Sacubitril/valsartan and cardiovascular biomarkers among patients with recent COVID-19 infection: The PARACOR-19 randomized clinical trial.

Biomarkers COVID‐19 Sacubitril/valsartan

Journal

European journal of heart failure
ISSN: 1879-0844
Titre abrégé: Eur J Heart Fail
Pays: England
ID NLM: 100887595

Informations de publication

Date de publication:
11 May 2024
Historique:
revised: 19 02 2024
received: 24 01 2024
accepted: 05 03 2024
medline: 11 5 2024
pubmed: 11 5 2024
entrez: 11 5 2024
Statut: aheadofprint

Résumé

The PARACOR-19 randomized controlled trial (RCT) was designed to examine the effects of sacubitril/valsartan on markers of cardiac injury, inflammation, structure, and function among patients who have recovered from acute coronavirus disease 2019 (COVID-19) infection. PARACOR-19 was a single-centre, double-blind RCT of patients with cardiovascular risk factors and a history of COVID-19 infection 4-16 weeks prior to enrolment. Patients were randomized to sacubitril/valsartan (titrated to the maximum dose of 97/103 mg twice daily) versus matching placebo. Co-primary endpoints were change from baseline to 12 weeks in high-sensitivity cardiac troponin T (hs-cTnT) and soluble ST2 (sST2). Exploratory endpoints included change from baseline to 12 weeks in additional circulating biomarkers. Overall, 42 patients were randomized between August 2021 and March 2023 (n = 20 sacubitril/valsartan, n = 22 placebo). Median (25th-75 In this pilot RCT of patients who recovered from acute COVID-19, sacubitril/valsartan did not lower hs-cTnT or sST2 compared with placebo. Exploratory analyses suggested potential benefits of sacubitril/valsartan on cardiac wall stress and collagen turnover as measured by NT-proBNP and CITP. Sacubitril/valsartan was well tolerated. ClinicalTrials.gov NCT04883528.

Identifiants

pubmed: 38733160
doi: 10.1002/ejhf.3199
doi:

Banques de données

ClinicalTrials.gov
['NCT04883528']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 European Society of Cardiology.

Références

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Auteurs

Stephen J Greene (SJ)

Duke Clinical Research Institute, Durham, NC, USA.
Division of Cardiology, Duke University School of Medicine, Durham, NC, USA.

RaKavius Chambers (R)

University of Virginia School of Medicine, Charlottesville, VA, USA.

Joseph B Lerman (JB)

Division of Cardiology, Duke University School of Medicine, Durham, NC, USA.

Josephine Harrington (J)

Division of Cardiology, Duke University School of Medicine, Durham, NC, USA.

Christopher R deFilippi (CR)

Inova Schar Heart and Vascular Institute, Falls Church, VA, USA.

David C Wendell (DC)

Division of Cardiology, Duke University School of Medicine, Durham, NC, USA.

Han W Kim (HW)

Division of Cardiology, Duke University School of Medicine, Durham, NC, USA.

Cynthia L Green (CL)

Division of Cardiology, Duke University School of Medicine, Durham, NC, USA.

Javed Butler (J)

Baylor Scott and White Research Institute, Dallas, TX, USA.
Department of Medicine, University of Mississippi, Jackson, MS, USA.

G Michael Felker (GM)

Duke Clinical Research Institute, Durham, NC, USA.
Division of Cardiology, Duke University School of Medicine, Durham, NC, USA.

Classifications MeSH