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Trial · NCT07902453

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryDiscriminative performance of the VITAL cardiovascular virtual human twin for predicting response to spironolactoneBaseline to 3 months after spironolactone initiation.
The discriminative ability of the VITAL cardiovascular virtual human twin to identify responders versus non-responders to spironolactone will be assessed using the area under the receiver operating characteristic curve (AUROC). A responder is defined as a participant with a ≥20% reduction in NT-proBNP from baseline to 3 months after spironolactone initiation.
SecondaryPrediction of spironolactone-associated adverse eventsFrom spironolactone initiation through 3 months.
Ability of the VITAL cardiovascular virtual human twin to predict spironolactone-associated safety events, defined by the aggregation of the following events : hyperkalemia (serum potassium \>5.5 mmol/L and \>6.0 mmol/L), worsening renal function (including ≥30% decrease in eGFR or significant increase in serum creatinine), symptomatic hypotension or systolic blood pressure \<90 mmHg, and treatment discontinuation due to adverse events.
SecondaryCalibration of the VITAL cardiovascular virtual human twin3 months after spironolactone initiationCalibration of predicted versus observed response to spironolactone, assessed using calibration intercept, calibration slope, and calibration plots.
SecondaryOverall survivalFrom spironolactone initiation through 3 months.All-cause mortality.
SecondaryMajor adverse cardiovascular eventsFrom spironolactone initiation through 3 months.Occurrence of major adverse cardiovascular events, including cardiovascular death, hospitalization for heart failure, non-fatal myocardial infarction, and non-fatal stroke.
SecondaryChange in congestion statusBaseline to 3 months.Change in bioimpedance-derived congestion parameters (extracellular-to-total body water ratio).
SecondaryChange in maximal oxygen uptakeBaseline to 3 months.Change in maximal oxygen uptake (VO₂max) measured during cardiopulmonary exercise testing.
SecondaryChange in systolic blood pressureBaseline to 3 months.Change in systolic blood pressure (mmHg).
SecondaryChange in NYHA functional classBaseline to 3 months.Change in New York Heart Association (NYHA) functional class.
SecondaryChange in 6-minute walking distanceBaseline to 3 months.Change in 6-minute walking distance (meters).
SecondaryChange in KCCQ-12 scoreBaseline to 3 months.Change in Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) score (points).
SecondaryChange in NT-proBNPBaseline to 3 months.Change in NT-proBNP concentration (pg/mL).
SecondaryChange in estimated glomerular filtration rateBaseline to 3 months.Change in estimated glomerular filtration rate (mL/min/1.73 m²).
SecondaryChange in serum potassiumBaseline to 3 monthsChange in serum potassium concentration (mmol/L).
SecondarySpironolactone pharmacokinetic parameterBaseline to 3 months.Spironolactone pharmacokinetic parameter.
SecondaryChange in echocardiographic parameterBaseline to 3 months.Change in echocardiographic measurements between baseline and follow-up.
SecondaryChange in cardiac magnetic resonance imaging parameterBaseline to 3 monthsChange in cardiac magnetic resonance imaging measurements between baseline and follow-up.
SecondaryChange in vascular parameterBaseline to 3 monthsChange in central pulse wave velocity between baseline and follow-up.
SecondaryChange in autonomic function parameterBaseline to 3 monthsChange in cardiovascular responses during cold-pressor and hand-grip testing.
SecondaryChange in perception of artificial intelligenceBaseline to 3 monthsDedicated questionnaire

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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