-19 [NCT04433026]90 participants (Anticipated)Observational2020-08-31Not yet recruiting
Double Blind Randomized Placebo Controlled Trial of Natrecor in Patients Hospitalized for Decompensated Heart Failure in the Presence of a Normal Left Ventricular Ejection Fraction [NCT00505791]Phase 40 participants (Actual)Interventional2007-08-31Withdrawn(stopped due to Unable to enroll patients)
A Double-Blind, Randomized, Placebo-Controlled Study of Nesiritide Administered After Induction of Anesthesia in Heart Failure Patients With Renal Insufficiency Undergoing Coronary Artery Bypass Graft Surgery Requiring Cardiopulmonary Bypass (NAPA-CS) [NCT00530361]Phase 30 participants (Actual)InterventionalWithdrawn(stopped due to Study was withdrawn prior to patient dosing based on a business decision.)
Management of Patients With CHF After Hospitalization-Follow up Serial Infusions of NATRECOR (Nesiritide) - FUSION I, A Pilot Study [NCT00270361]Phase 3214 participants (Actual)Interventional2001-12-31Completed
Natrecor (Nesiritide) Versus Dobutamine Therapy for Symptomatic, Decompensated CHF: A Safety Study Using 24-Hour Holter Monitoring - The PRECEDENT Trial: Prospective, Randomized Evaluation of Cardiac Ectopy With Dobutamine or Natrecor Therapy [NCT00270400]Phase 3255 participants (Actual)Interventional1998-08-31Completed
Renal Effects of Intrarenal Nesiritide [NCT00270829]Phase 42 participants (Actual)Interventional2005-12-31Terminated(stopped due to Funding not available)
Phase IV, Open Labeled Study to Test the Effectiveness of Nesiritide in Reversing Pulmonary Hypertension in Patients Who Will be Undergoing CardioThoracic Surgery [NCT00075179]Phase 415 participants (Actual)Interventional2003-12-31Terminated(stopped due to Low accrual.)
A Randomized, Double-Blinded, Placebo-Controlled Study of Two Doses of NATRECOR hBNP (Nesiritide) Administered as a Continuous Infusion in Subjects With Decompensated CHF [NCT00288730]Phase 3127 participants (Actual)Interventional1996-10-31Completed
Nesiritide Infusion for the Treatment of Decompensated Heart Failure and Renal Dysfunction [NCT00119691]Phase 234 participants (Actual)Interventional2003-04-30Completed
Follow-up Serial Infusions of Natrecor(Nesiritide) in the Management of Patients With Heart Failure-FUSION II [NCT00091520]Phase 2920 participants (Actual)Interventional2004-04-30Completed
Prophylactic Use of Nesiritide (Brain Natriuretic Peptide, BNP) for the Prevention of Acute Renal Failure in Thoracic Aortic Aneurysm Surgery Patients [NCT00110201]Phase 3124 participants Interventional2005-03-31Recruiting
The Effect of Aortic Impedance on Myocardial Relaxation [NCT00204984]17 participants (Actual)Interventional2005-05-31Completed
Natrecor® (Nesiritide) as a Nitric Oxide Sparing Agent in Patients Undergoing Lung Transplantation [NCT00205426]Phase 47 participants (Actual)Interventional2005-08-31Completed
Continuous Infusion Nesiritide in Chronic Heart Failure-University of Chicago (CINCH-UC) [NCT00145873]Phase 220 participants Interventional2003-08-31Terminated(stopped due to Unable to complete study)
The Use of Nesiritide in the Management of Acute Diastolic Heart Failure [NCT00083772]Phase 49 participants (Actual)Interventional2004-05-17Terminated
Pharmacogenetics of Ace Inhibitor-Associated Angioedema:Aim 1 [NCT01413542]44 participants (Actual)Interventional2011-11-30Completed
PET/MR in Post Stroke Cardiac Inflammation Study [NCT05791617]12 participants (Anticipated)Observational2023-07-01Recruiting
A Randomized Controlled Trial to Evaluate Renal Function, Inflammatory Mediators, and Neurohormonal Markers in Acutely Decompensated Heart Failure Patients Receiving Nesiritide Compared to Nitroglycerin. [NCT00842023]Phase 489 participants (Actual)Interventional2006-07-31Completed
Low Dose Continuous Infusion of BNP (Nesiritide) in the Prevention of Renal Insufficiency Post Cardiopulmonary Bypass Cardiac Surgery. [NCT00252200]Phase 1/Phase 240 participants (Actual)Interventional2003-03-31Completed
Prospective Randomized Outcomes Study of Acutely Decompensated Congestive Heart Failure Treated Initially in Outpatients With Natrecor (Nesiritide) - The PROACTION Trial [NCT00270387]Phase 3250 participants (Actual)Interventional2001-01-31Completed
Concentration of Trimethylamine-N-oxide Versus Echocardiographic, Biochemical and Histopathological Parameters of Heart Failure in Patients With Severe Aortic Stenosis: a Prospective, Observatory Trial [NCT04406805]70 participants (Anticipated)Observational2019-01-15Recruiting
A Randomized, Open-Label, Active-Controlled, Multicenter Phase III Safety Study of Two Doses of NATRECOR hBNP (Nesiritide) Administered as a Continuous Infusion in the Treatment of Decompensated CHF [NCT00271557]Phase 3305 participants (Actual)Interventional1997-01-31Completed
Phase 4 Study of Patients Receiving BNP or NTG (IV) During Angioplasty, Re-examined 24 Hours Later Using the Flow-mediated Brachial Artery Dilation Study, and Blood Assays for Pro BNP and ET1 [NCT00262574]Phase 4500 participants (Anticipated)Interventional2005-07-31Recruiting
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of the Hemodynamic and Clinical Effects of Natrecor (Nesiritide) Compared With Nitroglycerin Therapy for Symptomatic Decompensated CHF, The VMAC Trial: Vasodilation in the Management of Acu [NCT00270374]Phase 3498 participants (Actual)Interventional1999-10-31Completed
A Comparative Study of Advanced Imaging Techniques in Predicting the Clinical Outcome in Aortic Stenosis [NCT01775215]0 participants (Actual)Observational2013-01-31Withdrawn(stopped due to Abandoned)
Effect of rhBNP on Coronary Microcirculation in Patients With Acute ST-segment Elevation Myocardial Infarction After Primary PCI [NCT05723315]160 participants (Anticipated)Interventional2023-02-20Not yet recruiting
Cardiac Magnetic Resonance Assessment for Heart Failure With Preserved Ejection Fraction [NCT04063579]172 participants (Actual)Interventional2018-06-01Completed
Pilot Study of the Effects of Nesiritide on Hemodynamics and Urine Output Following Cardiopulmonary Bypass in Infants [NCT00281671]Phase 1/Phase 29 participants (Actual)Interventional2006-04-08Terminated(stopped due to Slow patient enrollment.)
Renal Optimization Strategies Evaluation in Acute Heart Failure and Reliable Evaluation of Dyspnea in the Heart Failure Network ROSE Study [NCT01132846]Phase 2360 participants (Actual)Interventional2010-08-31Completed
To Define the Role of PDEV in Mediating the Decreased GFR and Attenuated Renal Sodium and cGMP Excretory Response to Acute Saline Volume Expansion in PSD and PDD With Renal Dysfunction. [NCT01544998]Phase 1/Phase 243 participants (Actual)Interventional2012-02-29Completed
The Impact of Nesiritide on Renal Function After Implantation of the Total Artificial Heart and Left Ventricular Assist Devices [NCT01836809]Phase 42 participants (Actual)Interventional2013-04-30Terminated(stopped due to Futility for enrollment)
Novel Peptides in Resistant Human Hypertension [NCT01514357]Phase 1/Phase 212 participants (Actual)Interventional2012-04-30Terminated(stopped due to Original PI left the institution, and lack of funding.)
To Define in Normal Controls, Human Preclinical Systolic Dysfunction (PSD) and Preclinical Diastolic Dysfunction (PDD) the Actions of Acute Subcutaneous Nesiritide (BNP) on the Cardiorenal and Humoral Function and the Integrated Response to Acute Sodium L [NCT00387621]Phase 1/Phase 258 participants (Actual)Interventional2006-02-28Completed
A Randomized, Single-Blind, Placebo-Controlled, Single-Center Clinical Study of the Efficacy and Safety of Nesiritide on Early Postoperative Recovery After Total Cavo-Pulmonary Connection Surgery in Children [NCT03207295]108 participants (Anticipated)Interventional2017-07-05Recruiting
Does Nesiritide Provide Renal Protection By Attenuating the Inflammatory Response [NCT01440881]Phase 237 participants (Actual)Interventional2010-04-30Completed
A Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Study on the Efficacy and Safety of Recombinant Human Brain Natriuretic Peptide in Improving Type 3 Pulmonary Hypertension. [NCT05716984]Phase 472 participants (Anticipated)Interventional2023-04-15Enrolling by invitation
Strategies for Tailoring Advanced Heart Failure Regimens in the Outpatient Setting: Brain Natriuretic Peptide Levels Versus the Clinical Congestion Score [NCT00484770]Phase 2135 participants (Actual)Interventional2003-02-28Completed
Preliminary Study on the Clinical Effect of Recombinant Human Brain Natriuretic Peptide on Sepsis Complicated With Heart Failure [NCT05111769]70 participants (Anticipated)Interventional2021-12-01Not yet recruiting
Biomarkers, Hemodynamic and Echocardiographic Predictors of Ischemic Strokes and Their Influence on the Course and Prognosis [NCT03377465]100 participants (Actual)Interventional2016-11-15Completed
Incidence and Clinical Relevance of Perioperative Elevation of Troponin I and N- Terminal Pro-Brain Natriuretic Peptide in Patients Undergoing Lung Resection [NCT04749212]345 participants (Anticipated)Observational2021-05-19Recruiting
Effect of Nesiritide Infusion on Insulin Sensitivity in Healthy Obese Insulin Resistant Subjects [NCT03234751]Phase 16 participants (Actual)Interventional2017-07-13Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00252187 (8) [back to overview]Change in Left Ventricular (LV) Volume Index at 8 Weeks
NCT00252187 (8) [back to overview]Change in Blood Pressure at 8 Weeks
NCT00252187 (8) [back to overview]Change in Renal Function as Measured by Glomerular Filtration Rate (GFR) at 8 Weeks
NCT00252187 (8) [back to overview]Change in Plasma Renin Activity at 8 Weeks
NCT00252187 (8) [back to overview]Change in Left Ventricular Ejection Fraction at 8 Weeks
NCT00252187 (8) [back to overview]Change in Left Ventricular (LV) Mass Index at 8 Weeks
NCT00252187 (8) [back to overview]Change in Heart Rate at 8 Weeks
NCT00252187 (8) [back to overview]Change in Left Ventricular (LV) Filling Pressure at 8 Weeks
NCT00281671 (4) [back to overview]Number of Participants With Hypotension and Bradycardia
NCT00281671 (4) [back to overview]Urine Output
NCT00281671 (4) [back to overview]Urine Output
NCT00281671 (4) [back to overview]Cardiac Index
NCT00387621 (10) [back to overview]Change in Natriuresis (Urinary Sodium Excretion) at 30 Minutes in Response to Nesiritide Treatment Compared to Placebo Treatment
NCT00387621 (10) [back to overview]Change in Urinary Cyclic Guanosine Monophosphate (cGMP) in Control Subjects at 60 Minutes After Volume Expansion Compared to Baseline in Response to Placebo Treatment
NCT00387621 (10) [back to overview]Change in Natriuresis (Urinary Sodium Excretion) in Control Subjects at 60 Minutes After Volume Expansion Compared to Baseline in Response to Placebo Treatment
NCT00387621 (10) [back to overview]Change in Urinary Cyclic Guanosine Monophosphate (cGMP) at 60 Minutes in Response to Nesiritide Treatment Compared to Placebo Treatment
NCT00387621 (10) [back to overview]Change in Urinary Cyclic Guanosine Monophosphate (cGMP) at 30 Minutes in Response to Nesiritide Treatment Compared to Placebo Treatment
NCT00387621 (10) [back to overview]Change in Natriuresis (Urinary Sodium Excretion) at 60 Minutes in Response to Nesiritide Treatment Compared to Placebo Treatment
NCT00387621 (10) [back to overview]Nesiritide Pre-Treatment Urinary cGMP Excretion After Volume Expansion (UcGMPV)
NCT00387621 (10) [back to overview]Nesiritide Pre-Treatment Urinary Sodium Excretion After Volume Expansion (UNaV)
NCT00387621 (10) [back to overview]Placebo Pre-Treatment Urinary cGMP Excretion After Volume Expansion (UcGMPV)
NCT00387621 (10) [back to overview]Placebo Pre-Treatment Urinary Sodium Excretion After Volume Expansion (UnaV)
NCT00405548 (4) [back to overview]Left Ventricular (LV) Filling Pressure
NCT00405548 (4) [back to overview]Change in Urinary Sodium Excretion in Response to Saline Load
NCT00405548 (4) [back to overview]Change in Urinary Flow in Response to Saline Load
NCT00405548 (4) [back to overview]Change in Glomerular Filtration Rate (GFR) in Response to Saline Load
NCT00405639 (4) [back to overview]Change in Left Ventricular Mass Index
NCT00405639 (4) [back to overview]Change in Renal Function as Measured by Glomerular Filtration Rate (GFR) in Response to Saline Load
NCT00405639 (4) [back to overview]Change in Urinary Sodium Excretion in Response to Saline Load
NCT00405639 (4) [back to overview]Change in Urine Flow in Response to Saline Load
NCT00475852 (12) [back to overview]Composite of Rehospitalization Due to Heart Failure and All-Cause Mortality
NCT00475852 (12) [back to overview]Number of Days Alive and Outside the Hospital
NCT00475852 (12) [back to overview]Number of Patients With Renal Impairment
NCT00475852 (12) [back to overview]Cardiovascular Mortality Through Day 30
NCT00475852 (12) [back to overview]Dyspnea Self-Assessment at 24 Hours After Initiation of Study Drug
NCT00475852 (12) [back to overview]Dyspnea Self-Assessment at 6 Hours After Initiation of Study Drug
NCT00475852 (12) [back to overview]Overall Well-Being Self-Assessment at 24 Hours After Initiation of Study Drug
NCT00475852 (12) [back to overview]Overall Well-Being Self-Assessment at 6 Hours After Initiation of Study Drug
NCT00475852 (12) [back to overview]Composite of Cardiovascular Rehospitalization and Cardiovascular Mortality
NCT00475852 (12) [back to overview]All-Cause Mortality Through Day 180
NCT00475852 (12) [back to overview]All-Cause Mortality Through Day 30
NCT00475852 (12) [back to overview]Composite of Persistent or Worsening Heart Failure and All-Cause Mortality
NCT00490724 (20) [back to overview]Number of Participants With Dyspnea Symptoms Assessed by Borg Scale Score
NCT00490724 (20) [back to overview]Change From Baseline in Systemic Vascular Resistance (SVR) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Stroke Volume Index (SVI) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Stroke Volume (SV) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Pulmonary Vascular Resistance (PVR) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP or Pulmonary Arterial Diastolic Pressure[PADP]) at 3 Hours
NCT00490724 (20) [back to overview]Change From Baseline in Pulmonary Arterial Systolic Pressure (PASP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Pulmonary Arterial Diastolic Pressure (PADP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Mean Right Atrial Pressure (MRAP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Mean Pulmonary Arterial Pressure (MPAP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Mean Blood Pressure (MBP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15, 18, 21 and 24 Hour
NCT00490724 (20) [back to overview]Assessment of Dyspnea Using Respiratory Rate
NCT00490724 (20) [back to overview]Change From Baseline in Cardiac Output (CO) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Change From Baseline in Cardiac Index (CI) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
NCT00490724 (20) [back to overview]Assessment of Dyspnea Using Percutaneous Arterial Oxygen Saturation (SpO2)
NCT00490724 (20) [back to overview]Number of Participants With Oxygen Therapy
NCT00490724 (20) [back to overview]Urinary Volume
NCT00490724 (20) [back to overview]Number of Participants With Orthopnea
NCT00490724 (20) [back to overview]Number of Participants With Dyspnea Symptoms Assessed by Likert Scale Score
NCT00543309 (15) [back to overview]Resource Utilization: Days Alive and Out of Hospital Within 180 Days of Surgery
NCT00543309 (15) [back to overview]Resource Utilization: Days of Initial CICU Stay
NCT00543309 (15) [back to overview]Resource Utilization: Hours of Mechanical Ventilation Until Initial Extubation
NCT00543309 (15) [back to overview]Epinephrine Levels
NCT00543309 (15) [back to overview]N-terminal Pro-brain Natriuretic Peptide Levels
NCT00543309 (15) [back to overview]Plasma Norepinephrine Levels.
NCT00543309 (15) [back to overview]Cardiovascular: Arrhythmia
NCT00543309 (15) [back to overview]Cardiovascular: Cardiac Index
NCT00543309 (15) [back to overview]Cardiovascular: Cardiac Index
NCT00543309 (15) [back to overview]Cardiovascular: Peak Inotrope Score
NCT00543309 (15) [back to overview]Cardiovascular: Peak Lactate Level
NCT00543309 (15) [back to overview]Days Alive and Out of the Hospital Within 30 Days of Surgery.
NCT00543309 (15) [back to overview]Renal Function: Maximum Change in Serum Creatinine
NCT00543309 (15) [back to overview]Renal Function: Urine Output
NCT00543309 (15) [back to overview]Resource Utilization: Chest Tube Days
NCT00573144 (3) [back to overview]Change in Left Ventricular End-Systolic Volume Index
NCT00573144 (3) [back to overview]Change in Left Ventricular End-Systolic Diastolic Volume Index
NCT00573144 (3) [back to overview]Myocardial Infarct Size at 30 Days
NCT00842023 (3) [back to overview]Inflammatory Markers
NCT00842023 (3) [back to overview]Renal Function by Serum Creatinine
NCT00842023 (3) [back to overview]Serum Levels of Cystatin-C
NCT01132846 (15) [back to overview]Change in Blood Urea Nitrogen (BUN)/ Serum Cystatin C Ratio
NCT01132846 (15) [back to overview]Change in Clinical Stability- RED-ROSE
NCT01132846 (15) [back to overview]Change in Cystatin C
NCT01132846 (15) [back to overview]Change in Dyspnea Assessment (RED-ROSE Substudy)
NCT01132846 (15) [back to overview]Change in Heart Failure Status
NCT01132846 (15) [back to overview]Change in Serum Creatinine
NCT01132846 (15) [back to overview]Change in Treatment Response
NCT01132846 (15) [back to overview]Change in Weight
NCT01132846 (15) [back to overview]Cumulative Urinary Sodium Excretion
NCT01132846 (15) [back to overview]Cumulative Urinary Volume
NCT01132846 (15) [back to overview]Decongestive Changes- RED-ROSE
NCT01132846 (15) [back to overview]Development of Cardio-renal Syndrome
NCT01132846 (15) [back to overview]Dyspnea Visual Analog Scale Area Under the Curve
NCT01132846 (15) [back to overview]Global Visual Analog Scale Area Under the Curve
NCT01132846 (15) [back to overview]Worst Reported Symptom Changes-RED-ROSE
NCT01413542 (5) [back to overview]Assess Effect of ACE and/or DPP4 Inhibition on Heart Rate Response to Substance P (SP)
NCT01413542 (5) [back to overview]Assess Tissue Type Plasminogen Activator (tPA) Release
NCT01413542 (5) [back to overview]Effect of Treatment (ACE or DPP4 Inhibition, or Combined) on Norepinephrine (NE) Release (Arterial Venous Gradient) in Response to Substance P (SP)
NCT01413542 (5) [back to overview]Effect of Treatment (DPP4 Inhibition vs. Placebo) on Venous GLP-1 Levels in Response to Arterial GLP-1 Infusion
NCT01413542 (5) [back to overview]The Effect of Enalaprilat (ACE Inhibition), Sitagliptin (DPP4 Inhibition), or the Combination on the Vasodilator Response (Forearm Blood Flow) to Substance P (SP) and Bradykinin (Group 1) or Glucagon Like Peptide-1 and Brain Naturetic Peptide (Group 2).
NCT01440881 (4) [back to overview]The Examine and Measure Endothelin-1 to Measure Kidney Injury
NCT01440881 (4) [back to overview]The Examine and Measure Urinary NGAL to Measure Kidney Injury
NCT01440881 (4) [back to overview]Measure Neutrophils to Measure Kidney Injury
NCT01440881 (4) [back to overview]The Examine and Measure Cytokines to Measure Kidney Injury
NCT01514357 (1) [back to overview]Changes in Systolic Blood Pressure (BP)
NCT01544998 (6) [back to overview]Change in Glomerular Filtration Rate (GFR) at 60 Minutes for Preclinical Diastolic Dysfunction (PDD) Reporting Group
NCT01544998 (6) [back to overview]Change in Natriuresis (Urinary Sodium Excretion) at 60 Minutes for Preclinical Diastolic Dysfunction (PDD) Reporting Group
NCT01544998 (6) [back to overview]Change in Natriuresis (Urinary Sodium Excretion) at 60 Minutes for Preclinical Systolic Dysfunction (PSD) Reporting Group
NCT01544998 (6) [back to overview]Change in Urinary Cyclic Guanosine Monophosphate (cGMP) at 60 Minutes for Preclinical Diastolic Dysfunction (PDD) Reporting Group
NCT01544998 (6) [back to overview]Change in Urinary Cyclic Guanosine Monophosphate (cGMP) at 60 Minutes for Preclinical Systolic Dysfunction (PSD) Reporting Group
NCT01544998 (6) [back to overview]Change in Glomerular Filtration Rate (GFR) at 60 Minutes for Preclinical Systolic Dysfunction (PSD) Reporting Group
NCT03397966 (2) [back to overview]Change in Resting Energy Expenditure (EE)
NCT03397966 (2) [back to overview]Adipose Tissue Gene Expression of Uncoupling Protein 1 (UCP1)

Change in Left Ventricular (LV) Volume Index at 8 Weeks

LV volume was measured for systolic volume and diastolic volume using a cardiac Magnetic Resonance Imaging (MRI) scan. All cardiac MRI images were reviewed by an independent cardiologist in a blinded fashion. (NCT00252187)
Timeframe: Baseline and 8 weeks

,
Interventionml/m^2 (Mean)
End-systolic LV volume indexEnd-diastolic LV volume index
B-type Natriuretic Peptide (BNP)-5.2-10.0
Placebo5.86.1

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Change in Blood Pressure at 8 Weeks

Blood pressure was measured during the MRI (NCT00252187)
Timeframe: Baseline and 8 weeks

,
InterventionmmHg (Mean)
Change in systolic blood pressureChange in diastolic blood pressure
B-type Natriuretic Peptide (BNP)-4.9-2.4
Placebo4.50.9

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Change in Renal Function as Measured by Glomerular Filtration Rate (GFR) at 8 Weeks

Kidney function was measured by GFR determined by iothalamate clearance. Glomerular filtration rate describes the flow rate of filtered fluid through the kidney measured in milliliters per minute per 1.73 m^2 of body-surface area. A lower GFR means the kidney is not filtering normally. (NCT00252187)
Timeframe: Baseline and 8 weeks

Interventionml/min/1.73 m^2 of body-surface area (Mean)
B-type Natriuretic Peptide (BNP)6.9
Placebo-2.8

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Change in Plasma Renin Activity at 8 Weeks

Plasma renin is synthesized within circulation or at tissue sites, causing vasoconstriction or vasodilation. (NCT00252187)
Timeframe: Baseline and 8 weeks

Interventionnanograms per milliliter per hour (Mean)
B-type Natriuretic Peptide (BNP)-3.5
Placebo2.3

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Change in Left Ventricular Ejection Fraction at 8 Weeks

Left Ventricle Ejection Fraction (LVEF)is a clinical parameter used by cardiologists to describe how well the heart is pumping. LVEF is a measure of the amount of blood pumped out of the lower chamber (ventricle) of the heart during a heartbeat, measured by Magnetic Resonance Imaging (MRI). (NCT00252187)
Timeframe: Baseline and 8 weeks

Interventionpercentage (Mean)
B-type Natriuretic Peptide (BNP)0.0
Placebo-1.1

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Change in Left Ventricular (LV) Mass Index at 8 Weeks

(NCT00252187)
Timeframe: Baseline and 8 weeks

Interventionmg/m^2 (Mean)
B-type Natriuretic Peptide (BNP)-4.4
Placebo6.2

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Change in Heart Rate at 8 Weeks

Heart rate was measured when MRI was performed (NCT00252187)
Timeframe: Baseline and 8 weeks

Interventionbeats per minute (Mean)
B-type Natriuretic Peptide (BNP)-1.6
Placebo-0.9

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Change in Left Ventricular (LV) Filling Pressure at 8 Weeks

Filling pressure determined by ratio of E/e' [Echocardiograph Doppler mitral inflow velocity (E) to mitral annulus tissue Doppler velocity (e') ratio] (NCT00252187)
Timeframe: Baseline and 8 weeks

InterventionE/e' (Mean)
B-type Natriuretic Peptide (BNP)-2.3
Placebo1.1

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Number of Participants With Hypotension and Bradycardia

"Hypotension (mean arterial blood pressure < 40 mmHg for > 30 minutes) that is refractory to volume administration, increased inotropic/vasopressor support, and weaning of other vasodilators (e.g., milrinone) or sedatives~Bradycardia, defined as 1) a decrease in heart rate of more than 30 beats/minute from baseline following the initiation of study drug infusion that 2) results in new requirement for temporary atrial pacing or other treatment specifically to increase heart rate and 3) is not readily explainable by other conditions." (NCT00281671)
Timeframe: 48 hours

,
InterventionParticipants (Count of Participants)
hypotensionbradycardia
Nesiritide00
Placebo00

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Urine Output

(NCT00281671)
Timeframe: 10 hours

Interventioncc/kg/hr (Median)
Placebo3.4
Nesiritide4.2

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Urine Output

Urine output measured in cc/kg/hour during the last 5 hours of the study drug infusion (NCT00281671)
Timeframe: 5 hours

Interventioncc/kg/hr (Median)
Placebo2.9
Nesiritide3.1

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Cardiac Index

Cardiac index is based on the cardiac output, which is the amount of blood the left ventricle ejects into the systemic circulation in one minute, measured in liters per minute (l/min). Cardiac output is indexed to a patient's body size by dividing by the body surface area (m^2) to yield the cardiac index. Cardiac index was calculated in patients with an SVC catheter (previously placed for clinical indications) using the Fick principle using measured oxygen consumption (VO2), hemoglobin levels, and the difference between arterial and superior vena cava oxygen saturation. Oxygen consumption was measured using a real-time gas exchange technique with the Deltatrack II gas sensor. (NCT00281671)
Timeframe: Baseline (hour 0) and 6 hours after onset of study drug infusion

,
InterventionL/min/m^2 (Median)
baseline6 hours after onset of drug infusion
Nesiritide1.902.15
Placebo1.831.95

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Change in Natriuresis (Urinary Sodium Excretion) at 30 Minutes in Response to Nesiritide Treatment Compared to Placebo Treatment

Value of natriuresis at 30 min on nesiritide treatment minus value of natriuresis at 30 min on placebo treatment (per subject group). The baseline was not involved in this calculation. (NCT00387621)
Timeframe: 30 minutes

InterventionmEq/min (Mean)
Control440.93
PSD-Preclinical Systolic Dysfunction261.07
PDD-Preclinical Diastolic Dysfunction242.82

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Change in Urinary Cyclic Guanosine Monophosphate (cGMP) in Control Subjects at 60 Minutes After Volume Expansion Compared to Baseline in Response to Placebo Treatment

Value at 60 minutes minus value at baseline (NCT00387621)
Timeframe: baseline and 60 minutes

Interventionpmol/min (Mean)
Control Group98.23

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Change in Natriuresis (Urinary Sodium Excretion) in Control Subjects at 60 Minutes After Volume Expansion Compared to Baseline in Response to Placebo Treatment

Value at 60 minutes minus value at baseline. (NCT00387621)
Timeframe: baseline and 60 minutes

InterventionmEq/min (Mean)
Control Group87.19

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Change in Urinary Cyclic Guanosine Monophosphate (cGMP) at 60 Minutes in Response to Nesiritide Treatment Compared to Placebo Treatment

Value of cGMP at 60 min on nesiritide treatment minus value of cGMP at 60 min on placebo treatment (per subject group). The baseline was not involved in this calculation. (NCT00387621)
Timeframe: 60 minutes

Interventionpmol/min (Mean)
Control303.32
PSD-Preclinical Systolic Dysfunction384.62
PDD-Preclinical Diastolic Dysfunction335.29

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Change in Urinary Cyclic Guanosine Monophosphate (cGMP) at 30 Minutes in Response to Nesiritide Treatment Compared to Placebo Treatment

Value of cGMP at 30 min on nesiritide treatment minus value of cGMP at 30 min on placebo treatment (per subject group). The baseline was not involved in this calculation. (NCT00387621)
Timeframe: 30 minutes

Interventionpmol/min (Mean)
Control244.69
PSD-Preclinical Systolic Dysfunction255.31
PDD-Preclinical Diastolic Dysfunction353.37

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Change in Natriuresis (Urinary Sodium Excretion) at 60 Minutes in Response to Nesiritide Treatment Compared to Placebo Treatment

Value of natriuresis at 60 min on nesiritide treatment minus value of natriuresis at 60 min on placebo treatment (per subject group). The baseline was not involved in this calculation. (NCT00387621)
Timeframe: 60 minutes

InterventionmEq/min (Mean)
Control183.83
PSD-Preclinical Systolic Dysfunction226.89
PDD-Preclinical Diastolic Dysfunction41.55

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Nesiritide Pre-Treatment Urinary cGMP Excretion After Volume Expansion (UcGMPV)

Subjects received subcutaneous Nesiritide in the abdomen. After 15 minutes, the acute saline load (volume expansion, VE) was administered. Subjects were asked to empty bladder spontaneously every 30 min (if unable to void every 30 min, a urinary catheter was placed). Adequate bladder emptying was insured by ultrasonography. UcGMPV was collected at baseline (immediately before VE) and at 30 and 60 min after initiation of VE. (NCT00387621)
Timeframe: Baseline, 30 min, 60 min

,,
Interventionpmol/min (Mean)
Urinary cGMP Excretion (Baseline/Pretreatment)Urinary cGMP Excretion at 30 minUrinary cGMP Excretion at 60 min
Control Group (Normals)130.8399.6508.4
Preclinical Diastolic Dysfunction Group (PDD)258.0487.8475.0
Preclinical Systolic Dysfunction Group (PSD)192.2388.6518.7

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Nesiritide Pre-Treatment Urinary Sodium Excretion After Volume Expansion (UNaV)

Subjects received subcutaneous Nesiritide in the abdomen. After 15 minutes, the acute saline load (volume expansion, VE) was administered. Subjects were asked to empty bladder spontaneously every 30 min (if unable to void every 30 min, a urinary catheter was placed). Adequate bladder emptying was insured by ultrasonography. UNaV was collected at baseline (immediately before VE) and at 30 and 60 min after initiation of VE. (NCT00387621)
Timeframe: Baseline, 30 min, 60 min

,,
InterventionuEq/min (Mean)
Urinary Sodium Excretion (Baseline/Pre-treatment)Urinary Sodium Excretion at 30 minUrinary Sodium Excretion at 60 min
Control Group (Normals)183.9393.4650.1
Preclinical Diastolic Dysfunction Group (PDD)219.1303.2464.8
Preclinical Systolic Dysfunction Group (PSD)232.6314.7469.4

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Placebo Pre-Treatment Urinary cGMP Excretion After Volume Expansion (UcGMPV)

Subjects received subcutaneous placebo in the abdomen. After 15 minutes, the acute saline load (volume expansion, VE) was administered. Subjects were asked to empty bladder spontaneously every 30 min (if unable to void every 30 min, a urinary catheter was placed). Adequate bladder emptying was insured by ultrasonography. UcGMPV was collected at baseline (immediately before VE) and at 30 and 60 min after initiation of VE. (NCT00387621)
Timeframe: Baseline, 30 min, 60 min

,,
Interventionpmol/min (Mean)
Urinary cGMP Excretion (Baseline/Pre-treatment)Urinary cGMP Excretion at 30 minUrinary cGMP Excretion at 60 min
Control Group (Normals)97.8154.9196.0
Preclinical Diastolic Dysfunction Group (PDD)245.8134.4139.7
Preclinical Systolic Dysfunction Group (PSD)219.5133.3134.1

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Placebo Pre-Treatment Urinary Sodium Excretion After Volume Expansion (UnaV)

Subjects received subcutaneous placebo in the abdomen. After 15 minutes, the acute saline load (volume expansion, VE) was administered. Subjects were asked to empty bladder spontaneously every 30 min (if unable to void every 30 min, a urinary catheter was placed). Adequate bladder emptying was insured by ultrasonography. UNaV was collected at baseline (immediately before VE) and at 30 and 60 min after initiation of VE. (NCT00387621)
Timeframe: Baseline, 30 min, 60 min

,,
InterventionuEq/min (Mean)
Urinary Sodium Excretion (Baseline/Pre-treatment)Urinary Sodium Excretion at 30 minUrinary Sodium Excretion at 60 min
Control Group (Normals)186.6197.4211.8
Preclinical Diastolic Dysfunction Group (PDD)202.1187.9205.0
Preclinical Systolic Dysfunction Group (PSD)255.4221.0231.1

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Left Ventricular (LV) Filling Pressure

LV diastolic function as measured by Doppler echocardiography. E/e' is the ratio of the mitral inflow velocity (E) to the mitral annulus tissue Doppler velocity (e'). A decrease in the ratio indicates a lower filling pressure and improved LV diastolic function. (NCT00405548)
Timeframe: Baseline, 12 weeks

,
InterventionE/e' (Mean)
Baseline LV Filling Pressure12 Week LV Filling Pressure
BNP (Nesiritide)14.912.6
Placebo14.914.0

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Change in Urinary Sodium Excretion in Response to Saline Load

Renal (or kidney) function was measured by the sodium or salt in the urine, following administration of a pre-specified amount of saline (salt). (NCT00405548)
Timeframe: Baseline, 12 weeks

InterventionmEq/minute (Mean)
BNP (Nesiritide)381.6
Placebo-10.5

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Change in Urinary Flow in Response to Saline Load

Urinary flow is a measure of renal (or kidney) function and was measured in milliliters per minute. (NCT00405548)
Timeframe: Baseline, 12 weeks

Interventionml/minute (Mean)
BNP (Nesiritide)4.2
Placebo-1.0

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Change in Glomerular Filtration Rate (GFR) in Response to Saline Load

Renal or kidney function was measured by GFR determined by iothalamate clearance. GFR describes the flow rate of filtered fluid through the kidney measured in milliliters per minute per 1.73 m^2 of body surface area. A lower GFR means the kidney is not filtering normally. An estimated GFR of less than 60 mg/ml/1.73 m^2 of body surface area is considered to be impaired kidney function. (NCT00405548)
Timeframe: Baseline, 12 weeks

Interventionml/min/1.73 m^2 body surface area (Mean)
BNP (Nesiritide)6.8
Placebo4.4

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Change in Left Ventricular Mass Index

Left ventricular mass index (LVMI) is a surrogate of left ventricular hypertrophy and a predictor of cardiac morbidity and mortality in adults with hypertension. LVMI was measured with echocardiography, indexed to body surface area estimated by left ventricular (LV) cavity dimension and wall thickness at end-diastole. (NCT00405639)
Timeframe: baseline, 12 weeks

Interventiong/m^2 (Mean)
Nesiritide-5.8
Placebo2.0

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Change in Renal Function as Measured by Glomerular Filtration Rate (GFR) in Response to Saline Load

Kidney function was measured by GFR determined by iothalamate clearance. GFR describes the flow rate of filtered fluid through the kidney measured in milliliters per minute per 1.73 m^2 of body surface area. A lower GFR means the kidney is not filtering normally. An estimated GFR of less than 60 mg/min/1.73 m^2 of body surface area is considered to be impaired kidney function. (NCT00405639)
Timeframe: baseline, 12 weeks

Interventionml/min/1.73 m^2 (Mean)
Nesiritide1.6
Placebo-7.4

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Change in Urinary Sodium Excretion in Response to Saline Load

(NCT00405639)
Timeframe: baseline, 12 weeks

InterventionmEq/min (Mean)
Nesiritide179.1
Placebo3.1

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Change in Urine Flow in Response to Saline Load

(NCT00405639)
Timeframe: baseline, 12 weeks

Interventionml/min (Mean)
Nesiritide3.1
Placebo-0.4

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Composite of Rehospitalization Due to Heart Failure and All-Cause Mortality

(NCT00475852)
Timeframe: Randomization to Day 30

InterventionParticipants (Number)
Nesiritide321
Placebo345

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Number of Days Alive and Outside the Hospital

(NCT00475852)
Timeframe: Randomization to Day 30

InterventionDays (Mean)
Nesiritide20.9
Placebo20.7

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Number of Patients With Renal Impairment

Renal impairment was defined as a greater than 25% decrease from baseline in the Modification of Diet in Renal Disease calculated glomerular filtration rate. (NCT00475852)
Timeframe: Study drug initiation to Day 30

InterventionParticipants (Number)
Nesiritide1032
Placebo968

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Cardiovascular Mortality Through Day 30

All deaths were adjudicated by an independent Clinical Events Committee (CEC) and the cardiovascular deaths were classified by the CEC based on the primary causes. (NCT00475852)
Timeframe: Randomization to Day 30

,
InterventionParticipants (Number)
Total Cardiovascular DeathsWorsening Heart FailureMyocardial InfarctionSudden Cardiac DeathOther Cardiovascular CausePresumed Cardiovascular Cause
Nesiritide11268420119
Placebo124800231011

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Dyspnea Self-Assessment at 24 Hours After Initiation of Study Drug

Dyspnea symptoms were measured by patient self-assessed Likert scale at 24 hours after study drug initiation. The Likert scale is a 7-point ordinal categorical scale (the 7 categories are markedly better, moderately better, minimally better, unchanged, minimally worse, moderately worse, and markedly worse.) (NCT00475852)
Timeframe: 24 hours after study drug initiation

,
InterventionParticipants (Number)
Markedly BetterModerately BetterMinimally BetterNo ChangeMinimally WorseModerately WorseMarkedly Worse
Nesiritide1025127471629127731
Placebo9351313751323361525

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Dyspnea Self-Assessment at 6 Hours After Initiation of Study Drug

Dyspnea symptoms were measured by patient self-assessed Likert scale at 6 hours after study drug initiation.The Likert scale is a 7-point ordinal categorical scale (the 7 categories are markedly better, moderately better, minimally better, unchanged, minimally worse, moderately worse, and markedly worse.) (NCT00475852)
Timeframe: 6 hours after initiation of study drug

,
InterventionParticipants (Number)
Markedly BetterModerately BetterMinimally BetterNo ChangeMinimally WorseModerately WorseMarkedly Worse
Nesiritide51310071119692391234
Placebo4609891174748401320

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Overall Well-Being Self-Assessment at 24 Hours After Initiation of Study Drug

Overall well-being was measured by patient self-assessed Likert scale at 24 hours after study drug initiation. The Likert scale is a 7-point ordinal categorical scale (the 7 categories are markedly better, moderately better, minimally better, unchanged, minimally worse, moderately worse, and markedly worse.) (NCT00475852)
Timeframe: 24 hours after study drug initiation

,
InterventionParticipants (Number)
Markedly BetterModerately BetterMinimally BetterNo ChangeMinimally WorseModerately WorseMarkedly Worse
Nesiritide9131297761310311636
Placebo8431311798331522226

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Overall Well-Being Self-Assessment at 6 Hours After Initiation of Study Drug

Overall well-being was measured by patient self-assessed Likert scale at 6 hours after study drug initiation. The Likert scale is a 7-point ordinal categorical scale (the 7 categories are markedly better, moderately better, minimally better, unchanged, minimally worse, moderately worse, and markedly worse.) (NCT00475852)
Timeframe: 6 hours after study drug initiation

,
InterventionParticipants (Number)
Markedly BetterModerately BetterMinimally BetterNo ChangeMinimally WorseModerately WorseMarkedly Worse
Nesiritide4499621154751421731
Placebo4189651186785491116

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Composite of Cardiovascular Rehospitalization and Cardiovascular Mortality

(NCT00475852)
Timeframe: Randomization to Day 30

InterventionParticipants (Number)
Nesiritide372
Placebo402

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All-Cause Mortality Through Day 180

All deaths were adjudicated by an independent Clinical Events Committee. (NCT00475852)
Timeframe: Randomization to Day 180

InterventionParticipants (Number)
Nesiritide429
Placebo447

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All-Cause Mortality Through Day 30

All deaths were adjudicated by an independent Clinical Events Committee. (NCT00475852)
Timeframe: Randomization to Day 30

InterventionParticipants (Number)
Nesiritide126
Placebo141

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Composite of Persistent or Worsening Heart Failure and All-Cause Mortality

Clinical manifestations of worsening or persistent decompensated heart failure were defined by at least one of the following: new, persistent or worsening: dyspnea, orthopnea, paroxysmal nocturnal dyspnea, edema, pulmonary basilar rales/crackles, jugular venous distension, renal hypoperfusion with no other apparent cause, or radiologic evidence of worsening heart failure. And was also defined by a new therapy specifically for the treatment of worsening or persistent decompensated heart failure. (NCT00475852)
Timeframe: Randomization to hospital discharge (up to Day 30)

InterventionParticipants (Number)
Nesiritide147
Placebo165

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Number of Participants With Dyspnea Symptoms Assessed by Borg Scale Score

Assessment of Dyspnea (difficult or labored breathing) was done using Borg scale. It is a 10-point scale where following scores stands for severity of dyspnea: 0=no breathlessness at all; 0.5=very very slight (just noticeable); 1=very slight; 2=slight; 3=moderate; 4=somewhat severe; 5=severe; 7=very severe breathlessness; 9=very very severe (almost maximum) and 10=maximum. (NCT00490724)
Timeframe: Baseline, 1 h and 24 h

,,
InterventionParticipants (Number)
Baseline:Score 0; at 1 hour:Score 0Baseline:Score 0.5; at 1 hour:Score 1Baseline:Score 1; at 1 hour:Score 0Baseline:Score 1; at 1 hour:Score 1Baseline:Score 1; at 1 hour:Score 2Baseline:Score 2; at 1 hour:Score 0Baseline:Score 2; at 1 hour:Score 0.5Baseline:Score 2; at 1 hour:Score 1Baseline:Score 2; at 1 hour:Score 2Baseline:Score 3; at 1 hour:Score 1Baseline:Score 3; at 1 hour:Score 2Baseline:Score 3; at 1 hour:Score 3Baseline:Score 4; at 1 hour:Score 3Baseline:Score 4; at 1 hour:Score 4Baseline:Score 5; at 1 hour:Score 3Baseline:Score 5; at 1 hour:Score 4Baseline:Score 5; at 1 hour:Score 5Baseline:Score 6; at 1 hour:Score 1Baseline:Score 6; at 1 hour:Score 3Baseline:Score 7; at 1 hour:Score 0Baseline:Score 7; at 1 hour:Score 2Baseline:Score 7; at 1 hour:Score 3Baseline:Score 7; at 1 hour:Score 7Baseline:Score 8; at 1 hour:Score 3Baseline:Score 9; at 1 hour:Score 3Baseline:Score 9; at 1 hour:Score 4Baseline:Score 10; at 1 hour:Score 4Baseline:Score 0; at 24 hour:Score 0Baseline:Score 0; at 24 hour:Score 1Baseline:Score 0.5; at 24 hour:Score 1Baseline:Score 1; at 24 hour:Score 0Baseline:Score 1; at 24 hour:Score 1Baseline:Score 2; at 24 hour:Score 0Baseline:Score 2; at 24 hour:Score 0.5Baseline:Score 2; at 24 hour:Score 1Baseline:Score 2; at 24 hour:Score 2Baseline:Score 3; at 24 hour:Score 0Baseline:Score 3; at 24 hour:Score 0.5Baseline:Score 3; at 24 hour:Score 1Baseline:Score 3; at 24 hour:Score 2Baseline:Score 4; at 24 hour:Score 0Baseline:Score 4; at 24 hour:Score 0.5Baseline:Score 4; at 24 hour:Score 1Baseline:Score 4; at 24 hour:Score 3Baseline:Score 5; at 24 hour:Score 0Baseline:Score 5; at 24 hour:Score 1Baseline:Score 5; at 24 hour:Score 2Baseline:Score 6; at 24 hour:Score 0Baseline:Score 6; at 24 hour:Score 3Baseline:Score 7; at 24 hour:Score 0Baseline:Score 7; at 24 hour:Score 1Baseline:Score 7; at 24 hour:Score 3Baseline:Score 7; at 24 hour:Score 4Baseline:Score 8; at 24 hour:Score 1
Nesiritide (1+ 0.01)101000012021110000001112110100100101112010000000001102
Nesiritide (2+0.005)211121110120110111000100001201131011001101101011010000
Nesiritide (2+0.01)400000102132101000110000000200000111321000010100100010

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Change From Baseline in Systemic Vascular Resistance (SVR) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12 and 24 Hour

The SVR was a calculated hemodynamic parameter and the calculation was done on the basis of the measured hemodynamic parameters. SVR was calculated by dividing (80*[MBP-MRAP]) and CO. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12 and 24 Hour

,,
Interventiondyne*second per centimeter^5 (Mean)
Baseline (n=19,18,16)Change at 0.25 hour (n=19,17,16)Change at 0.5 hour (n=19,18,16)Change at 1 hour (n=19,18,16)Change at 1.5 hour (n=19,18,16)Change at 2 hour (n=19,18,16)Change at 2.5 hour (n=19,18,16)Change at 3 hour (n=19,18,16)Change at 4 hour (n=19,17,16)Change at 5 hour (n=18,17,16)Change at 6 hour (n=18,17,16)Change at 12 hour (n=16,17,16)Change at 24 hour (n=14,17,14)
Nesiritide (1+ 0.01)1935.318-261.453-229.968-265.611-170.120-121.12749.262-81.183-18.36740.4620.026157.757-88.612
Nesiritide (2+0.005)2170.633-366.981-453.601-456.113-328.746-308.987-292.112-297.880-339.457-254.269-68.635-26.92568.641
Nesiritide (2+0.01)2062.369-384.379-686.497-611.673-370.457-316.466-220.959-219.786-184.293-211.770-189.116-327.763-56.456

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Change From Baseline in Stroke Volume Index (SVI) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The SVI was a calculated hemodynamic parameter and the calculation was done on the basis of the measured hemodynamic parameters. Stroke volume is the volume of blood ejected from a ventricle at each beat of the heart, equal to the difference between the end-diastolic volume and the end-systolic volume. The stroke volume index is a method of relating the stroke volume to the size of the person by dividing the stroke volume by the body surface area (BSA). (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
Interventionmilliliter per meter^2 (Mean)
Baseline (n=17,19,17)Change at 0.25 hour (n=17,18,17)Change at 0.5 hour (n=17,19,17)Change at 1 hour (n=17,19,17)Change at 1.5 hour (n=17,19,17)Change at 2 hour (n=17,19,17)Change at 2.5 hour n=17,19,17)Change at 3 hour (n=17,19,17)Change at 4 hour (n=17,18,17)Change at 5 hour (n=16,18,17)Change at 6 hour (n=16,18,17)Change at 9 hour (n=0,1,0)Change at 12 hour (n=15,18,17)Change at 15 hour (n=2,1,0)Change at 24 hour (n=13,18,15)
Nesiritide (1+ 0.01)29.6832.8884.1163.9042.8223.1960.3942.7511.0970.5250.320NA1.100-3.3571.690
Nesiritide (2+0.005)28.6551.8533.7754.8923.9003.5261.5011.7811.4942.4271.4214.657-0.912-0.592-0.808
Nesiritide (2+0.01)24.4832.5849.1918.0074.9483.7603.0522.0913.1424.1463.319NA5.610NA0.590

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Change From Baseline in Stroke Volume (SV) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The SV was a calculated hemodynamic parameter and the calculation was done on the basis of the measured hemodynamic parameters. Stroke volume is the volume of blood ejected from a ventricle at each beat of the heart, equal to the difference between the end-diastolic volume and the end-systolic volume. SV was calculated by dividing CO and heart rate (HR). (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
Interventionmilliliter (ml) (Mean)
Baseline (n=17,19,17)Change at 0.25 hour (n=17,19,17)Change at 0.5 hour (n=17,19,17)Change at 1 hour (n=17,19,17)Change at 1.5 hour (n=17,19,17)Change at 2 hour (n=17,19,17)Change at 2.5 hour (n=17,19,17)Change at 3 hour (n=17,19,17)Change at 4 hour (n=17,18,17)Change at 5 hour (n=16,18,17)Change at 6 hour (n=16,18,17)Change at 9 hour (n=0,1,0)Change at 12 hour (n=15,18,17)Change at 15 hour (n=2,1,0)Change at 24 hour (n=13,18,15)
Nesiritide (1+ 0.01)48.3684.1226.3486.2954.6666.0030.1334.7441.4770.909-0.391NA1.254-5.0222.333
Nesiritide (2+0.005)49.1263.3056.8878.4427.7226.8771.7682.8652.8884.3392.6858.792-1.357-0.955-1.421
Nesiritide (2+0.01)41.5453.51715.12113.0398.2936.1195.4902.9095.0536.8025.544NA9.123NA0.448

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Change From Baseline in Pulmonary Vascular Resistance (PVR) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The PVR (force that opposes the flow of blood through a vascular bed) was a calculated hemodynamic parameter and the calculation was done on the basis of the measured hemodynamic parameters. PVR was calculated by dividing (80*[MPAP-PCWP]) and CO. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
Interventiondyne*second/centimeter^5 (Mean)
Baseline (n=14,18,14)Change at 0.25 hour (n=14,17,13)Change at 0.5 hour (n=14,18,13)Change at 1 hour (n=14,18,12)Change at 1.5 hour (n=14,18,12)Change at 2 hour (n=14,18,12)Change at 2.5 hour (n=14,18,12)Change at 3 hour (n=14,18,12)Change at 4 hour (n=14,17,12)Change at 5 hour (n=12,17,12)Change at 6 hour (n=12,17,12)Change at 9 hour (n=0,1,0)Change at 12 hour (n=10,17,12)Change at 15 hour (n=1,1,0)Change at 24 hour (n=9,17,10)
Nesiritide (1+ 0.01)215.736-19.361-12.954-0.99119.16111.08332.9916.69112.21730.16150.780NA42.71746.68132.656
Nesiritide (2+0.005)208.714-40.647-23.2631.964-2.97523.40011.609-2.6673.797-10.95810.1042.01720.625116.667-29.072
Nesiritide (2+0.01)239.383-12.482-34.144-44.337-34.079-2.9911.61011.381-30.437-21.678-4.627NA-18.302NA-37.891

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Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The PCWP was a measured hemodynamic parameter. It was the blood pressure, recorded after wedging a catheter in a small pulmonary artery; believed to reflect the pressure in the pulmonary capillaries. It was measured by pulmonary artery catheterization and provided an indirect measure of left atrial pressure. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
InterventionMillimeters of mercury (Mean)
Baseline (n=14,18,14)Change at 0.25 hour (n=14,17,13)Change at 0.5 hour (n=14,18,13)Change at 1 hour (n=14,18,12)Change at 1.5 hour (n=14,18,12)Change at 2 hour (n=14,18,12)Change at 2.5 hour (n=14,18,12)Change at 3 hour (n=14,18,12)Change at 4 hour (n=14,17,12)Change at 5 hour (n=12,17,12)Change at 6 hour (n=12,17,12)Change at 9 hour (n=0,1,0)Change at 12 hour (n=10,17,12)Change at 15 hour (n=1,1,0)Change at 24 hour (n=9,17,10)
Nesiritide (1+ 0.01)27.0-3.5-5.1-5.6-5.5-5.1-5.6-6.5-7.9-8.6-9.5NA-9.9-4.5-9.7
Nesiritide (2+0.005)24.3-5.5-7.9-7.6-6.5-6.3-5.0-4.9-4.9-5.8-5.612.0-7.8-1.0-7.2
Nesiritide (2+0.01)30.2-5.1-7.5-8.59.0-7.6-7.9-7.9-7.5-8.0-11.2NA-11.8NA-10.5

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Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP or Pulmonary Arterial Diastolic Pressure[PADP]) at 3 Hours

Change in PCWP was unmeasurable, therefore it was complemented with PADP. PCWP was measured by pulmonary artery catheterization and provided an indirect measure of left atrial pressure. (NCT00490724)
Timeframe: Baseline and 3 Hours

,,
InterventionMillimeters of Mercury (mmHg) (Mean)
BaselineChange at 3 hours
Nesiritide (1+ 0.01)27.7-6.7
Nesiritide (2+0.005)24.8-5.4
Nesiritide (2+0.01)29.7-6.2

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Change From Baseline in Pulmonary Arterial Systolic Pressure (PASP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The PASP was a measured hemodynamic parameters. PASP was assessed by Swan-Ganz catheter. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
InterventionMillimeters of mercury (Mean)
Baseline (n=19,20,17)Change at 0.25 hour (n=19,19,17)Change at 0.5 hour (n=19,20,17)Change at 1 hour (n=19,20,17)Change at 1.5 hour (n=19,20,17)Change at 2 hour (n=19,20,17)Change at 2.5 hour (n=19,20,17)Change at 3 hour (n=19,20,17)Change at 4 hour (n=19,19,17)Change at 5 hour (n=18,19,17)Change at 6 hour (n=18,19,17)Change at 9 hour (n=0,1,0)Change at 12 hour (n=17,19,17)Change at 15 hour (n=2,1,0)Change at 24 hour (n=14,19,15)
Nesiritide (1+ 0.01)55.9-3.6-5.3-7.0-6.2-7.2-7.0-9.4-10.2-10.0-9.9NA-11.36.0-9.3
Nesiritide (2+0.005)51.3-8.2-8.7-8.7-7.6-6.8-5.9-6.1-5.7-6.8-6.113.0-9.16.0-10.4
Nesiritide (2+0.01)59.8-4.2-5.5-7.4-8.8-7.0-6.6-6.4-7.5-8.2-10.1NA-12.7NA-12.2

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Change From Baseline in Pulmonary Arterial Diastolic Pressure (PADP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The PADP was a measured hemodynamic parameter. Normal range of PADP is 8 to 15 millimeters of mercury (mmHg). PADP was assessed by Swan-Ganz catheter. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
InterventionMillimeters of mercury (Mean)
Baseline (n=19,20,17)Change at 0.25 hour (n=19,19,17)Change at 0.5 hour (n=19,20,17)Change at 1 hour (n=19,20,17)Change at 1.5 hour (n=19,20,17)Change at 2 hour (n=19,20,17)Change at 2.5 (n=19,20,17)Change at 3 hour (n=19,20,17)Change at 4 hour (n=19,19,17)Change at 5 hour (n=18,19,17)Change at 6 hour (n=18,19,17)Change at 9 hour (n=0,1,0)Change at 12 hour (n=17,19,17)Change at 15 hour (n=2,1,0)Change at 24 hour (n=14,19,15)
Nesiritide (1+ 0.01)26.5-1.6-2.8-4.0-3.2-4.6-3.5-4.7-6.7-6.3-6.7NA-6.83.5-5.7
Nesiritide (2+0.005)24.2-6.1-6.9-5.7-5.6-5.4-3.6-3.6-4.4-4.5-4.114.0-5.63.5-6.0
Nesiritide (2+0.01)30.1-4.6-6.6-7.0-6.9-5.6-6.2-5.9-6.5-6.5-8.0NA-8.9NA-8.0

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Change From Baseline in Mean Right Atrial Pressure (MRAP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 12, 15 and 24 Hour

The MRAP was a measured hemodynamic parameter. MRAP was measured using a Swan-Ganz catheter. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 12, 15 and 24 Hour

,,
InterventionMillimeters of mercury (Mean)
Baseline (n=19,18,16)Change at 0.25 hour (n=19,17,16)Change at 0.5 hour (n=19,18,16)Change at 1 hour (n=19,18,16)Change at 1.5 hour (n=19,18,16)Change at 2 hour (n=19,18,16)Change at 2.5 hour(n=19,18,16)Change at 3 hour (n=19,18,16)Change at 4 hour (n=19,17,16)Change at 5 hour (n=18,17,16)Change at 6 hour (n=18,17,16)Change at 12 hour (n=17,17,16)Change at 15 hour (n=2,1,0)Change at 24 hour (n=14,17,14)
Nesiritide (1+ 0.01)14.5-1.9-2.6-3.6-3.8-4.3-4.2-4.4-4.9-5.0-5.1-5.91.0-5.2
Nesiritide (2+0.005)10.3-2.5-3.1-2.7-3.4-2.8-2.5-2.5-2.0-3.0-3.3-3.4-3.5-4.5
Nesiritide (2+0.01)13.1-2.6-3.43.6-3.8-3.4-3.2-2.9-2.9-2.9-3.1-4.3NA-5.0

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Change From Baseline in Mean Pulmonary Arterial Pressure (MPAP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The MPAP was a measured hemodynamic parameter. MPAP was measured using a Swan-Ganz catheter. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
InterventionMillimeters of mercury (Mean)
Baseline (n=19,20,17)Change at 0.25 hour (n=19,19,17)Change at 0.5 hour (n=19,20,17)Change at 1 hour (n=19,20,17)Change at 1.5 hour (n=19,20,17)Change at 2 hour (n=19,20,17)Change at 2.5 hour (n=19,20,17)Change at 3 hour (n=19,20,17)Change at 4 hour (n=19,19,17)Change at 5 hour (n=18,19,17)Change at 6 hour (n=18,19,17)Change at 9 hour (n=0,1,0)Change at 12 hour (n=17,19,17)Change at 15 hour (n=2,1,0)Change at 24 hour (n=14,19,15)
Nesiritide (1+ 0.01)38.2-2.3-3.2-5.0-4.8-5.3-5.4-6.5-8.3-7.5-7.7NA-8.13.5-7.0
Nesiritide (2+0.005)34.5-7.0-7.6-6.7-6.7-5.7-4.9-5.6-5.0-6.3-6.012.5-7.84.5-8.6
Nesiritide (2+0.01)42.6-4.9-5.5-7.8-7.8-6.4-6.7-5.9-7.1-7.8-9.5NA-11.3NA-11.0

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Change From Baseline in Mean Blood Pressure (MBP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15, 18, 21 and 24 Hour

The MBP was a calculated hemodynamic parameter and the calculation was done on the basis of the measured hemodynamic parameters. MBP was calculated as sum of diastolic blood pressure (DBP) and (0.33*[SBP-DBP]) (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15, 18, 21 and 24 Hour

,,
InterventionMillimeters of mercury (Mean)
Baseline (n=19,20,17)Change at 0.25 hour (n=19,19,17)Change at 0.5 hour (n=19,20,17)Change at 1 hour (n=19,20,17)Change at 1.5 hour (n=19,20,17)Change at 2 hour (n=19,20,17)Change at 2.5 hour (n=19,20,17)Change at 3 hour (n=19,20,17)Change at 4 hour (n=19,20,17)Change at 5 hour (n=18,20,17)Change at 6 hour (n=19,20,17)Change at 9 hour (n=19,20,17)Change at 12 hour (n=19,20,17)Change at 15 hour (n=19,20,17)Change at 18 hour (n=19,20,17)Change at 21 hour (n=19,20,17)Change at 24 hour (n= 19,20,16)
Nesiritide (1+ 0.01)109.397-6.053-4.626-6.900-7.412-10.032-8.497-8.773-10.310-12.541-15.167-17.689-16.107-16.050-16.040-16.933-16.590
Nesiritide (2+0.005)106.169-9.167-9.930-7.863-10.181-11.149-12.516-11.666-10.858-9.301-12.241-9.287-13.113-11.584-16.331-14.267-12.162
Nesiritide (2+0.01)105.006-7.098-9.450-7.6854.969-6.669-6.890-9.517-5.681-8.254-9.281-14.619-16.103-15.590-15.962-18.684-11.135

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Assessment of Dyspnea Using Respiratory Rate

Assessment of dyspnea was done by measuring respiratory rate which is the number of times an organism breathes with the lungs (respiration) per unit time, usually per minute (NCT00490724)
Timeframe: Baseline, 1, 2, 3, 6, 9, 15 and 24 hour

,,
InterventionBreaths Per Minute (BrPM) (Mean)
Baseline (n= 19,20,17)At 1 hour (n= 18,20,17)At 2 hour (n= 19,20,17)At 3 hour (n= 19,20,17)At 6 hour (n= 13,15,17)At 9 hour (n= 0,1,0)At 15 hour (n=2,1,0)At 24 hour (n= 14,18,17)
Nesiritide (1+ 0.01)24.724.023.222.721.2NA22.019.4
Nesiritide (2+0.005)25.623.022.122.921.822.033.020.8
Nesiritide (2+0.01)23.822.621.220.420.5NANA21.4

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Change From Baseline in Cardiac Output (CO) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The CO was a measured cardiopulmonary hemodynamic parameter. It is the volume of blood expelled by the ventricles of the heart with each beat. It was calculated as the product of stroke volume (output of either ventricle per heartbeat) and the number of beats per minute. Cardiac output is commonly measured by the thermodilution technique. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
InterventionLiter per minute (Mean)
Baseline (n=19,20,17)Change at 0.25 hour (n=19,19,17)Change at 0.5 hour (n=19,20,17)Change at 1 hour (n=19,20,17)Change at 1.5 hour (n=19,20,17)Change at 2 hour (n=19,20,17)Change at 2.5 hour (n=19,20,17)Change at 3 hour (n=19,20,17)Change at 4 hour (n=19,19,17)Change at 5 hour (n=18,19,17)Change at 6 hour (n=18,19,17)Change at 9 hour (n=0,1,0)Change at 12 hour (n=16,19,17)Change at 15 hour (n=2,1,0)Change at 24 hour (n=14,19,15)
Nesiritide (1+ 0.01)4.40260.29470.37210.36680.27950.3026-0.31050.0095-0.2742-0.3356-0.5706NA-0.5453-0.4500-0.1246
Nesiritide (2+0.005)3.97680.56860.81020.78380.59470.34970.02920.15970.14350.1472-0.19940.3500-0.31770.3000-0.3108
Nesiritide (2+0.01)4.09710.29121.41471.13820.72060.35000.3029-0.02650.19120.26760.1735NA0.2853NA-0.3200

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Change From Baseline in Cardiac Index (CI) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

The CI was a calculated hemodynamic parameter and the calculation was done on the basis of the measured hemodynamic parameters. CI was calculated by dividing CO and body surface area. (NCT00490724)
Timeframe: Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour

,,
InterventionLiter per minute per meter^2 (l/min/m^2) (Mean)
Baseline (n=19,20,17)Change at 0.25 hour (n=19,19,17)Change at 0.5 hour (n=19,20,17)Change at 1 hour (n=19,20,17)Change at 1.5 hour (n=19,20,17)Change at 2 hour (n=19,20,17)Change at 2.5 hour (n=19,20,17)Change at 3 hour (n=19,20,17)Change at 4 hour (n=19,19,17)Change at 5 hour (n=18,19,17)Change at 6 hour (n=18,19,17)Change at 9 hour (n=0,1,0)Change at 12 hour (n=16,19,17)Change at 15 hour (n=2,1,0)Change at 24 hour (n= 14,19,15)
Nesiritide (1+ 0.01)2.7120.1990.2390.2260.1660.143-0.175-0.011-0.153-0.212-0.307NA-0.318-0.2740.054
Nesiritide (2+0.005)2.3560.3050.4430.4450.2930.1650.0420.0920.0550.061-0.1270.185-0.2010.186-0.199
Nesiritide (2+0.01)2.3820.2320.8610.6950.4390.2160.1580.0290.1310.1530.103NA0.185NA0.148

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Assessment of Dyspnea Using Percutaneous Arterial Oxygen Saturation (SpO2)

Assessment of dyspnea was done by measuring SpO2 via pulse oximetry, by making the participant lye quietly in the post anesthesia care unit (PACU) and breathing room air (RA) (NCT00490724)
Timeframe: Baseline, 1, 2, 3, 6, 9, 12, 15 and 24 hour

,,
InterventionPercentage of SpO2 (Mean)
Baseline (n=19,20,17)At 1 hour (n=18,20,17)At 2 hour (n=19,20,17)At 3 hour (n=19,20,17)At 6 hour (n=13,15,17)At 9 hour (n=0,1,0)At 15 hour (n=2,1,0)At 24 hour (n=14,19,15)
Nesiritide (1+ 0.01)96.596.696.896.797.6NA94.597.1
Nesiritide (2+0.005)96.496.696.896.997.3100.099.097.1
Nesiritide (2+0.01)96.996.497.798.497.5NANA98.1

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Number of Participants With Oxygen Therapy

Assessment of dyspnea was done by measuring number of participants showing presence or absence of oxygen therapy. (NCT00490724)
Timeframe: Baseline,1 and 24 hour

,,
InterventionParticipants (Number)
Baseline: 'Yes';at 1 hour 'Yes'(n=18,20,17Baseline: 'No';at 1 hour 'No'(n=18,20,17)Baseline: 'Yes';at 24 hour 'Yes'(n=14,19,15)Baseline:'No';at 24 hour 'No'(n=14,19,15)
Nesiritide (1+ 0.01)162122
Nesiritide (2+0.005)200190
Nesiritide (2+0.01)170150

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Urinary Volume

The urinary volume was measured because nesiritide has a diuretic effect. Measurement of hour urine was done in the observation period and treatment period. 1-hour urine before treatment initiation was measured in the observation period. In the treatment period, 1-hour urine for period 1 and 3-hour urine for period 2 was measured. Urinary volume was recorded for participants without urethral catheterization having spontaneous micturition when needed. (NCT00490724)
Timeframe: Baseline, 3 and 24 hour

,,
InterventionMillliter (Mean)
Baseline (n=15,19,15)At 3 hour (n=19,20,17)At 24 hour (n=19,20,17)
Nesiritide (1+ 0.01)83.9539.91976.3
Nesiritide (2+0.005)67.0423.62296.9
Nesiritide (2+0.01)79.7545.12233.6

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Number of Participants With Orthopnea

Assessment of dyspnea was done by measuring percentage of participants showing presence or absence of orthopnea (it is the sensation of breathlessness in the recumbent position, relieved by sitting or standing) symptoms (NCT00490724)
Timeframe: Baseline, 1 and 24 hour

,,
InterventionParticipants (Number)
Baseline: 'Yes'; at 1 hour 'Yes'Baseline: 'Yes'; at 1 hour 'No'Baseline: 'No'; at 1 hour 'No'Baseline: 'Yes'; at 24 hour 'Yes'Baseline: 'Yes'; at 24 hour 'No'Baseline: 'No'; at 24 hour 'No'
Nesiritide (1+ 0.01)675176
Nesiritide (2+0.005)479289
Nesiritide (2+0.01)41121410

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Number of Participants With Dyspnea Symptoms Assessed by Likert Scale Score

Assessment of Dyspnea was done using Likert scale. It is a 7-point scale where following scores stands for severity of dyspnea: 1=markedly better; 2=moderately better; 3=minimally better; 4=no change; 5=minimally worse; 6=moderately worse and 7= markedly worse (NCT00490724)
Timeframe: 3, 6 and 24 hour

,,
InterventionParticipants (Number)
At 3 hour: Score 1At 3 hour: Score 2At 3 hour: Score 3At 3 hour: Score 4At 3 hour: Score 5At 6 hour: Score 1At 6 hour: Score 2At 6 hour: Score 3At 6 hour: Score 4At 24 hour: Score 1At 24 hour: Score 2At 24 hour: Score 3At 24 hour: Score 4
Nesiritide (1+ 0.01)5233063124312
Nesiritide (2+0.005)4434062427412
Nesiritide (2+0.01)6235145538043

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Resource Utilization: Days Alive and Out of Hospital Within 180 Days of Surgery

Days the patient was alive and out of hospital within the 180 days after Fontan surgery (NCT00543309)
Timeframe: 180 days

Interventiondays (Median)
I- Nesiritide167
II- Milrinone168
III- Placebo170

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Resource Utilization: Days of Initial CICU Stay

Days of initial postoperative CICU care following the Fontan operation. (NCT00543309)
Timeframe: From Fontan operation until initial discharge from the CICU, assessed during the postoperative hospitalization, up to 90 days.

Interventiondays (Median)
I- Nesiritide3
II- Milrinone3
III- Placebo2

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Resource Utilization: Hours of Mechanical Ventilation Until Initial Extubation

Hours of mechanical ventilation until initial extubation following the Fontan operation. (NCT00543309)
Timeframe: From Fontan operation until initial extubation, assessed during initial CICU stay, up to 30 days.

Interventionhours (Median)
I- Nesiritide24
II- Milrinone23
III- Placebo22

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Epinephrine Levels

Plasma epinephrine levels measured at preoperative baseline and postoperative CICU hour 1, 8, 24. (NCT00543309)
Timeframe: Preoperative baseline to 24 hours after CICU admission

,,
Interventionng/mL (Median)
Preoperative baseline1 hour after CICU admit8 hours after CICU admit24 hours after CICU admit
I- Nesiritide01.20.50.2
II- Milrinone02.70.51.5
III- Placebo02.11.01.3

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N-terminal Pro-brain Natriuretic Peptide Levels

N-terminal pro-brain natriuretic peptide levels measured at preoperative baseline and postoperative CICU hour 1, 8, 24. (NCT00543309)
Timeframe: Preoperative baseline to 24 hours after CICU admission

,,
Interventionfmol/mL (Median)
Preoperative baseline1 hour after CICU admit8 hours after CICU admit24 hours after CICU admit
I- Nesiritide778191142
II- Milrinone776171136
III- Placebo887788109

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Plasma Norepinephrine Levels.

Plasma norepinephrine levels measured at preoperative baseline and postoperative CICU hour 1, 8, 24. (NCT00543309)
Timeframe: Preoperative baseline to 24 hours after CICU admission

,,
Interventionng/mL (Median)
Preoperative baseline1 hour after CICU admit8 hours after CICU admit24 hours after CICU admit
I- Nesiritide0.22.02.31.3
II- Milrinone0.42.12.41.5
III- Placebo0.52.91.31.3

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Cardiovascular: Arrhythmia

arrhythmia lasting >30 seconds or requiring treatment (NCT00543309)
Timeframe: Postoperative day (POD) #0 through 5

InterventionParticipants (Count of Participants)
I- Nesiritide16
II- Milrinone21
III- Placebo13

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Cardiovascular: Cardiac Index

Cardiac index measured using Fick principle with measured oxygen consumption. (NCT00543309)
Timeframe: Postoperative hour #1

InterventionL/min/m2 (Median)
I- Nesiritide3.5
II- Milrinone2.8
III- Placebo2.5

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Cardiovascular: Cardiac Index

Cardiac index measured using Fick principle with measured oxygen consumption. (NCT00543309)
Timeframe: Postoperative hour #8

InterventionL/min/m2 (Median)
I- Nesiritide3.2
II- Milrinone2.9
III- Placebo2.5

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Cardiovascular: Peak Inotrope Score

"Peak Inotrope Score = Doses of dopamine in mcg/kg/minute + dobutamine in mcg/kg/minute + (epinephrine in mcg/kg/minute x 100).~The lowest (best) possible Peak Inotrope Score = 0 dose equivalents. There is no maximum Peak Inotrope Score." (NCT00543309)
Timeframe: Initial 24 hours in CICU

Interventiondose equivalents (Median)
I- Nesiritide5
II- Milrinone5
III- Placebo5

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Cardiovascular: Peak Lactate Level

(NCT00543309)
Timeframe: Initial 24 hours in CICU

InterventionmEq/liter (Median)
I- Nesiritide2.6
II- Milrinone3.1
III- Placebo3.1

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Days Alive and Out of the Hospital Within 30 Days of Surgery.

(NCT00543309)
Timeframe: 30 days

Interventiondays (Median)
I- Nesiritide20
II- Milrinone18
III- Placebo20

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Renal Function: Maximum Change in Serum Creatinine

(NCT00543309)
Timeframe: 14 days after surgery

Interventionmg/dL (Median)
I- Nesiritide0.1
II- Milrinone0.2
III- Placebo0.2

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Renal Function: Urine Output

Volume of urine in mL/kg per day (NCT00543309)
Timeframe: first 24 hours CICU admit

InterventionmL/kg per day (Median)
I- Nesiritide43
II- Milrinone37
III- Placebo34

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Resource Utilization: Chest Tube Days

Days during which one or more chest tubes were in place following the Fontan operation. (NCT00543309)
Timeframe: From Fontan operation until final chest tube removed, assessed during postoperative hospitalization, up to 90 days.

Interventiondays (Median)
I- Nesiritide5
II- Milrinone5
III- Placebo5

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Change in Left Ventricular End-Systolic Volume Index

Change in Left Ventricular end-systolic volume index as determined by Multiple Gated Acquisition (MUGA) scan from baseline to 30 days. The MUGA scan is a noninvasive tool for assessing the function of the heart. The MUGA scan produces a moving image of the beating heart, and from this image several important features can be determined about the health of the cardiac ventricles (the heart's major pumping chambers). End-systolic volume (ESV) is the volume of blood in a ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. ESV is the lowest volume of blood in the ventricle at any point in the cardiac cycle and can be used clinically as a measurement of the adequacy of cardiac emptying, related to systolic function. (NCT00573144)
Timeframe: baseline, 30 days

InterventionmL of blood/meter^2 body surface area (Mean)
Placebo-2.1
Nesiritide-4.6

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Change in Left Ventricular End-Systolic Diastolic Volume Index

Change in Left Ventricular end-systolic diastolic volume index determined by Multiple Gated Acquisition (MUGA) scan from baseline to 30 days. The MUGA scan is a noninvasive tool for assessing the function of the heart. The MUGA scan produces a moving image of the beating heart, and from this image several important features can be determined about the health of the cardiac ventricles (the heart's major pumping chambers). End-systolic volume (ESV) is the volume of blood in a ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. ESV is the lowest volume of blood in the ventricle at any point in the cardiac cycle and can be used clinically as a measurement of the adequacy of cardiac emptying, related to systolic function. (NCT00573144)
Timeframe: baseline, 30 days

InterventionmL blood/meter^2 body surface area (Mean)
Placebo4.4
Nesiritide9.7

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Myocardial Infarct Size at 30 Days

Myocardial infarction or acute myocardial infarction (AMI) is the medical term for an event commonly known as a heart attack. Myocardial (heart muscle) infarction is tissue death (also known as necrosis) caused by a local lack of oxygen, due to an obstruction of the tissue's blood supply. The resulting heart tissue lesion is referred to as an infarct. A larger size or area of infarct indicates a greater amount of heart tissue death. Myocardial infarct size was measured using a cardiac Magnetic Resonance Imaging (MRI) scan at 30 days and is the mass of the infarcted tissue divided by the mass of the left ventricle times 100%. (NCT00573144)
Timeframe: 30 days

Interventionpercentage of total cardiac tissue mass (Mean)
Placebo17
Nesiritide12

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Inflammatory Markers

Interleukin-6 (NCT00842023)
Timeframe: 48 hours

Interventionpg/mL (Mean)
Nesiritide Infusion25
Nitroglycerin Infusion50

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Renal Function by Serum Creatinine

Serum creatinine values and changes in serum creatinine (NCT00842023)
Timeframe: Baseline, 24 hours, 48 hours

,
Interventionmg/dL (Mean)
Serum creatinine at baselineSerum creatinine at 24 hoursSerum creatinine at 48 hours
Nesiritide1.31.31.3
Nitroglycerin1.31.41.4

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Serum Levels of Cystatin-C

Cystatin-C is a protease inhibitor and a sensitive endogenous marker of renal function. (NCT00842023)
Timeframe: Baseline, 24 hours, 48 hours

,
Interventionng/mL (Mean)
Cystatin-C at BaselineCystatin-C at 24 HoursCystatin-C at 48 Hours
Nesiritide133214751449
Nitroglycerin202631082739

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Change in Blood Urea Nitrogen (BUN)/ Serum Cystatin C Ratio

"BUN measured in mg/dL Cystatin C measured in mg/L~No units were used in calculated the ratio" (NCT01132846)
Timeframe: Randomization to 72 hours

Interventionratio (Mean)
Low Dose Dopamine-2.34
Placebo0.23
Low Dose Nesiritide0.74

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Change in Clinical Stability- RED-ROSE

Change in clinical stability as assessed by 60 day death, re-hospitalization or unscheduled outpatient visit (NCT01132846)
Timeframe: Baseline to 60 days

Interventionparticipants (Number)
Low Dose Dopamine30
Placebo34
Low Dose Nesiritide27

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Change in Cystatin C

The primary Safety endpoint is change in serum cystatin C from randomization to 72 hours. (NCT01132846)
Timeframe: Randomization to 72 hours

Interventionmg/L (Mean)
Low Dose Dopamine.12
Placebo.11
Low Dose Nesiritide.07

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Change in Dyspnea Assessment (RED-ROSE Substudy)

"To determine whether the pDSS is a more sensitive index of variability in dyspnea status than the dyspnea VAS assessed without standardization of conditions at assessment as assessed by change in Dyspnea VAS.~Dyspnea VAS range -100 to + 100 Larger number is better" (NCT01132846)
Timeframe: Baseline to 72 hours

Interventionunits on a scale (Mean)
Low Dose Dopamine16.1
Placebo16.2
Low Dose Nesiritide16.8

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Change in Heart Failure Status

Persistent or worsening heart failure defined as need for rescue therapy. (NCT01132846)
Timeframe: randomization to 72 hours

Interventionparticipants (Number)
Low Dose Dopamine11
Placebo5
Low Dose Nesiritide6

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Change in Serum Creatinine

(NCT01132846)
Timeframe: randomization to 72 hours

Interventionmg/dL (Mean)
Low Dose Dopamine0.00
Placebo0.02
Low Dose Nesiritide0.02

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Change in Treatment Response

"Treatment failure including any of the following:~development of cardio-renal syndrome~worsening/persistent heart failure~significant hypotension requiring discontinuation of study drug~significant tachycardia requiring discontinuation of study drug death" (NCT01132846)
Timeframe: randomization to 72 hours

Interventionparticipants (Number)
Low Dose Dopamine35
Placebo32
Low Dose Nesiritide48

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Change in Weight

Change in weight from randomization to 72 hours. Secondary Endpoint (NCT01132846)
Timeframe: randomization to 72 hours

Interventionlbs (Mean)
Low Dose Dopamine-7.40
Placebo-7.73
Low Dose Nesiritide-7.15

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Cumulative Urinary Sodium Excretion

(NCT01132846)
Timeframe: Randomization to 72 hours

Interventionmmol (Mean)
Low Dose Dopamine527.0
Placebo539.8
Low Dose Nesiritide515.2

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Cumulative Urinary Volume

The primary efficacy endpoint is cumulative urinary volume (UV; +/- indwelling urinary catheter) at 72 hours (NCT01132846)
Timeframe: Randomization to 72 hours

InterventionmL (Mean)
Low Dose Dopamine8524
Placebo8296
Low Dose Nesiritide8574

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Decongestive Changes- RED-ROSE

"To determine whether changes in pDSS or dyspnea VAS are related to the response to decongestive therapy as evidenced by fluid volume loss~Fluid volume loss is defined as cumulative urinary output minus fluid intake during the first 72 hours post randomization." (NCT01132846)
Timeframe: Baseline to 72 hours

InterventionmL (Mean)
Low Dose Dopamine4526.0
Placebo4659.9
Low Dose Nesiritide5177.2

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Development of Cardio-renal Syndrome

(NCT01132846)
Timeframe: Randomization to 72 hours

Interventionparticipants (Number)
Low Dose Dopamine23
Placebo24
Low Dose Nesiritide28

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Dyspnea Visual Analog Scale Area Under the Curve

Range 0 to 7200 Higher is better (NCT01132846)
Timeframe: randomization to 72 hours

Interventionunits on a scale * hours (Mean)
Low Dose Dopamine4935.8
Placebo4997.6
Low Dose Nesiritide4831.4

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Global Visual Analog Scale Area Under the Curve

Range 0 to 7200 Higher is better/improved (NCT01132846)
Timeframe: Randomization to 72 hours

Interventionunits on a scale * hours (Mean)
Low Dose Dopamine4553.4
Placebo4703.6
Low Dose Nesiritide4498.3

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Worst Reported Symptom Changes-RED-ROSE

"To determine whether changes in worst reported symptom (WRS) (dyspnea, body swelling or fatigue) VAS (WRS-VAS) are related to the response to decongestive therapy as assessed by change in WRS VAS.~WRS range -100 to + 100 Higher number is better (improved)" (NCT01132846)
Timeframe: Change from Baseline to 72 hours

Interventionunits on a scale (Mean)
Low Dose Dopamine20.9
Placebo19.6
Low Dose Nesiritide25.6

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Assess Effect of ACE and/or DPP4 Inhibition on Heart Rate Response to Substance P (SP)

(NCT01413542)
Timeframe: Heart rate was measured every 5 minutes throughout the study day (and thus during each dose of peptide infusion)

Interventionbeats per minute (Mean)
Change in Pulse after SP during PlaceboChange in Pulse after SP w/ACE inhibitionChange in Pulse after SP w/DPP4inhibitionPulse change after SP w/ACE+DPP4inhibition
Group 1-1.82.550.454.55

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Assess Tissue Type Plasminogen Activator (tPA) Release

Following measurement of FBF, samples will be obtained to determine the effect of ACE inhibition and/or DPP4 inhibition on tPA release in response to bradykinin and substance P (SP) (group 1) (NCT01413542)
Timeframe: Blood for analysis of tPA release was obtained 60 minutes after sitagliptin (DPP4 inhibition) vs. placebo and after each assessment of FBF (see primary outcome measure)

,
Interventionestimate of difference (ng/min/100mL) (Number)
Effect ACE inhibition on bradykinin tPA releaseEffect of DPP4 inhibition on bradykinintPA releaseEffect of ACE/DPP4 inhibitio on bradykinin tPAeffect ace/dpp4 vs. aceinhibi on bradykinin tpaeffect ace/dpp4 vs. dpp4inhib on bradykinin tpaEffect of ACE inhibition on SP tPA releaseEffect of DPP4 inhibition on SP tPAEffect of ACE+DPP4 inhibition on SP tPAeffect ace/dpp4 vs. aceinhibi on SP tpaeffect ace/dpp4 vs. dpp4inhibi on SP tpa
Group 1 (Females)145.512.9132.1-13.4119.343.9-29.03.8-40.132.8
Group 1 (Males)118.61.690.9-27.889.3-15.3-25.80.816.126.6

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Effect of Treatment (ACE or DPP4 Inhibition, or Combined) on Norepinephrine (NE) Release (Arterial Venous Gradient) in Response to Substance P (SP)

(NCT01413542)
Timeframe: Blood for analysis of norepinephrine (NE) release was obtained 60 minutes after sitagliptin (DPP4 inhibition) vs. placebo and after each assessment of FBF (see primary outcome measure)

Interventionpg/mL (Mean)
Change NE AV Gradient with SP after placeboChange NE AV Gradient with SP after ACEinhibitionChange NE AV Gradient with SP after DPP4inhibitionChange NE AV with SP after ACE+DPPinhibition
Group 1-43.18-52.18-37.2723.45

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Effect of Treatment (DPP4 Inhibition vs. Placebo) on Venous GLP-1 Levels in Response to Arterial GLP-1 Infusion

(NCT01413542)
Timeframe: Blood for analysis of GLP-1 levels was obtained one hour after sitagliptin (DPP4 inhibition) vs. placebo administration and after each dose of GLP-1

Interventionpmol/L (Mean)
Venous GLP-1 levels 1 hour after placeboVenous GLP-1 Levels after Max Dose GLP-1 (Placebo)Venous GLP-1 levels 1 hour after DPP4 inhibitionVenous GLP-1 levels Max Dose GLP-1 (DPP4inhibiton)
Group 25.1315.445.3930.63

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The Effect of Enalaprilat (ACE Inhibition), Sitagliptin (DPP4 Inhibition), or the Combination on the Vasodilator Response (Forearm Blood Flow) to Substance P (SP) and Bradykinin (Group 1) or Glucagon Like Peptide-1 and Brain Naturetic Peptide (Group 2).

Forearm blood flow (FBF) was measured by strain gauge plethysmography at the completion of each dose of intra-arterial peptide. A dose response curve was therefore constructed for each vasoactive peptide substrate. The effect of sitagliptin (DPP4 inhibition) vs. placebo and enalaprilat (ACE inhibition) vs. vehicle on the forearm blood flow response to each peptide could then be determined. (NCT01413542)
Timeframe: 60 minutes post-placebo or sitagliptin (DPP4 inhibition) and over last 2 minutes of each 5 min infusion per peptide dose (30 min washout between peptides); sequence repeated with enalaprilat (ACE inhibition) or vehicle

,
Interventionestimate of difference(ml/min/100ml FBF) (Mean)
Effect ACE inhibition on FBF response to Peptide 1Effect DPP4 inhibition on FBF Response to Peptide1Effect ACE/DPP4 inhibit on FBF response Peptide 1Effect DPP4/ACEinhib vs. ACEinhib (FBF to Pep1)Effect DPP4/ACEinhib vs. DPP4inhib (FBF to Pep1)Effect ACE inhibition on FBF response to Peptide 2Effect DPP4 inhibition on FBF response to Peptide2Effect ACE/DPP4 inhibition on Peptide 2 FBFEffect DPP4/ACEinhib vs. ACEinhib (FBF to Pep2)Effect DPP4/ACEinhib vs. DPP4inhib (FBF to Pep2)
Group 16.50.25.9-0.65.70.80.10.6-0.30.4
Group 2NA-5.0NANANANA-3.2NANANA

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The Examine and Measure Endothelin-1 to Measure Kidney Injury

Serial measurements of Endothelin-1 levels were measured to determine if natriuretic peptides exert their renal protective effects by preserving renal afferent arteriole flow by antagonizing the vasoconstrictive effects of Endothelin-1. (NCT01440881)
Timeframe: 30 days from the start of infusion

,
Interventionpg/ml (Median)
baseline prior to infusiontime point 01 hour post bypass2 hour post bypass4 hour post bypass6 hour post bypass8 hour post bypass24 hour post bypass
Nesiritide1.7782.0961.6702.1732.3952.6272.7441.900
Placebo1.2392.2832.0682.2013.1163.4853.1432.269

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The Examine and Measure Urinary NGAL to Measure Kidney Injury

Urinary NGAL,a biomarker for kidney injury was measured. (NCT01440881)
Timeframe: A change in urinary NGAL 2 hours after bypass was stopped and 5 minutes after the start of spontaneous circulation was resumed.

Interventionng/ml (Median)
Nesiritide124.566
Placebo33.766

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Measure Neutrophils to Measure Kidney Injury

0.35 mL of whole blood from each patient was applied to a microfluidics chip to isolate neutrophils. Total RNA was subsequently isolated and gene expression (for all genes listed below) was measured with an Affymetrix gene chip. Data was normalized using RMA (Robust multi-array average) and expressed as log2 expression. (NCT01440881)
Timeframe: 30 days from the start of infusion

,
Interventionlog2 expression (Mean)
Gene: TUFT1Gene: IL23AGene: C6orf145Gene: HIST1H1CGene: TBC1D26 /// ZNF286AGene: RPL27Gene: LOC440087Gene: PRAMEF8Gene: RPL26Gene: OXTGene: GIPC3Gene: ZNF540Gene: FAM98CGene: PTOV1Gene: RPS16Gene: ERCC1Gene: LOC339344Gene: ATG10Gene: SLC35C1Gene: PTPMT1 /// NDUFS3 /// PTPMT1Gene: SIDT2Gene: Q6ZVY8_HUMANGene: CECR5Gene: VPS35Gene: LGALS2Gene: NDUFA6Gene: LOC497190 /// NP_001011880.1Gene: CXorf52Gene: MAP4K4Gene: LOC441241 /// VKORC1L1Gene: DBF4Gene: SP100Gene: TPT1Gene: LOC285908Gene: LOXHD1Gene: DYMGene: Q6ZU44_HUMANGene: BAZ2BGene: GRM8Gene: Q6ZP42_HUMANGene: HTR2BGene: PRSS3Gene: LOC728449 /// ANXA8L2Gene: RPS24Gene: DOLPP1Gene: UBQLN1Gene: TNFSF15Gene: Q5QFB9_HUMANGene: CYP19A1Gene: Q6UWF5_HUMANGene: LOC340204 /// NP_001010886.1Gene: CCDC76
Nesiritide5.4534.5085.5018.8884.9909.2693.5535.8287.4406.8996.1584.2846.7788.2349.0775.7987.5225.3476.4226.7026.7925.2295.5199.0425.5136.4966.4696.15110.6566.4184.7069.0749.1777.5176.8868.1584.9538.8024.3034.9674.3376.3385.7557.0295.7079.1295.0804.7703.6963.8514.4533.702
Placebo5.6304.5465.4449.4044.9309.3153.6475.8567.4816.8846.0974.2556.8578.1539.0125.8437.5025.2866.3586.7066.8705.1325.4998.9745.5656.6806.4706.30110.6516.5334.7769.2059.2427.4546.7428.0884.7518.8114.2595.0404.0376.2415.8017.0635.7599.1725.0724.4303.7253.8934.4373.627

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The Examine and Measure Cytokines to Measure Kidney Injury

Serial measurement of serum cytokine profiles were measured with multiplex Luminex plates that enable the simultaneous measurement of 23 cytokines. (NCT01440881)
Timeframe: 30 days from the start of infusion

,
Interventionpg/ml (Median)
IL-6 baselineIL-6 time point 0IL-6 1 hour post bypassIL-6 2 hour post bypassIL-6 4hour post bypassIL-6 6 hour post bypassIL-6 8 hours post bypassIL-6 24 hours post bypasIL8 baselineIL-8 0 time pointIL8- 1 hour post bypassIL8-2 hour post bypassIL8 4 hour post bypassIL8 6 hour post bypassIL8 8hour post bypassIL8 24 hour post bypassIL10 baselineIL10 0 time pointIL 10 1 hour post bypassIL10 2 hour post bypassIL 10 4 hour post bypassIL 10 6 hour post bypassIL 10 8 hour post bypassIL 10 24 hour post bypassTNF alpha baselineTNF alpha 0 time pointTNF alpha 1hour post bypassTNF alpha 2 hour post bypassTNF alpha 4 hour post bypassTNF alpha 6 hour post bypassTNF alpha 8 hour post bypassTNF alpha 24 hour post bypassTNF beta baselineTNF beta 0 time pointTNF beta 1 hour post bypassTNF beta 2 hour post bypassTNF beta 4 hour post bypassTNF beta 6 hour post bypassTNF beta 8 hour post bypassTNF beta 24 hour post bypassVEGF baselineVEGF 0 time pointVEGF 1 hour post bypassVEGF 2 hour post bypassVEGF 4 hour poswt bypassVEGF 6 hour post bypassVEGF 8 hour post bypassVEGF 24 hour post bypassMCP-1 baselineMCP-1 0 timepointMCP-1 1 hour post bypassMCP-1 2 hour post bypassMCP-1 4 hour post bypassMCP-1 6 hour post bypassMCP-1 8 hour post bypassMCP-1 24 hour post bypassEGF baselineEGF 0 timepointEGF 1 hour post bypassEGF 2 hour post bypassEGF 4 hour post bypassEGF 6 hour post bypassEGF 8 post bypassEGF 24 hour post bypassIL-1 alpha baselineIL-1 alpha 0 timeIL-1 alpha 1 hour post bypassIL-1 alpha 2 hour post bypassIL-1 alpha 4 hour post bypassIL-1 alpha 6 hour post bypassIL-1 alpha 8 hour post bypassIL-1 alpha 24 hour post bypassIL-1Beta baselineIL-1Beta 0 time pointIL-1Beta 1 hour post bypassIL-1Beta 2 hour post bypassIL-1Beta 4 hour post bypassIL-1Beta 6 hour post bypassIL-1Beta 8 hour post bypassIL-1Beta 24 hour post bypassIL-1RA baselineIL-1RA 0 time pointIL-1RA 1 hour post bypassIL-1RA 2 hour post bypassIL-1RA 4 hour post bypassIL-1RA 6 hour post bypassIL-1RA 8 hour post bypassIL-1RA 24 hour post bypassIL-2 baselineIL-2 0 timepointIL-2 1 hour post bypassIL-2 2 hour post bypassIL-2 4 hour post bypassIL-2 6 hour post bypassIL-2 8 hour post bypassIL-2 24 hour post bypassIL-3 baselineIL-3 0 timepointIL-3 1 hour post bypassIL-3 2 hour post bypassIL-3 4 hour post bypassIL_3 6 hour post bypassIL-3 8 hour post bypassIL_3 24 hour post bypassIL-4 baselineIL-4 0 timepointIL-4 1 hour post bypassIL_4 2 hour post bypassIL-4 4 hour post bypassIL-4 6 hour post bypassIL-4 8 hour post bypassIL_4 24 hour post bypassIL-5 baselineIL-5 0 timepointIL-5 1 hour post bypassIL-5 2 hour post bypassIL-5 4 hour post bypassIL-5 6 hour post bypassIL-5 8 hour post bypassIL-5 24 hour post bypassIL-7 baselineIL-7 0 timepointIL-7 1 hour post bypassIL-7 2 hour post bypassIL-7 4 hour post bypassIL-7 6 hour post bypassIL-7 8 hour post bypassIL-7 24 hour post bypassIL-13 baselineIL-13 0 timepointIL-13 1 hour post bypassIL-13 2 hour post bypassIL-13 4 hour post bypassIL-13 6 hour post bypassIL-13 8 hour post bypassIL-13 24 hour post bypassIL-15 baselineIL-15 0 timepointIL-15 1 hour post bypassIL-15 2 hour post bypassIL-15 4 hour post bypassIL-15 6 hour post bypassIL-15 8 hour post bypassIL-15 24 hour post bypassIL-17 baselineIL-17 0 time pointIL-17 1 hour post bypassIL-17 2 hour post bypassIL-17 4 hour post bypassIL-17 6 hour post bypassIL- 17 8 hour post bypassIL-17 24 hour post bypassIP-10 baselineIP-10 0 time pointIP-10 1 hour post bypassIP-10 2 hour post bypassIP-10 4 hour post bypassIP-10 6 hour post bypassIP-10 8 hour post bypassIP-10 24 hour post bypassMIP-1 alpha baselineMIP-1 alpha 0 time pointMIP-1 alpha 1 hour post bypassMIP-1 alpha 2 hour post bypassMIP-1 alpha 4 hour post bypassMIP-1 alpha 6 hour post bypassMIP-1 alpha 8 hour post bypassMIP-1 alpha 24 hour post bypassMIP-1 beta baselineMIP-1 beta 0 time pointMIP-1 beta 1 hour post bypassMIP-1 beta 2 hour post bypassMIP-1 beta 4 hour post bypassMIP-1 beta 6 hour post bypassMIP-1 beta 8 hour post bypassMIP-1 beta 24 hour post bypassG-CSF baselineG-CSF 0 time pointG-CSF 1 hour post bypassG-CSF 2 hour post bypassG-CSF 4 hour post bypassG-CSF 6 hour post bypassG-CSF 8 hour post bypassG-CSF 24 hour post bypass
Nesiritide1.75028.16733.45744.38335.75928.59329.79429.5135.37716.82117.10717.06816.00514.29014.55012.2648.0631289.7761558.903667.765309.351107.778103.79118.5976.2868.25310.7299.8558.8437.1855.1754.6201.1621.1100.8981.3021.6981.2341.3890.309102.05470.64789.81491.88188.00583.58184.49476.771174.848478.742483.095441.203265.736191.735180.749202.62147.56431.24235.74524.05229.84133.05027.02230.49412.37241.21626.10122.12218.13715.1489.3342.9741.0140.7750.6531.3111.7161.1190.8750.00026.41941.94568.79298.089105.86167.70545.09721.1810.8501.1301.7141.7141.7531.2971.2810.9210.0930.1850.0000.0000.0000.0610.0610.0734.2956.2856.2215.5346.7434.8594.0633.6340.5630.1340.1690.2910.6260.3340.3870.3734.0323.6732.9732.4693.0613.3913.5063.6560.9220.1330.7192.3521.5711.1380.7860.0941.9053.2004.2285.5565.7235.0214.9846.1201.1710.7652.1741.3811.6820.8150.8170.397506.6572340.9351828.1521571.8771072.023704.208448.938243.3322.2518.8809.0426.6104.0243.0171.9331.27922.62655.22985.08253.75034.01026.52422.67618.72650.95392.559124.298249.816285.277252.546264.061309.690
Placebo1.95963.93057.41243.52337.96727.84021.67334.6505.23818.96220.87323.60717.62719.88016.28214.6009.1302206.1772074.906844.352230.10195.92584.07034.8625.4027.79513.31011.7299.2917.9535.2124.5250.0560.0000.0000.4060.0740.2190.0580.40444.97135.77348.92841.69530.52926.22636.57764.660182.708455.129572.955502.992325.249218.561177.527215.70839.79421.98319.39523.66219.14122.65526.09317.7682.75431.59721.06917.80310.7325.7455.3761.3890.3940.4920.4300.4500.3100.3660.4620.1700.00053.72171.444237.080152.63075.22627.44215.7650.0680.4010.0591.1100.8700.9230.5990.1720.0000.0000.0000.0000.0000.0000.0000.0000.1660.3590.4141.3810.9580.7460.0000.0000.3530.0160.0400.0000.0160.2100.4310.5032.9874.3111.8222.1042.5302.3172.3544.0970.0000.0000.0001.1850.2870.0000.0000.0000.9693.0933.9814.6414.4234.3953.3164.9960.0000.1170.1300.4560.0000.1620.0000.0000475.6561790.0352298.7471365.169855.843575.429449.376241.4670.00010.1099.1826.2684.3090.8700.0000.00018.16747.61757.40540.90024.01820.26318.52216.08243.984150.567253.527297.668311.452224.425243.292199.849

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Changes in Systolic Blood Pressure (BP)

The change in BP with treatment over 7 days was assessed by the mean BP on admission, (treatment day 1) mean BP 23 hours after the first injection of BNP, and mean BP 23 hours after the second injection of BNP (treatment day 2). Treatment day 2 was 7 days after admission. (NCT01514357)
Timeframe: baseline, treatment day 1, treatment day 2

InterventionmmHg (Mean)
BaselineTreatment Day 1Treatment Day 2
Nesiritide (BNP)153134129

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Change in Glomerular Filtration Rate (GFR) at 60 Minutes for Preclinical Diastolic Dysfunction (PDD) Reporting Group

Value at 60 minutes minus value at baseline. (NCT01544998)
Timeframe: Baseline, 60 minutes after saline load

InterventionmL/min/1.73 m^2 (Mean)
Tadalafil Plus Nesiritide-5.3
Tadalafil Plus Placebo3.9

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Change in Natriuresis (Urinary Sodium Excretion) at 60 Minutes for Preclinical Diastolic Dysfunction (PDD) Reporting Group

Value at 60 minutes minus value at baseline. (NCT01544998)
Timeframe: Baseline, 60 minutes after saline load

InterventionmEq/min (Mean)
Tadalafil Plus Nesiritide92.5
Tadalafil Plus Placebo97.0

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Change in Natriuresis (Urinary Sodium Excretion) at 60 Minutes for Preclinical Systolic Dysfunction (PSD) Reporting Group

Value at 60 minutes minus value at baseline. (NCT01544998)
Timeframe: Baseline, 60 minutes after saline load

InterventionmEq/min (Mean)
Tadalafil Plus Nesiritide41.8
Tadalafil Plus Placebo88.9

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Change in Urinary Cyclic Guanosine Monophosphate (cGMP) at 60 Minutes for Preclinical Diastolic Dysfunction (PDD) Reporting Group

Value at 60 minutes minus value at baseline. (NCT01544998)
Timeframe: Baseline, 60 minutes after saline load

Interventionpmol/min (Mean)
Tadalafil Plus Nesiritide1851
Tadalafil Plus Placebo173.4

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Change in Urinary Cyclic Guanosine Monophosphate (cGMP) at 60 Minutes for Preclinical Systolic Dysfunction (PSD) Reporting Group

Value at 60 minutes minus value at baseline. (NCT01544998)
Timeframe: Baseline, 60 minutes after saline load

Interventionpmol/min (Mean)
Tadalafil Plus Nesiritide2566.9
Tadalafil Plus Placebo34.2

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Change in Glomerular Filtration Rate (GFR) at 60 Minutes for Preclinical Systolic Dysfunction (PSD) Reporting Group

Value at 60 minutes minus value at baseline. (NCT01544998)
Timeframe: Baseline, 60 minutes after saline load

InterventionmL/min/1.73 m^2 (Mean)
Tadalafil Plus Nesiritide-12.7
Tadalafil Plus Placebo9.4

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Change in Resting Energy Expenditure (EE)

At each visit (Study Visits 1 and 2), resting energy expenditure (EE) will be determined by indirect calorimetry, using a metabolic cart. Energy expenditure will be measured at baseline (just prior to the infusion) and during the 240-minute intravenous infusion at Study Visits 1 and 2. The primary endpoint will be change in resting energy expenditure, calculated as final resting energy expenditure (at end of 240-minute infusion) adjusted for baseline value. (NCT03397966)
Timeframe: At baseline and at end of 240-minute IV infusion (at each study visit). (At Study Visit 1 and 2, EE will be assessed at baseline and at end of 240-minute intravenous infusion. Visits will be separated by at least 14 days.)

,
Interventionkcal/day (Median)
REE at baselineREE at end of infusion
BNP Infusion18671970
Placebo (Control)18001883

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Adipose Tissue Gene Expression of Uncoupling Protein 1 (UCP1)

Subcutaneous adipose tissue biopsies will be obtained after the conclusion of the 240-minute IV infusion at Study Visits 1 and 2. These tissues will be analyzed for adipose tissue gene expression. The adipose tissue gene expression after the BNP infusion will be compared to expression after the placebo infusion. Units are relative UCP1 gene expression (quantified using quantitative real-time reverse-transcription polymerase chain reaction (qRT-PCR)), normalized to a housekeeping gene). (NCT03397966)
Timeframe: A subcutaneous biopsy will be collected after the end of 240-minute IV infusion, at both Study Visits 1 and 2 (Visits will be separated by at least 14 days.)

Interventionfold change (Mean)
BNP Infusion9.66
Placebo (Control)3.30

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