Page last updated: 2024-10-29

avapro and Cardiac Arrest, Sudden

avapro has been researched along with Cardiac Arrest, Sudden in 3 studies

Irbesartan: A spiro compound, biphenyl and tetrazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION, and in the treatment of kidney disease.
irbesartan : A biphenylyltetrazole that is an angiotensin II receptor antagonist used mainly for the treatment of hypertension.

Research Excerpts

ExcerptRelevanceReference
"Patient data were pooled from the CHARM-Preserved (Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity), I-PRESERVE (Irbesartan in Heart Failure with Preserved Ejection Fraction), and TOPCAT (Treatment of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist trial) studies and were examined for the association between having a pacemaker and the risk of the primary composite of cardiovascular death or HF hospitalization, the individual components of the composite, the 2 main modes of cardiovascular death (i."3.91Prior Pacemaker Implantation and Clinical Outcomes in Patients With Heart Failure and Preserved Ejection Fraction. ( Anand, IS; Carson, PE; Desai, AS; Docherty, KF; Granger, CB; Jhund, PS; Komajda, M; McKelvie, RS; McMurray, JJV; Petrie, MC; Pfeffer, MA; Shen, L; Solomon, SD; Swedberg, K; Zile, MR, 2019)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's2 (66.67)24.3611
2020's1 (33.33)2.80

Authors

AuthorsStudies
Shen, L2
Jhund, PS3
Anand, IS3
Carson, PE3
Desai, AS2
Granger, CB2
Køber, L1
Komajda, M3
McKelvie, RS3
Pfeffer, MA2
Solomon, SD2
Swedberg, K2
Zile, MR3
McMurray, JJV2
Docherty, KF1
Petrie, MC2
Badar, AA1
Perez-Moreno, AC1
Hawkins, NM1
Brunton, AP1
Gardner, RS1
McMurray, JJ1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Candesartan Cilexetil in Heart Failure Assessment of Reduction in Mortality and Morbidity. Clinical Study of Candesartan in Patients With Heart Failure and Preserved Left Ventricular Systolic Function[NCT00634712]Phase 3734 participants (Anticipated)Interventional1999-06-30Completed
Irbesartan in Heart Failure With Preserved Systolic Function (I-Preserve)[NCT00095238]Phase 34,128 participants (Actual)Interventional2002-06-30Completed
Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist (TOPCAT)[NCT00094302]Phase 33,445 participants (Actual)Interventional2006-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in B-Type Natriuretic Peptide (Pro-BNP) at Month 6 and Month 14

Adjusted ratio to baseline in geometric mean in Pro-BNP in the blood. Ratio to Baseline = On-therapy geometric mean divided by baseline geometric mean. A lower score signifies improvement. Change from baseline adjusted for baseline value and angiotensin converting enzyme inhibitor use at baseline. Analysis uses natural logarithms of excretion rate values. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14

Interventionpg/mL (Geometric Mean)
Placebo - Month 60.98
Irbesartan - Month 60.93
Placebo - Month 141.00
Irbesartan - Month 141.01

Change From Baseline in the New York Heart Association (NYHA) Functional Class at Month 6, Month 10, Month 14, and Final Visit

NYHA functional classification=4-tiered system relating symptoms to everyday activities & quality of life. (See Reporting Groups for description of each class.) Change of NYHA functional class from baseline was grouped into 3 categories: improved, unchanged, or worsened (based on case report form [CRF] assessment). If a post-randomization CRF assessment was missing or participant died, was hospitalized for worsening heart failure or discontinued study medication for worsening heart failure, the participant was classified as Major Event. (NCT00095238)
Timeframe: Baseline, Month 6, Month 10, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,,,,,
Interventionparticipants (Number)
Month 6 - ImprovedMonth 6 - UnchangedMonth 6 - WorsenedMonth 6 - Major EventMonth 6 - No DataMonth 10 - ImprovedMonth 10 - UnchangedMonth 10 - WorsenedMonth 10 - Major EventMonth 10 - No DataMonth 14 - ImprovedMonth 14 - UnchangedMonth 14 - WorsenedMonth 14 - Major EventMonth 14 - No DataFinal Visit - ImprovedFinal Visit - UnchangedFinal Visit - WorsenedFinal Visit - Major EventFinal Visit - No Data
Irbesartan Baseline All Classes Combined9369664810107948911584110993386661751329286589732460
Irbesartan Baseline Class I or II5531041218442945310253828750222942230687511
Irbesartan Class III or IV88165678899046175318489557911531038864282924949
Placebo Baseline All Classes Combined88110165114989029397142106902890698011988269410732057
Placebo Baseline Class I or II47338472114231763914393126216164225478665
Placebo Class III or IV83467841287860622833928635787641038404402925452

Mean Change From Baseline in Glomerular Filtration Rate (GFR) at Month 6, Month 18, and Month 30

Based on the Cockcroft-Gault formula calculation, a commonly used surrogate marker to estimate creatinine clearance, which in turn is an approximate measure of GFR. It employs serum creatinine measurements and a patient's weight to predict the creatinine clearance. Adjusted for baseline GFR and angiotensin-converting enzyme inhibitor use at baseline (ACE-I). A decrease from baseline signifies worsening. The adjusted mean change from baseline value is from the model (calculated prior to rounding), whereas the other two points are the baseline mean and post mean. (NCT00095238)
Timeframe: Baseline, Month 6, Month 18, Month 30

,,,,,
InterventionmL/min/1.73m2 (Mean)
Baseline MeanPost-Baseline MeanAdjusted Mean Change
Irbesartan - Month 1873.4968.00-5.50
Irbesartan - Month 3074.3767.05-7.12
Irbesartan - Month 673.1369.21-3.91
Placebo - Month 1873.5870.88-2.69
Placebo - Month 3073.3469.51-4.02
Placebo - Month 673.0271.97-1.07

Mean Change From Baseline in Glomerular Filtration Rate (GFR)at Month 42, Month 54, Month 66

Based on the Cockcroft-Gault formula calculation, a commonly used surrogate marker to estimate creatinine clearance, which in turn is an approximate measure of GFR. It employs serum creatinine measurements and a patient's weight to predict the creatinine clearance. Adjusted for baseline GFR and angiotensin-converting enzyme inhibitor use at baseline (ACE-I). A decrease from baseline signifies worsening. The adjusted mean change from baseline value is from the model (calculated prior to rounding), whereas the other two points are the baseline mean and post mean. (NCT00095238)
Timeframe: Baseline, Month 42, Month 54, Month 66

,,,,,
InterventionmL/min/1.73m2 (Mean)
Baseline MeanPost-Baseline MeanAdjusted Mean Change
Irbesartan - Month 4274.9567.48-7.36
Irbesartan - Month 5475.1768.24-6.93
Irbesartan - Month 6671.8464.85-5.46
Placebo - Month 4274.3771.34-3.14
Placebo - Month 5475.2972.65-2.63
Placebo - Month 6663.4760.09-4.91

Minnesota Living With Heart Failure (MLwHF) Total Score (Sum of Questions 1-21) at Final Visit

Mean score at baseline and final visit in Minnesota Living with Heart Failure (MLWHF) questionnaire, a 21-item, patient-reported, 6-point (ranging from 0-5; higher score=poorer quality of life; highest possible score=105) measurement of quality of life in persons with heart failure. (NCT00095238)
Timeframe: Baseline, Final Visit=last scheduled visit specified in the protocol at conclusion of the entire study by the sponsor. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
Interventionunits on a scale (Mean)
Baseline MeanFinal Visit Mean
Irbesartan - Final Visit38.938.3
Placebo - Final Visit42.542.6

Minnesota Living With Heart Failure (MLwHF) Total Score (Sum of Questions 1-21) at Month 6 and Month 14

Mean score and adjusted mean change from baseline in Minnesota Living with Heart Failure (MLWHF) questionnaire, a 21-item, patient-reported, 6-point (ranging from 0-5; higher score=poorer quality of life; highest possible score=105) measurement of quality of life in persons with heart failure. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14

,,,
Interventionunits on a scale (Mean)
Baseline Mean ScoreMean Score at TimepointAdjusted Mean Change from Baseline
Irbesartan - Month 1442.832.1-10.6
Irbesartan - Month 643.033.2-9.8
Placebo - Month 1442.731.6-11.2
Placebo - Month 642.732.9-10.0

Number of Participants With New Onset Atrial Fibrillation (AF) Among Those With No Prior AF History or Evidence of AF on Baseline Electrocardiograph (ECG)

Frequency of new onset AF in participants with no prior AF history or evidence of AF on baseline ECG. Stratified by use of angiotensin-converting enzyme (ACE) inhibitors and measured by adverse events reporting and final ECG recording read by the investigator. (NCT00095238)
Timeframe: Baseline, Final Visit

,,,
Interventionparticipants (Number)
No prior AF history or Evidence on Baseline ECGParticipants with New Onset Atrial Fibrillation
Irbesartan + ACE-I Use36635
Irbesartan no ACE-I Use1089103
Placebo + ACE-I Use34429
Placebo no ACE-I Use110299

Participant Assessment of Dyspnea at Month 6, Month 14, and Final Visit Compared With Baseline

Assessments are directly based on the Case Report Form (CRF). If the post-randomization CRF assessment was missing and the subject died, was hospitalized for worsening heart failure, or discontinued study medication for worsening heart failure, the subject was considered as having a Major Event. Participants who are summarized under Major Events are categorized as Worsened Markedly. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
InterventionParticipants (Number)
Month 6 - Improved MarkedlyMonth 6 - Improved ModeratelyMonth 6 - Improved SlightlyMonth 6 - UnchangedMonth 6 - Worsened SlightlyMonth 6 - Worsened ModeratelyMonth 6 - Worsened MarkedlyMonth 6 - Major EventMonth 6 - No DataMonth 14 - Improved MarkedlyMonth 14 - Improved ModeratelyMonth 14 - Improved SlightlyMonth 14 - UnchangedMonth 14 - Worsened SlightlyMonth 14 - Worsened ModeratelyMonth 14 - Worsened MarkedlyMonth 14 - Major EventMonth 14 - No DataFinal Visit - Improved MarkedlyFinal Visit - Improved ModeratelyFinal Visit - Improved SlightlyFinal Visit - UnchangedFinal Visit - Worsened SlightlyFinal Visit - Worsened ModeratelyFinal Visit - Worsened MarkedlyFinal Visit - Major EventFinal Visit - No Data
Irbesartan255549512508832298121247519460476103281368153213382328460114643539576
Placebo276536501510832210711623253143050990391074146212339335461145753238478

Participant Assessment of Fatigue at Month 6, Month 14, and Final Visit Compared With Baseline

Assessments are directly based on the Case Report Form (CRF). If the post-randomization CRF assessment was missing and the subject died, was hospitalized for worsening heart failure, or discontinued study medication for worsening heart failure, the subject was considered as having a Major Event. Participants who are summarized under Major Events are categorized as Worsened Markedly. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
InterventionParticipants (Number)
Month 6 - Improved MarkedlyMonth 6 - Improved ModeratelyMonth 6 - Improved SlightlyMonth 6 - UnchangedMonth 6 - Worsened SlightlyMonth 6 - Worsened ModeratelyMonth 6 - Worsened MarkedlyMonth 6 - Major EventMonth 6 - No DataMonth 14 - Improved MarkedlyMonth 14 - Improved ModeratelyMonth 14 - Improved SlightlyMonth 14 - UnchangedMonth 14 - Worsened SlightlyMonth 14 - Worsened ModeratelyMonth 14 - Worsened MarkedlyMonth 14 - Major EventMonth 14 - No DataFinal Visit - Improved MarkedlyFinal Visit - Improved ModeratelyFinal Visit - Improved SlightlyFinal Visit - UnchangedFinal Visit - Worsened SlightlyFinal Visit - Worsened ModeratelyFinal Visit - Worsened MarkedlyFinal Visit - Major EventFinal Visit - No Data
Irbesartan1935235045799728138122195513439525115481168153157361319479166803439576
Placebo20051947159610138137116182489443559109431674146178300337477176904238378

Participant Assessment of Heart Failure Status at Month 6, Month 14, and Final Visit Compared With Baseline

Assessments are directly based on the Case Report Form (CRF). If the post-randomization CRF assessment was missing and the subject died, was hospitalized for worsening heart failure, or discontinued study medication for worsening heart failure, the subject was considered as having a Major Event. Participants who are summarized under Major Events are categorized as Worsened Markedly. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
InterventionParticipants (Number)
Month 6 - Improved MarkedlyMonth 6 - Improved ModeratelyMonth 6 - Improved SlightlyMonth 6 - UnchangedMonth 6 - Worsened SlightlyMonth 6 - Worsened ModeratelyMonth 6 - Worsened MarkedlyMonth 6 - Major EventMonth 6 - No DataMonth 14 - Improved MarkedlyMonth 14 - Improved ModeratelyMonth 14 - Improved SlightlyMonth 14 - UnchangedMonth 14 - Worsened SlightlyMonth 14 - Worsened ModeratelyMonth 14 - Worsened MarkedlyMonth 14 - Major EventMonth 14 - No DataFinal Visit - Improved MarkedlyFinal Visit - Improved ModeratelyFinal Visit - Improved SlightlyFinal Visit - UnchangedFinal Visit - Worsened SlightlyFinal Visit - Worsened ModeratelyFinal Visit - Worsened MarkedlyFinal Visit - Major EventFinal Event - No Data
Irbesartan2355525295376313881222345324615037830868153207378332480121522539676
Placebo2305635195296920871162065344505278235774146201339352495109762838378

Percentage of Participants Experiencing All-cause Death at Given Time Points

Treatment comparisons for time to all-cause death (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan4.18.112.817.925.0
Placebo3.88.613.818.523.6

Percentage of Participants Experiencing Cardiovascular Death at Given Timepoints

Treatment comparisons for time to cardiovascular death (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage 1 YearPercentage 2 YearsPercentage 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan3.36.29.613.018.0
Placebo3.06.510.013.117.1

Percentage of Participants Experiencing CV Death or CV Hospitalization at Given Timepoints

Treatment comparisons for time to CV death or CV hospitalization. Protocol-specified CV hospitalizations include hospitalizations ≥24 hrs or involve a calendar date change for a primary cause of worsening heart failure, unstable angina, myocardial infarction, ventricular dysrhythmia, atrial dysrhythmia or stroke that also requires intravenous or intramuscular therapy or a related procedure or significant augmentation of oral therapy. Protocol specified CV hospitalizations also include myocardial infarction or stroke occurring during any hospitalization. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan11.619.224.230.035.0
Placebo11.420.025.830.935.8

Percentage of Participants Experiencing CV Death, Non-Fatal Myocardial Infarction (MI), or Non-Fatal Stroke at Given Timepoints

Treatment comparisons for time to cardiovascular death, non-fatal MI, or non-fatal stroke. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan5.28.712.917.223.0
Placebo4.29.313.617.622.4

Percentage of Participants Experiencing Heart Failure Mortality or Heart Failure Hospitalization at Given Time Points

Treatment comparisons for time to heart failure mortality or heart failure hospitalization (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan7.912.915.719.823.6
Placebo8.213.717.220.323.8

Percentage of Participants Experiencing Protocol-specified Cardiovascular (CV) Hospitalization at Given Timepoints

Treatment comparisons for time to protocol-specified CV hospitalization. Protocol-specified CV hospitalizations include hospitalizations ≥24 hrs or involve a calendar date change for a primary cause of worsening heart failure, unstable angina, myocardial infarction, ventricular dysrhythmia, atrial dysrhythmia or stroke that also requires intravenous or intramuscular therapy or a related procedure or significant augmentation of oral therapy. Protocol specified CV hospitalizations also include myocardial infarction or stroke occurring during any hospitalization. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan9.716.320.524.828.5
Placebo9.817.121.725.929.0

Percentage of Participants With First Occurrence of the Composite Outcome of Death (All Cause) or Protocol-Specified Cardiovascular (CV) Hospitalization at Given Timepoints

Treatment comparisons for time to first occurrence of composite outcome of all-cause death (composite outcome of death) or protocol-specified CV hospitalization. Protocol-specified CV hospitalizations include those ≥24 hrs or involving a calendar date change for a primary cause of worsening heart failure, unstable angina, myocardial infarction, ventricular or atrial dysrhythmia, or stroke, that also require intravenous or intramuscular therapy or a related procedure or significant augmentation of oral therapy. In addition, MI or stroke during any hospitalization are included. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan12.320.726.432.939.2
Placebo12.121.328.434.239.5

Percentage of Participants With New Onset of Diabetes Among Subjects With No Prior Diabetes History at Given Timepoints

Treatment comparisons for time to new onset of diabetes (from adverse event reporting) among subjects with no prior history of diabetes. (NCT00095238)
Timeframe: Year 1, Year 2, Year 3, Year 4, Year 5

,
Interventionpercentage of participants (Number)
Percentage at 1 YearPercentage at 2 YearsPercentage at 3 YearsPercentage at 4 YearsPercentage at 5 Years
Irbesartan0.72.13.14.65.2
Placebo1.22.83.95.46.2

Physician Assessment of Heart Failure Status at Month 6, Month 14, and Final Visit Compared With Baseline

This was an assessment of the change in overall physician opinion of change from baseline status. Assessments are directly based on the Case Report Form (CRF). If the post-randomization CRF assessment was missing and the subject died, was hospitalized for worsening heart failure, or discontinued study medication for worsening heart failure, the subject was considered as having a Major Event. Participants who are summarized under Major Events are categorized as Worsened Markedly. (NCT00095238)
Timeframe: Baseline, Month 6, Month 14, Final Visit. The trial was designed to end after 1440 primary endpoint events, projected duration=6.0 ± 0.5 years.

,
Interventionparticipants (Number)
Month 6 - Improved MarkedlyMonth 6 - Improved ModeratelyMonth 6 - Improved SlightlyMonth 6 - UnchangedMonth 6 - Worsened SlightlyMonth 6 - Worsened ModeratelyMonth 6 - Worsened MarkedlyMonth 6 - Major EventMonth 6 - No DataMonth 14 - Improved MarkedlyMonth 14 - Improved ModeratelyMonth 14 - Improved SlightlyMonth 14 - UnchangedMonth 14 - Worsened SlightlyMonth 14 - Worsened ModeratelyMonth 14 - Worsened MarkedlyMonth 14 - Major EventMonth 14 - No DataFinal Visit - Improved MarkedlyFinal Visit - Improved ModeratelyFinal Visit - Improved SlightlyFinal Visit - UnchangedFinal Visit - Worsened SlightlyFinal Visit - Worsened ModeratelyFinal Visit - Worsened MarkedlyFinal Visit - Major EventFinal Visit - No Data
Irbesartan2305625335286017081292145464425077221575185180430344477117412336491
Placebo1985755295415816481321955374355487319679169186367361504117562835092

Aborted Cardiac Arrest

First incidence of aborted cardiac arrest (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo0.09
Spironolactone0.05

All-cause Mortality

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo4.6
Spironolactone4.2

Cardiovascular Mortality

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo3.1
Spironolactone2.8

Cardiovascular-related Hospitalization

Hospitalization for MI, stroke or the management of heart failure, whichever occurred first (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo6.2
Spironolactone5.5

Chloride

Average post-baseline Chloride, taking into consideration baseline Chloride, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionmEq/L (Least Squares Mean)
Placebo102.33
Spironolactone102.26

Composite Outcome of Cardiovascular Mortality or Cardiovascular-related Hospitalization (i.e., Hospitalization for Myocardial Infarction(MI), Stroke, or the Management of Heart Failure), Whichever Occurred First

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo7.8
Spironolactone7.2

Composite Outcome of Cardiovascular Mortality, Aborted Cardiac Arrest, or Hospitalization for the Management of Heart Failure, Whichever Occurred First

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo6.6
Spironolactone5.9

Composite Outcome of Sudden Death or Aborted Cardiac Arrest, Whichever Occurred First

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.1
Spironolactone1.0

Composite Outcome of Sudden Death, Aborted Cardiac Arrest, or Hospitalization for the Management of Ventricular Tachycardia, Whichever Occurred First

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.1
Spironolactone1.0

Depression Symptoms, as Measured by Patient Health Questionnaire.

"Average post-baseline depression, taking into consideration baseline depression, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual.~The Patient Health Questionnaire (PHQ) is a 10-item, self-administered instrument for screening, diagnosing, monitoring and measuring the severity of depression. Scores can range from 0-27, in which lower scores reflect better mental health status. The PH-Q was administered at the following study visits: baseline, month 12 and annually thereafter. Valid translations of this questionnaire were only available for subjects enrolled in the United States and Canada." (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionunits on a scale (Least Squares Mean)
Placebo5.6
Spironolactone5.1

Deterioration of Renal Function

First incidence of a deterioration of renal function. The TOPCAT protocol defines deterioration of renal function as occurring if a subject has a serum creatinine value which is at least double the baseline value for that subject, and is also above the upper limit of normal (assumed to be 1.0 mg/dL for females and 1.2 mg/dL for males.) (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo2.2
Spironolactone3.2

Development of Atrial Fibrillation, Among Subjects Without a History of Atrial Fibrillation at Baseline.

First incidence of atrial fibrillation among subjects without a history of atrial fibrillation at baseline (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.4
Spironolactone1.4

Estimated Glomerular Filtration Rate (GFR)

Average post-baseline GFR, taking into consideration baseline GFR, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionmL/min/1.73m2 (Least Squares Mean)
Placebo67.50
Spironolactone65.20

Hospitalization for Any Reason

First incidence of a hospitalization for any reason (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo20.0
Spironolactone18.8

Hospitalization for the Management of Heart Failure

First incidence of a hospitalization for the management of heart failure (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo4.6
Spironolactone3.8

Myocardial Infarction

First incidence of myocardial infarction (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.1
Spironolactone1.2

New Onset Diabetes Mellitus, Among Subjects Without a History of Diabetes Mellitus at Baseline.

First incidence of new onset diabetes mellitus among subjects without a history of diabetes mellitus at baseline. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo0.7
Spironolactone0.7

Potassium

Average post-baseline Potassium, taking into consideration baseline Potassium, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionmEq/L (Least Squares Mean)
Placebo4.32
Spironolactone4.49

Quality of Life, as Measured by McMaster Overall Treatment Evaluation Questionnaire.

"Average post-baseline quality of life, taking into consideration baseline quality of life and treatment group.~The McMaster Overall Treatment Evaluation questionnaire is a self-administered 3-item instrument that measures a patient's perception of change in their health-related quality of life since the start of therapy. The questionnaire consists of a single question - Since treatment started, has there been any change in your activity limitation, symptoms and/or feelings related to your heart condition? Scores can range from -7 to +7, and higher scores reflect better health status. The questionnaire was administered at the following study visits: month 4 and month 12. Valid translations of this questionnaire were only available for subjects enrolled in the United States, Canada and Argentina." (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionunits on a scale (Least Squares Mean)
Placebo1.2
Spironolactone1.2

Quality of Life, as Measured by the EuroQOL Visual Analog Scale.

"Average post-baseline quality of life, taking into consideration baseline quality of life, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual.~The EuroQOL visual analog scale (EQ5D) is a single-item, self-administered instrument that quantifies current health status. Scores can range from 0-100, in which higher scores reflect better health status. The EQ5D was administered at the following study visits: baseline, month 4, month 12 and annually thereafter." (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionunits on a scale (Least Squares Mean)
Placebo65.9
Spironolactone66.4

Quality of Life, as Measured by the Kansas City Cardiomyopathy Questionnaire.

"Average post-baseline quality of life, taking into consideration baseline quality of life, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual.~The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. The KCCQ was administered at the following study visits: baseline, month 4, month 12 and annually thereafter." (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionunits on a scale (Least Squares Mean)
Placebo63.1
Spironolactone64.4

Serum Creatinine

Average post-baseline serum creatinine, taking into consideration baseline serum creatinine, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionmg/dL (Least Squares Mean)
Placebo1.11
Spironolactone1.17

Sodium

Average post-baseline Sodium, taking into consideration baseline Sodium, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionmEq/L (Least Squares Mean)
Placebo140.95
Spironolactone140.33

Stroke

First incidence of stroke (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.1
Spironolactone1.0

Total Hospitalizations (Including Repeat Hospitalizations) for the Management of Heart Failure

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo8.3
Spironolactone6.8

Other Studies

3 other studies available for avapro and Cardiac Arrest, Sudden

ArticleYear
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Developing and validating models to predict sudden death and pump failure death in patients with heart failure and preserved ejection fraction.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2021, Volume: 110, Issue:8

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biomarkers; Biphenyl Compounds; Death

2021
Prior Pacemaker Implantation and Clinical Outcomes in Patients With Heart Failure and Preserved Ejection Fraction.
    JACC. Heart failure, 2019, Volume: 7, Issue:5

    Topics: Aged; Aged, 80 and over; Angiotensin II Type 1 Receptor Blockers; Benzimidazoles; Biphenyl Compounds

2019
Clinical Characteristics and Outcomes of Patients With Coronary Artery Disease and Angina: Analysis of the Irbesartan in Patients With Heart Failure and Preserved Systolic Function Trial.
    Circulation. Heart failure, 2015, Volume: 8, Issue:4

    Topics: Aged; Angina Pectoris; Angiotensin II Type 1 Receptor Blockers; Biphenyl Compounds; Coronary Artery

2015