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Related Experiment Videos

Surrogate end points in heart failure.

Craig R Lee1, Kirkwood F Adams, J Herbert Patterson

  • 1School of Pharmacy, Division of Pharmacotherapy, University of North Carolina at Chapel Hill, 27599-7360, USA.

The Annals of Pharmacotherapy
|March 16, 2002
PubMed
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Left-ventricular end-diastolic volume (LVEDV) and b-type natriuretic peptide (BNP) show promise as heart failure surrogate markers. Further research is needed to validate their use in clinical practice and drug development.

Area of Science:

  • Cardiology
  • Clinical Trials
  • Biomarkers

Background:

  • Heart failure (HF) lacks validated surrogate markers for drug development and clinical practice.
  • Traditional markers like ejection fraction have shown inconsistent mortality prediction.
  • Understanding HF pathophysiology is crucial for identifying reliable surrogate endpoints.

Purpose of the Study:

  • Evaluate the utility of true surrogate markers for heart failure outcomes.
  • Assess the validity of commonly used surrogate markers in HF.
  • Identify potential future surrogate endpoints for HF research.

Main Methods:

  • Conducted a MEDLINE search (1966-2001) for relevant literature on HF surrogate endpoints.
  • Included additional references from selected articles.

Related Experiment Videos

  • Utilized search terms such as b-type natriuretic peptide, cardiac remodeling, and surrogate endpoints.
  • Main Results:

    • True surrogate endpoints must predict disease progression and therapeutic response.
    • Left-ventricular end-diastolic volume (LVEDV) and b-type natriuretic peptide (BNP) show potential as reliable predictors.
    • These markers correlate with disease progression and mortality reductions seen with ACE inhibitors and beta-blockers.

    Conclusions:

    • Left-ventricular end-diastolic volume (LVEDV) and plasma BNP are the most promising surrogate endpoints currently.
    • Further investigation is necessary before routine implementation in HF drug development and clinical practice.