Safety and Efficacy of Aliskiren in Post Myocardial Infarction Patients (ASPIRE)

Last updated: July 5, 2012
Sponsor: Novartis
Overall Status: Completed

Phase

3

Condition

Coronary Artery Disease

Circulation Disorders

Angina

Treatment

N/A

Clinical Study ID

NCT00414609
CSPP100A2340
  • Ages > 18
  • All Genders

Study Summary

The core and extension studies assessed the safety and efficacy of aliskiren when added to optimized standard therapy in patients that have had a high risk acute myocardial infarction (heart attack).

Eligibility Criteria

Inclusion

Core Study Inclusion Criteria:

  • Male or female patients 18 years and older.

  • Patients within 7-42 days of an acute myocardial infarction associated with leftventricular systolic dysfunction.

  • Documented left ventricular systolic dysfunction associated with the qualifying acutemyocardial.

  • Patients must be on stable doses of the following concomitant medications for at least 2 weeks prior to Visit 1 unless contraindicated due to intolerance:

  • A Beta-blocker

  • An Anti-platelet agent

  • A Statin

  • An evidence-based dose of an Angiotensin Converting Enzyme Inhibitor (ACEI) orAngiotensin Receptor Blocker (ARB) but not both.

  • Qualifying Echocardiogram at Visit 1:

Exclusion

Core Study Exclusion Criteria:

  • Patients requiring both Angiotensin Converting Enzyme Inhibitor (ACEI) and AngiotensinReceptor Blocker (ARB) combination therapy at V1 or any time during the study.

  • Severe refractory hypertension defined as mean sitting systolic blood pressure (MSSBP) ≥ 180 mmHg and/or mean sitting diastolic blood pressure (MSDBP) ≥ 110 mmHg) at Visit

  • Cardiogenic shock or systolic BP < 100 mmHg or diastolic < 60 mmHg within the 24 hoursprior to Visits 1 or 2

  • Estimated Glomerular Filtration Rate (eGFR) < 30 ml/min/1.73m2 using the MDRD formulaat Visit 1.

  • Stroke or transient ischemic event (TIA) within 6 months of Study Visit 1 Extension Study Inclusion Criteria:

  • Male or female patients who completed the core study through Visit 10 while ondouble-blind study drug

  • Patients who were able to participate in the study, and who consented to do so afterthe purpose and nature of the study had been clearly explained to them (writteninformed consent) Extension Study Exclusion Criteria:

  • New York Heart Association (NYHA) class IV Congestive Heart Failure at Visit 1 (Corestudy Visit 10)

  • Symptomatic hypotension or reported systolic blood pressure (BP) < 90 mmHg within 24hours prior to Visit 1 (Core study Visit 10)

  • Known Estimated Glomerular Filtration Rate (eGFR) < 30 mL/min/1.73m^2 using theModification of Diet in Renal Disease (MDRD) formula at Visit 1 (Core study Visit 10)

  • Pregnant or nursing (lactating) women, where pregnancy was defined as the state of afemale after conception and until the termination of gestation, confirmed by apositive hCG laboratory test (> 5 mIU/mL)

  • Women of child-bearing potential, defined as all women physiologically capable ofbecoming pregnant Unless post-menopausal or using an acceptable method ofcontraception

  • Any surgical or medical condition that in the opinion of the investigator may placethe patient at higher risk from his/her participation in the study or was likely toprevent the patient from complying with the requirements or completing the study Other protocol-defined inclusion/exclusion criteria applied

Study Design

Total Participants: 820
Study Start date:
December 01, 2006
Estimated Completion Date:
July 31, 2011

Connect with a study center

  • Novartis Argentina

    Novartis Argentina,
    Argentina

    Site Not Available

  • Novartis Belgium

    Novartis Belgium,
    Belgium

    Site Not Available

  • Novartis Canada

    Novartis Canada,
    Canada

    Site Not Available

  • Novartis de Colombia S.A.

    Bogota,
    Colombia

    Site Not Available

  • Novartis Czech Republic

    Praha, Praha 3 CZ-130 00
    Czech Republic

    Site Not Available

  • Novartis Denmark

    Novartis Denmark,
    Denmark

    Site Not Available

  • Novartis Germany

    Novartis Germany,
    Germany

    Site Not Available

  • Novartis Hungary

    Budapest, H-1537
    Hungary

    Site Not Available

  • Novartis Healthcare Private Limited

    Worli, Mumbai, 400018
    India

    Site Not Available

  • Novartis Pharma

    Petach Tikva, IL-49250
    Israel

    Site Not Available

  • Novartis Italy

    Novartis Italy,
    Italy

    Site Not Available

  • Novartis Korea Ltd.

    Seoul, 100-803
    Korea, Republic of

    Site Not Available

  • Novartis Netherlands

    Novartis Netherlands,
    Netherlands

    Site Not Available

  • Novartis Norway

    Novartis Norway,
    Norway

    Site Not Available

  • Novartis Poland Sp. z o.o.

    Warszawa, PL-00-710-
    Poland

    Site Not Available

  • Novartis Russia

    Novartis Russia,
    Russian Federation

    Site Not Available

  • Novartis Slovakia

    Bratislava, SK-821 09
    Slovakia

    Site Not Available

  • Novartis Spain

    Novartis Spain,
    Spain

    Site Not Available

  • Novartis Sweden

    Novartis Sweden,
    Sweden

    Site Not Available

  • Novartis Turkey

    Istanbul, TR-34353
    Turkey

    Site Not Available

  • Novartis UK

    Novartis,
    United Kingdom

    Site Not Available

  • Novartis US

    Novartis US, New Jersey
    United States

    Site Not Available

  • Novartis de Venezuela, S.A.

    Caracas, 1062
    Venezuela

    Site Not Available

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