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Ubiquinol Treatment in Patients With Heart Failure and Preserved Ejection Fraction

Primary Purpose

Heart Failure

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
ubiquinol
Placebo
Sponsored by
Hadassah Medical Organization
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Typical signs and symptoms of congestive heart failure (CHF) (New York Association Class 2-4).
  • Normal ejection fraction on echocardiography (EF ≥50%).
  • Evidence of diastolic dysfunction on non-invasive imaging (E:e' > 15 or e:e' > 8 with other measures of diastolic dysfunction such as e/a < 0.5 with elevated deceleration time or left atrial volume index > 40 cc/m2 or presence of elevated left ventricular mass index or elevated pulmonary pressures).
  • Stable medical therapy for 4 weeks prior to randomization

Exclusion Criteria:

  • Chronic atrial fibrillation.
  • Acute coronary syndrome or coronary revascularization within 60 days.
  • Clinically significant valvular disease.
  • Known infiltrative cardiomyopathy (e.g. amyloidosis), hypertrophic cardiomyopathy or chronic pericardial disease.
  • Inability/refusal to provide informed consent

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Placebo Comparator

    Active Comparator

    Arm Label

    Placebo

    Active

    Arm Description

    Placebo three times daily

    Pills of 100 mg ubiquinol three times daily

    Outcomes

    Primary Outcome Measures

    Change in diastolic function as assessed by mitral valve inflow and tissue Doppler velocities on echocardiography
    NT-pro brain natriuretic peptide (NT-proBNP) serum levels (pg/ml)

    Secondary Outcome Measures

    Full Information

    First Posted
    May 15, 2016
    Last Updated
    May 18, 2016
    Sponsor
    Hadassah Medical Organization
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02779634
    Brief Title
    Ubiquinol Treatment in Patients With Heart Failure and Preserved Ejection Fraction
    Official Title
    The Effect of Ubiquinol Treatment on Cardiac Function in Patients With Heart Failure With Preserved Ejection Fraction
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    July 2016 (undefined)
    Primary Completion Date
    January 2018 (Anticipated)
    Study Completion Date
    January 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Hadassah Medical Organization

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    There are no studies specifically examining the effects of coenzyme Q (CoQ) treatment on echocardiographic indices of diastolic function in elderly patients with heart failure with preserved ejection fraction (HFPEF). In previous studies the only echocardiographic parameters studied were ejection fraction (EF) and chamber size. The objective of the proposed current study is to examine the effect of 16 weeks of ubiquinol therapy on diastolic function assessed by echocardiography in patients over the age of 50 with a clinical diagnosis of HFPEF. Ubiquinol (Kaneka Pharma), the reduced form of CoQ will be utilized for this study as it has been shown to have superior bioavailability when compared to oxidized CoQ.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Heart Failure

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    60 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo three times daily
    Arm Title
    Active
    Arm Type
    Active Comparator
    Arm Description
    Pills of 100 mg ubiquinol three times daily
    Intervention Type
    Drug
    Intervention Name(s)
    ubiquinol
    Other Intervention Name(s)
    coenzyme Q10
    Intervention Description
    Ubiquinol three times daily
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Sugar pill three times daily
    Primary Outcome Measure Information:
    Title
    Change in diastolic function as assessed by mitral valve inflow and tissue Doppler velocities on echocardiography
    Time Frame
    4 months
    Title
    NT-pro brain natriuretic peptide (NT-proBNP) serum levels (pg/ml)
    Time Frame
    4 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Typical signs and symptoms of congestive heart failure (CHF) (New York Association Class 2-4). Normal ejection fraction on echocardiography (EF ≥50%). Evidence of diastolic dysfunction on non-invasive imaging (E:e' > 15 or e:e' > 8 with other measures of diastolic dysfunction such as e/a < 0.5 with elevated deceleration time or left atrial volume index > 40 cc/m2 or presence of elevated left ventricular mass index or elevated pulmonary pressures). Stable medical therapy for 4 weeks prior to randomization Exclusion Criteria: Chronic atrial fibrillation. Acute coronary syndrome or coronary revascularization within 60 days. Clinically significant valvular disease. Known infiltrative cardiomyopathy (e.g. amyloidosis), hypertrophic cardiomyopathy or chronic pericardial disease. Inability/refusal to provide informed consent
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Sara Elias
    Email
    sarae@hadassah.org.il
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    David Leibowitz, MD
    Organizational Affiliation
    Hadassah Medical Organization
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided
    Citations:
    PubMed Identifier
    34826125
    Citation
    Samuel TY, Hasin T, Gotsman I, Weitzman T, Ben Ivgi F, Dadon Z, Asher E, Amir O, Glikson M, Alcalai R, Leibowitz D. Coenzyme Q10 in the Treatment of Heart Failure with Preserved Ejection Fraction: A Prospective, Randomized, Double-Blind, Placebo-Controlled Trial. Drugs R D. 2022 Mar;22(1):25-33. doi: 10.1007/s40268-021-00372-1. Epub 2021 Nov 26.
    Results Reference
    derived

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    Ubiquinol Treatment in Patients With Heart Failure and Preserved Ejection Fraction

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