Effect of allopurinol on arterial stiffness indices in patients with chronic heart failure

ISRCTN ISRCTN58980230
DOI https://doi.org/10.1186/ISRCTN58980230
Protocol serial number 201065
Sponsor Imam Abdulrahman bin Faisal University
Funder Imam Abdulrahman bin Faisal University
Submission date
01/02/2011
Registration date
01/03/2011
Last edited
19/06/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Manal Alem
Scientific

Department of Pharmacology
College of Medicine
Imam Abdulrahman bin Faisal University
PO Box 34872
Dammam
31478
Saudi Arabia

ORCiD logoORCID ID 0000-0001-8447-792X
Email malem@alfaisal.edu

Study information

Primary study designInterventional
Study designProspective randomised double-blind placebo-controlled study
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleEffect of allopurinol on arterial stiffness indices in patients with chronic heart failure: a prospective randomised double-blind placebo-controlled study
Study objectivesAllopurinol add-on therapy (300 mg daily dose for 3 months) in clinically-stable patients with chronic heart failure will result in reduction of arterial stiffness parameters, augmentation index (AIx) and aortic pulse wave velocity (PWV) (carotid-femoral).
Ethics approval(s)The University of Dammam (now Imam Abdulrahman bin Faisal University) Ethics Committee, 26/05/2010
Health condition(s) or problem(s) studiedChronic heart failure
InterventionEvery patient will have a total of 4 visits.

Preliminary visit:
For explaining the nature of the trial, get the consent forms signed and for demonstration of SphygmoCardiography technique and to get the patient acclimatised to it via taking some arterial stiffness readings that will not be included in the study statistics. Blood samples will be taken for baseline screening; haematological and biochemical screening. Baseline echocardiogram and ECG will also be done.

Visit 0:
For arterial stiffness parameters measurements and baseline stress test, after which the patient will be randomised by a pharmacist to any of the treatment arms.

Safety visit:
For checking how the patient is doing with the study medication (1 month after). Blood samples will be taken for complete blood count, renal and liver function tests.

Visit 1 (3 months post-randomisation):
For arterial stiffness parameters measurements and a repeat stress test.

Medications:
Allopurinol: Apo-Allopurinol 300 mg tablet once daily (APOTEX Pharmaceutical, Canada). Duration: 90 days.
Placebo: manufactured locally at Al Jazeera Pharmaceutical, Riyadh, Saudi Arabia, 1 tablet once daily. Duration: 90 days.
Intervention typeDrug
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Allopurinol
Primary outcome measure(s)

Arterial stiffness indices:
1. Pulse wave velocity (PWV)
2. Augmentation index
Assessed at visit 0 (baseline) and after 90 days post-randomisation (visit 1)

Key secondary outcome measure(s)

Exercise capacity, assessed at visit 0 (baseline) and after 90 days post-randomisation (visit 1)

Completion date01/12/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration100
Key inclusion criteria1. Aged greater than 18 years, either sex
2. Chronic heart failure patients with functional class II - III (according to New York Heart Association [NYHA])
3. Clinical stabilisation of cardiac condition and medications for at least 3 months prior to involvement
Key exclusion criteria1. Serum creatinine greater than 2 mg/dl or creatinine clearance of less than 60 ml/min
2. Recent admission to hospital within the last 3 months due to decompensated heart failure or new ischaemic event
3. Uncontrolled blood pressure (BP greater than 160/100 mmHg)
4. Concomitant antioxidant vitamins
5. Known hypersensitivity reaction to allopurinol
Date of first enrolment08/01/2011
Date of final enrolment01/12/2012

Locations

Countries of recruitment

  • Saudi Arabia

Study participating centre

Imam Abdulrahman bin Faisal University
Dammam
31478
Saudi Arabia

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe data sets generated during and/or analyzed during the current study are/will be available upon request from Dr Manal Alem (malem@alfaisla.edu). No analyses will allowed on raw data unless agreed and approved by local ethics committee.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 05/06/2018 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

19/06/2018: PubMed link added.
14/06/2018: IPD sharing statement added.
13/06/2018: Publication reference added, contact details updated.
30/05/2018: The ethics approval and trial centre fields have been updated to reflect that Imam Abdulrahman bin Faisal University is the new name for the University of Dammam.