| Descriptive Information Fields | |||||
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| Brief Title † | Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT) | ||||
| Official Title † | |||||
| Brief Summary | To compare conventional treatment of congestive heart failure (CHF) with two experimental interventions: amiodarone and an implantable cardioverter-defibrillator (ICD). |
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| Detailed Description | BACKGROUND: Congestive heart failure is a major cause of mortality and morbidity, and sudden arrhythmic death is the cause of death in from 30 to 50 percent of those who die. The study addresses the problem and tests two interventions that have promise of benefit. To date, many of the therapies that have been tested for congestive heart failure have either been ineffective or actually decreased survival. Conventional therapy is still relatively ineffective in that recent studies such as the Congestive Heart Failure - Survival Trial of Antiarrhythmic Therapy (CHF-STAT) have demonstrated a mortality of 40 percent during two-and-half years of follow-up. The implantable cardioverter-defibrillator appears to be effective in patients who are resuscitated from cardiac arrest, but until recently, the devices required a thoracotomy and had to be reserved for patients with the highest risk for sudden death. The newer transvenous devices with pectoral patches can now be considered for broader applications. Although there have been mixed results with amiodarone in patients with congestive heart failure, there is a general consensus that it could be effective in the proper subset of patients with congestive heart failure. A comparison of the optimal device and drug is appropriate for such a high risk population. DESIGN NARRATIVE: Three-armed, randomized, multicenter trial conducted at over 125 North American, Australian and New Zealand sites. Patients were enrolled over 2.5 years after being randomly assigned to amiodarone, matched placebo or an implantable cardiac defibrillator (ICD). Median follow-up was 45.5 months. All three arms used conventional therapy for heart failure and coronary artery disease (ACE inhibitors, lipid lowering and beta-blockers). The central hypothesis was that amiodarone or the ICD would improve survival compared to placebo. The primary outcome was the prevention of all-cause mortality. Secondary outcome measures included cardiac mortality and arrhythmic mortality, morbidity, quality of life, and incremental cost-effectiveness of the interventions. . |
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| Study Phase | Phase III | ||||
| Study Type † | Interventional | ||||
| Study Design † | Treatment, Randomized | ||||
| Primary Outcome Measure † | |||||
| Secondary Outcome Measure † | |||||
| Condition † | Arrhythmia Cardiovascular Diseases Death, Sudden, Cardiac Heart Diseases Heart Failure, Congestive Heart Failure |
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| Intervention † | Drug: amiodarone Device: defibrillators, implantable |
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| MEDLINE PMIDs | 15659722, 15659729 | ||||
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| Recruitment Information Fields | |||||
| Recruitment Status † | Completed | ||||
| Enrollment † | |||||
| Start Date † | May 1997 | ||||
| Completion Date | April 2005 | ||||
| Eligibility Criteria † | Patients with New York Heart Association class II or class III heart failure and ejection fraction less than or equal to 35%. |
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| Gender | Both | ||||
| Ages | 19 Years to 90 Years | ||||
| Accepts Healthy Volunteers | No | ||||
| Contacts †† | |||||
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| Administrative Information Fields | |||||
| NCT ID † | NCT00000609 | ||||
| Organization ID | 112 | ||||
| Secondary IDs †† | |||||
| Study Sponsor † | National Heart, Lung, and Blood Institute (NHLBI) | ||||
| Collaborators †† | |||||
| Investigators † |
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| Information Provided By | National Heart, Lung, and Blood Institute (NHLBI) | ||||
| Verification Date | November 2005 | ||||
| First Received Date † | October 27, 1999 | ||||
| Last Updated Date | November 10, 2005 | ||||
