Table 1.
Variable | PARADIGM‐HF (N=8442) | CHAMP‐HF (N=5000) |
---|---|---|
Recruitment time period | 2009–2012 | 2015–2017 |
Key enrollment criteria | ||
Age, y | ≥18 | ≥18 |
NYHA class | II–IV | No restriction specified |
LVEF, % | ≤40a | ≤40 |
Prior HF hospitalization | Yesb | No restriction specified |
BNP or NT‐proBNP, pg/mL | BNP ≥150 or NT‐proBNP ≥600b | No restriction specified |
eGFR, mL/min per 1.73 m2 | ≥30 | No restriction specified |
Systolic BP, mm Hg | ≥95 | No restriction specified |
Potassium, mmol/L | ≤5.4 | … |
Prior medical therapy | ACEI (enalapril, 10 mg/d) or equivalent for 4 wk β Blocker for 4 wk MRA considered |
At least 1 oral pharmacotherapy for HF |
Run‐in period with active treatment | Yes | Not applicable |
ACEI indicates angiotensin‐converting enzyme inhibitor; BNP, B‐type natriuretic peptide; BP, blood pressure; CHAMP‐HF, Change the Management of Patients With Heart Failure; eGFR, estimated glomerular filtration rate; HF, heart failure; LVEF, left ventricular ejection fraction; MRA, mineralocorticoid receptor antagonist; NT‐proBNP, N‐terminal pro‐B‐type natriuretic peptide; NYHA, New York Heart Association; PARADIGM‐HF, Prospective Comparison of ARNI [Angiotensin Receptor Neprilysin Inhibitor] With ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure.
Initially, the required LVEF was ≤40%, but this was changed to ≤35% in a protocol amendment in December 2010.
Plasma BNP ≥150 pg/mL (or NT‐proBNP ≥600 pg/mL) at the screening visit or a BNP ≥100 pg/mL (or NT‐proBNP ≥400 pg/mL) with a hospitalization for HF within the past 12 months.