A Danish Pragmatic Randomized Trial of Nutritional Supplements in Heart Failure

ConditionHeart Failure
Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorTor Biering-Sørensen

About this trial

Heart failure is a common and serious condition. Despite rapid advancements in heart failure treatment, the prognosis remains severe. Smaller studies have shown that two simple, safe, and relatively inexpensive nutritional supplements-coenzyme Q10 and selenium-may reduce the risk of complications associated with heart failure. The DANUTRIO-HF trial will investigate whether these supplements can make a difference for individuals with heart failure. The study will assign approximately 4,044 patients from across Denmark to either coenzyme Q10 (100 mg twice daily) or a corresponding placebo, as well as selenium (100 μg twice daily) or its corresponding placebo, and follow how many of them end up being hospitalized for heart failure or dying from heart problems over an estimated two to three-year period.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Individuals aged ≥ 18 years.

Registered with a heart failure diagnosis (ICD-10: I50) as a primary discharge diagnosis in The Danish National Patient Registry and at least one claimed prescription of a renin-angiotensin-system inhibitor and a β-blocker within 120 days after HF diagnosis.

Informed consent form has been signed and dated.

Disqualifiers

Use of vitamin K-antagonist

Registered with a cancer diagnosis (C00-C97 not C44) within the last 5 years excluding cutaneous squamous cell or basal cell carcinoma in The Danish National Patient Registry.

Trial design

Design model

Factorial

Treatments tested in this trial

  • Coenzyme Q10 100 Milligrams Oral Capsule

    Dietary supplement

    100 mg capsules given twice daily, per oral use.

  • Selenium 100 Micrograms Oral Tablets

    Dietary supplement

    100 μg tablets given twice daily, per oral use.

Treatment groups

4,044 Participants
are divided into 4 treatment groups
Group A: Coenzyme Q10 intervention, activeExperimental treatment 1 intervention
Group B: Coenzyme Q10 intervention, placeboPlacebo comparator 1 intervention
Group C: Selenium intervention, activeExperimental treatment 1 intervention
Group D: Selenium intervention, placeboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Time to the first occurrence of hospitalization for heart failure or cardiovascular death

Time frame
From date of randomization until end of study (Up to approximately 33 months)

Secondary outcomes

1

Time to first occurrence of hospitalization for heart failure

Time frame
From date of randomization until end of study (Up to approximately 33 months)
2

Time to cardiovascular death

Time frame
From date of randomization until end of study (Up to approximately 33 months)

Other outcomes

1

Total number of hospitalizations for heart failure

Time frame
From date of randomization until end of study (Up to approximately 33 months)
2

Total number of hospitalizations for heart failure and cardiovascular death

Time frame
From date of randomization until end of study (Up to approximately 33 months)
3

Time to the first occurrence of hospitalization for heart failure or all-cause death

Time frame
From date of randomization until end of study (Up to approximately 33 months)
4

Total number of hospitalizations for heart failure and all-cause death

Time frame
From date of randomization until end of study (Up to approximately 33 months)

Sponsors and contacts

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Tor Biering-Sørensen

Lead sponsor

Herlev and Gentofte Hospital

Sponsor institution

Pharma Nord

Collaborator