Table 2: Some Criteria of Natriuretic Peptide Guided Trials Including Patients with Heart Failure with Reduced Ejection Fraction.
Troughton et al.[33] | Beck-da-Silva et al.[34] | STARS-BNP[35] | TIME-CHF[36] | BATTLE-SCARRED[39] | PRIMA[38] | SIGNAL-HF[40] | Berger et al.[37] | UPSTEP[42] | STARBRITE[43] | PROTECT[41] | GUIDE-IT[29] | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
n | 69 | 41 | 220 | 499 (622) | 134 (364) | 229 (345) | 252 | 177 (278) | 279 | 137 | 151 | 894 |
Blinded | No | No | No | Single | Double | Single | Single | No | Single | Single | No | No |
Marker | NT-proBNP | BNP | BNP | NT-proBNP | NT-proBNP | NT-proBNP | NT-proBNP | NT-proBNP | BNP | BNP | NT-proBNP | NT-proBNP |
Target (pg/ml) | 1,692 | Not stated | 100 | 400/800 | 1,270 | Discharge | 50% reduction | 2,200 | 150/300 | Discharge | 1.000 | 1.000 |
Control | HF score | HF spec | Usual care | ≤ NYHA class II | Two groups | Usual care | HF spec | Two groups | Usual care | HF spec | Usual care | HF spec |
Primary endpoint | Death, CV hosp HF | Mean beta-blocker dose achieved | HF death, HF hosp | Death, all-cause hosp | All-cause mortality | Days alive outside hospital | Days alive outside CV hospital | HF hosp, death | Death, HF hosp/worse | Days alive outside hospital | CV events | CV death, HF hosp |
Age (mean) | 70 | 65 | 66 | 77 | 76 | 72 | 77 | 71 | 71 | 61 | 63 | 63 |
NT-BNP/BNP at baseline (pg/ml) | 1,981 | ~600 | 350 | 4,328 | 2,008 | 2,940 | ~2,500 | ~2,350 | 851 | 450 | 2,118 | 2,650 |
Study duration | 12 months | 90 days | 450 days | 18 months | 3 years | 2 years | 9 months | 18 months | At least 1 year | 90 days | 1 year | 24 months |
The total number of patients included if different is shown in parentheses; differences concern patients with heart failure with preserved ejection fraction or undetermined left ventricular ejection fraction, or two control groups. BNP = B-type natriuretic peptide; CV = cardiovascular; HF = heart failure; HF spec = heart failure specialists; hosp = hospitalisation; NT-proBNP = N-terminal pro—B-type natriuretic peptide.