About this trial
Previous clinical observations of potential benefit from Roxadustat in this complex patient population prompted this investigation Therefore, the investigators designed this retrospective, observational study to thoroughly investigate the effects of Roxadustat on heart failure treatment and ventricular remodelling in this specific patient population, aiming to provide new insights for patients management.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
aged 18-85 years, regardless of gender;
fulfilled the diagnostic criteria for heart failure and chronic kidney disease;
haemoglobin level <130 g/L for men or <120 g/L for women at baseline;
had regularly received Roxadustat for over one year;
Disqualifiers
comorbid myelodysplastic syndromes, multiple myeloma, hereditary hematologic diseases (e.g., thalassemia, sickle cell anaemia, pure red cell aplasia), hemosiderosis, hemochromatosis, or other disorders confirmed to cause anaemia due to erythrocyte destruction and/or abnormal hematopoietic function;
haemoglobin level ≤45 g/L on two or more blood tests, a history of major bleeding within one year, or a history of anaemia corrected by blood transfusion;
bilateral nephrectomy, kidney transplantation within ≤6 months, or congenital kidney diseases (e.g., polycystic kidney disease);
hypertrophic obstructive cardiomyopathy or congenital heart disease with right-to-left shunt;
Trial population
Heart Failure Patients with Anaemia and Moderate-to-Severe Chronic Kidney Disease
Trial design
Cohort
Retrospective
Treatments tested in this trial
Roxadustat
Drugtreated by Roxadustat
Treatment groups
Trial outcomes
Primary outcomes
Mace
MACE was defined as the occurrence of any of the following: all-cause mortality, hospitalization for unstable angina or coronary revascularization, heart failure rehospitalization, or ischemic stroke.
BNP
B-type natriuretic peptide
NYHA functional classification
I: No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation or shortness of breath. II: Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, shortness of breath or chest pain. III: Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, shortness of breath or chest pain. IV: Symptoms of heart failure at rest. Any physical activity causes further discomfort.
left ventricular ejection fraction (LVEF)
Sponsors and contacts
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