Selenium/zinc administration in human malabsorption cardiomyopathy

ISRCTN ISRCTN18442853
DOI https://doi.org/10.1186/ISRCTN18442853
Secondary identifying numbers N/A
Submission date
15/10/2010
Registration date
02/11/2010
Last edited
02/11/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Andrea Frustaci
Scientific

Viale del Policlinico 155
Rome
00161
Italy

Phone +39 065 51 70 575
Email biocard@inmi.it

Study information

Study designSingle centre randomised controlled clinical study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleRandomised clinical trial on selenium/zinc administration in human malabsorption cardiomyopathy
Study objectivesIntestinal malabsorption is associated with trace elements deficiency and cardiomyopathy. The study will test the efficacy of selenium/zinc intravenous (i.v.) administration in reverting the malabsorption associated cardiac dilation and dysfunction.
Ethics approval(s)Ethics Committee of "La Sapienza" University of Rome approved on the 30th November 1997
Health condition(s) or problem(s) studiedMalabsorption related dilated cardiomyopathy
Intervention1. Intervention group: selenium and zinc i.v. administration (Addamel N 10 ml corresponding to Se 300 µg and Zn 13.6 mg)
2. Control group: no treatment

Patients will be randomly assigned to receive standard anti-heart failure therapy alone or associated with i.v. selenium and zinc administration every day for 1 week and every week for 6 months.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Selenium, Zinc
Primary outcome measure1. Improvement in heart failure symptoms as evaluated by New York Heart Association (NYHA) class
2. Improvement in cardiac dimension and function by echocardiography (ejection fraction, end diastolic diameter, end diastolic volume, diastolic function assessment)
3. Normalisation of the selenium/zinc levels at neutron activation analysis

Primary and secondary outcome measures will be performed at baseline and after 6 months, i.e. at the end, of treatment.
Secondary outcome measures1. Recovery of cardiomyocyte degeneration as evaluated at histology
2. Increase of glutathione peroxidase activity in myocardial tissue

Primary and secondary outcome measures will be performed at baseline and after 6 months, i.e. at the end, of treatment.
Overall study start date01/01/1998
Completion date31/12/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants18
Key inclusion criteria1. Male and female patients aged 18 - 70 years with intestinal malabsorption due to intestinal bypass because of severe obesity
2. Dilated cardiomyopathy lasting more than 6 months unresponsive to conventional supportive therapy (ejection fraction [EF] less than 40%)
3. Patients consent to endomyocardial biopsy study before and after six months treatment
4. Serum and myocardial deficiency of selenium/zinc demonstrated by neutron activation analysis
Key exclusion criteria1. Patients with specific heart muscle diseases at histology (i.e. myocarditis)
2. Normal levels of myocardial trace elements
Date of first enrolment01/01/1998
Date of final enrolment31/12/2010

Locations

Countries of recruitment

  • Italy

Study participating centre

Viale del Policlinico 155
Rome
00161
Italy

Sponsor information

La Sapienza University (Italy)
University/education

Viale del Policlinico 155
Rome
00161
Italy

Phone +39 064 99 70 785
Email biocard@inmi.it
Website http://www.uniroma1.it
ROR logo "ROR" https://ror.org/02be6w209

Funders

Funder type

University/education

La Sapienza University (Italy)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan