Spironolactone Initiation Registry Randomized Interventional Trial in Heart Failure With Preserved Ejection Fraction
Public ClinicalTrials.gov record NCT02901184. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.
Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.
Official title
Spironolactone Initiation Registry Randomized Interventional Trial in Heart Failure With Preserved Ejection Fraction, SPIRRIT-HFPEF
Brief summary
Reproduced verbatim from the official ClinicalTrials.gov record. Not medical advice.
Heart failure with preserved ejection fraction (HFPEF) is common and deadly but without therapy. Inconclusive studies such as TOPCAT (Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist) suggest spironolactone may be effective in HFPEF, but it is generic and will not be studied by industry. SPIRRIT is a unique Registry-Randomized Clinical Trial (RRCT) that will test the hypothesis that spironolactone plus standard of care compared to standard of care alone reduces the composite of CV mortality and HF hospitalization as follows: Population: HFPEF patients in the Swedish Heart Failure Registry and HFPEF patients in US. HFPEF defined as symptoms/signs of HF, elevated NTproBNP (B-type Natriuretic Peptide; N-terminal pro b-type Natriuretic Peptide) and EF\>=40%. Intervention and control: Randomized 1:1 to intervention: spironolactone + usual care vs. control: usual care alone. Outcome: Primary outcome cardiovascular death or time to HF hospitalization. Secondary outcomes include hospitalization for various causes, adverse events and treatment adherence. In Sweden outcomes are obtained automatically by linking with the Population, Patient and Drug Dispensed Registries. In the US, outcomes will be reported by sites and supplemented by data from a call center. The trial is event-driven with enrollment 7 years and study duration 9 years. For the primary outcome (CV Death or first HF hospitalization) with an event target of 721 events the sample size requires 1985 patients conservatively rounded to approximately 2000 patients.
Study identification
- NCT ID
- NCT02901184
- Recruitment status
- Recruiting
- Study type
- Interventional
- Phase
- Phase 3
- Enrollment
- 2,000 participants
Conditions and interventions
Eligibility (public fields only)
- Age range
- 50 Years to 99 Years
- Sex
- All
- Healthy volunteers
- Healthy volunteers not accepted
This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.
Study timeline
- Start date
- Nov 22, 2017
- Primary completion
- Nov 30, 2026
- Completion
- Nov 30, 2026
- Last update posted
- Oct 21, 2024
2017 – 2026
United States locations
- U.S. sites
- 38
- U.S. states
- 20
- U.S. cities
- 37
| Facility | City | State | ZIP | Site status |
|---|---|---|---|---|
| Advanced Cardiovascular LLC | Alexander City | Alabama | 35010 | Terminated |
| University of Alabama at Birmingham | Birmingham | Alabama | 35294 | Terminated |
| Banner - University Medical Group | Tucson | Arizona | 85724 | Terminated |
| MedStar Cardiovascular Research Network | Washington D.C. | District of Columbia | 20010 | Terminated |
| Howard University Hospital | Washington D.C. | District of Columbia | 20060 | Terminated |
| Holy Cross Hospital | Fort Lauderdale | Florida | 33308 | Terminated |
| Piedmont Atlanta Hospital | Atlanta | Georgia | 30309 | Terminated |
| Wellstar Health System, Inc. | Marietta | Georgia | 30060 | Terminated |
| Queens Medical Center | Honolulu | Hawaii | 96813 | Terminated |
| Fox Valley Clinical Research Center, LLC | Aurora | Illinois | 60506-1400 | Terminated |
| University of Illinois at Chicago | Chicago | Illinois | 60612 | Terminated |
| Alexian Brothers Medical Center | Elk Grove Village | Illinois | 60007 | Terminated |
| Methodist Medical Center of Illinois | Peoria | Illinois | 61636 | Terminated |
| St. Vincent Medical Group | Indianapolis | Indiana | 46260 | Terminated |
| Ochsner Medical Center | New Orleans | Louisiana | 85724 | Terminated |
| Shady Grove Adventist Hospital | Rockville | Maryland | 20850 | Terminated |
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | Terminated |
| Pentucket Medical Associates | Haverhill | Massachusetts | 01830 | Terminated |
| Charles River Medical Associates | Natick | Massachusetts | 01760 | Terminated |
| Newton-Wellesley Hospital | Newton | Massachusetts | 02462 | Terminated |
| University of Michigan Medical Center | Ann Arbor | Michigan | 48109 | Terminated |
| Ascension Genesys Hospital | Grand Blanc | Michigan | 48439 | Terminated |
| The Heart House Haddon Heights | Haddon Heights | New Jersey | 08035 | Terminated |
| Rutgers University - Robert Wood Johnson Medical School | New Brunswick | New Jersey | 08901 | Terminated |
| University of New Mexico Health Science Center | Albuquerque | New Mexico | 87131 | Terminated |
| University at Buffalo | Buffalo | New York | 14203 | Terminated |
| Northwell Health - Manhasset | Manhasset | New York | 11030 | Terminated |
| Mount Sinai Medical Cente | New York | New York | 10029 | Terminated |
| Mid Carolina Cardiology Research | Charlotte | North Carolina | 28204 | Terminated |
| Duke University | Durham | North Carolina | 27710-4000 | Terminated |
| University of Cincinnati Medical Center | Cincinnati | Ohio | 45267-0542 | Terminated |
| Penn State Milton S Hershey Medical Center | Hershey | Pennsylvania | 17033 | Terminated |
| Jefferson University Hospital | Philadelphia | Pennsylvania | 19107 | Terminated |
| University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania | 15213 | Terminated |
| Stern Cardiovascular Center | Germantown | Tennessee | 38138 | Terminated |
| Baylor University Medical Center | Dallas | Texas | 75246 | Terminated |
| University of Miami Hospital | Miami | Texas | 33136 | Terminated |
| University of Texas Health Science Center at San Antonio | San Antonio | Texas | 78229 | Terminated |
Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.
Non-U.S. locations
This page focuses on the U.S. directory. The official record also lists 40 non-U.S. sites.
About this trial record page
- What this page shows
- Public field values for ClinicalTrials.gov record NCT02901184, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
- What this page does not do
- No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
- Where the data comes from
- Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
- Last refresh
- Last update posted Oct 21, 2024 · Synced Sep 12, 2026
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Open the official record
The complete protocol, eligibility criteria, and contact information for NCT02901184 live on ClinicalTrials.gov.