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10.1016/j.jchf.2020.05.005

http://scihub22266oqcxt.onion/10.1016/j.jchf.2020.05.005
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suck abstract from ncbi


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pmid32641226      JACC+Heart+Fail 2020 ; 8 (10): 789-799
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  • Sacubitril/Valsartan in Advanced Heart Failure With Reduced Ejection Fraction: Rationale and Design of the LIFE Trial #MMPMID32641226
  • Mann DL; Greene SJ; Givertz MM; Vader JM; Starling RC; Ambrosy AP; Shah P; McNulty SE; Mahr C; Gupta D; Redfield MM; Lala A; Lewis GD; Mohammed SF; Gilotra NA; DeVore AD; Gorodeski EZ; Desvigne-Nickens P; Hernandez AF; Braunwald E
  • JACC Heart Fail 2020[Oct]; 8 (10): 789-799 PMID32641226show ga
  • The PARADIGM-HF (Prospective Comparison of Angiotensin II Receptor Blocker Neprilysin Inhibitor With Angiotensin-Converting Enzyme Inhibitor to Determine Impact on Global Mortality and Morbidity in Heart Failure) trial reported that sacubitril/valsartan (S/V), an angiotensin receptor-neprilysin inhibitor, significantly reduced mortality and heart failure (HF) hospitalization in HF patients with a reduced ejection fraction (HFrEF). However, fewer than 1% of patients in the PARADIGM-HF study had New York Heart Association (NYHA) functional class IV symptoms. Accordingly, data that informed the use of S/V among patients with advanced HF were limited. The LIFE (LCZ696 in Hospitalized Advanced Heart Failure) study was a 24-week prospective, multicenter, double-blinded, double-dummy, active comparator trial that compared the safety, efficacy, and tolerability of S/V with those of valsartan in patients with advanced HFrEF. The trial planned to randomize 400 patients >/=18 years of age with advanced HF, defined as an EF /=250 pg/ml or N-terminal pro-B-type natriuretic peptide [NT-proBNP] >/=800 pg/ml), and >/=1 objective finding of advanced HF. Following a 3- to 7-day open label run-in period with S/V (24 mg/26 mg twice daily), patients were randomized 1:1 to S/V titrated to 97 mg/103 mg twice daily versus 160 mg of V twice daily. The primary endpoint was the proportional change from baseline in the area under the curve for NT-proBNP levels measured through week 24. Secondary and tertiary endpoints included clinical outcomes and safety and tolerability. Because of the COVID-19 pandemic, enrollment in the LIFE trial was stopped prematurely to ensure patient safety and data integrity. The primary analysis consists of the first 335 randomized patients whose clinical follow-up examination results were not severely impacted by COVID-19. (Entresto [LCZ696] in Advanced Heart Failure [LIFE STUDY] [HFN-LIFE]; NCT02816736).
  • |*Aminobutyrates/therapeutic use[MESH]
  • |*Angiotensin Receptor Antagonists/therapeutic use[MESH]
  • |*Heart Failure/drug therapy/metabolism/physiopathology[MESH]
  • |*Tetrazoles/therapeutic use[MESH]
  • |Betacoronavirus[MESH]
  • |Biphenyl Compounds[MESH]
  • |COVID-19[MESH]
  • |Cardiotonic Agents/therapeutic use[MESH]
  • |Coronavirus Infections[MESH]
  • |Dose-Response Relationship, Drug[MESH]
  • |Double-Blind Method[MESH]
  • |Drug Combinations[MESH]
  • |Early Termination of Clinical Trials[MESH]
  • |Glomerular Filtration Rate[MESH]
  • |Heart Transplantation[MESH]
  • |Heart-Assist Devices[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Hypotension/chemically induced[MESH]
  • |Multicenter Studies as Topic[MESH]
  • |Natriuretic Peptide, Brain/metabolism[MESH]
  • |Pandemics[MESH]
  • |Peptide Fragments/metabolism[MESH]
  • |Pneumonia, Viral[MESH]
  • |Randomized Controlled Trials as Topic[MESH]
  • |SARS-CoV-2[MESH]
  • |Stroke Volume[MESH]


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