Status:

COMPLETED

MetfoRmin and Its Effects on Left Ventricular Hypertrophy in Normotensive Patients With Coronary Artery Disease

Lead Sponsor:

University of Dundee

Conditions:

Left Ventricular Hypertrophy

Insulin Resistance

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Thickening of the heart muscle (left ventricle) known medically as Left Ventricular Hypertrophy (LVH) is very common in patients with heart disease. This increases risk of cerebrovascular/cardiovascul...

Detailed Description

This is a single centre trial designed to investigate the benefit, if any, of 12 month metformin XL 2000mg/day treatment on left ventricular hypertrophy (LVH) in 64 nondiabetic participants with Ischa...

Eligibility Criteria

Inclusion

  • Aged 18 years or over
  • Participant willing and able to give informed consent.
  • Documented Ischaemic Heart Disease: either angio-graphically documented coronary artery disease or a previous history of myocardial infarction/angina.
  • Screening echocardiography based diagnosis of LVH (LV mass indexed to height to the allometric power of 1.7; males \> 81g/h1.7, females \>60g/h1.7)
  • Fasting insulin resistance index ≥ 2.7 AND/OR HbA1c \>5.6 and less than 6.5 at screening
  • Blood pressure \< 140/85 mm Hg or 24hr BP \<135/85 daytime average in screening
  • Able (in the Investigators opinion) and willing to comply with all study requirements.

Exclusion

  • Cognitive impairment
  • Type 1 or 2 Diabetes mellitus
  • Chronic Heart Failure as evidenced by echocardiogram or documented diagnosis of CHF
  • Left Ventricular Ejection Fraction \<45% on screening echocardiography
  • Contraindications to cardiac MRI (pacemakers, claustrophobia, metal implants, history of penetrative eye injury or exposure to metal fragments in eye requiring medical attention)
  • Malignancy (receiving active treatment) or other life threatening disease, renal disease (CKD class 3B or worse)
  • Pregnancy/lactating females
  • Any other reason considered inappropriate by a study physician
  • Participants who have participated in any other clinical trial within the previous 30 days.

Key Trial Info

Start Date :

March 1 2015

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2017

Estimated Enrollment :

68 Patients enrolled

Trial Details

Trial ID

NCT02226510

Start Date

March 1 2015

End Date

December 1 2017

Last Update

April 10 2019

Active Locations (1)

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1

Ninewells Hospital & Medical School

Dundee, Angus, United Kingdom, DD1 9SY