Could a common diuretic protect hearts in rare ARVD?
NCT ID NCT03593317
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tests whether spironolactone, a potassium-sparing diuretic, can slow the deterioration of the right ventricle and reduce arrhythmias in people with arrhythmogenic right ventricular dysplasia (ARVD). About 120 participants will receive either spironolactone or a placebo for 12 months, with follow-up over 3 years. The goal is to see if this drug can improve quality of life and reduce hospitalizations.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- spironolactone
- What this could lead to
- If it works, this could point toward a treatment that slows heart muscle damage and reduces dangerous heart rhythms in people with ARVD.
- What could go wrong
- This is a phase 2 trial with only 120 participants, so results are preliminary. Spironolactone may not slow disease progression or reduce arrhythmias as hoped.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * \>18years old * Diagnosis of ARVD based on Task Force criteria. Two major criteria: 1 morphologic and one rhythmic or 1 major and 2 minor criteria established by the European Society of Cardiology/International Society and Federation of Cardiology. * Left Ventricular Ejection Fraction \>40% * Written informed consent. Exclusion Criteria: * Patients under judicial protection. * Female patient who is pregnant or lactating, or is of child bearing potential (defined as a sexually mature woman not surgically sterilized or not post-menopausal for at least 24 consecutive months if ≤ 55 years or 12 months if \> 55 years) and who did not agree to use highly effective methods of birth control throughout the study. * No health insurance. * Right heart failure patient (RV volume\>150ml). * Spironolactone contraindication: anuria, hyperkalemia (K+\>5 mmol/l), renal failure (DFGCréat\>22 mL/min/1,73 m2), end-stage liver failure, Addison's Disease, hypersensitivity to spironolactone or to any of the excipients (patients with galactose intolerance, lapp lactase deficiency or glucose or galactose malabsorption syndrome), association with eplerenone, association with other hyperkalemic diuretics, association with potassium salts, not recommended in cirrhotic patients (natraemia\<125 mmol/l) or in patients likely to present an acidosis. * Mandatory indication for a combination of ACE inhibitor and sartan or renin inhibitor (each authorized separately). * Acute phase of systemic disease. * Uncompensated hypothyroidism. * Acute hyperthyroidism. * Normal right ventricular volume. * Heart transplantation. * Swallowing disorders. * Participation in any other interventional clinical investigation that may have an impact on our study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
13 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU Amiens Picardie
NOT_YET_RECRUITINGAmiens, France
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CHU Dijon
RECRUITINGDijon, France
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Groupe Hospitalo Universitaire Caremeau
NOT_YET_RECRUITINGNîmes, France
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Hôpital Arnaud de Villeneuve
RECRUITINGMontpellier, France
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Hôpital Cardiologique Louis Pradel
RECRUITINGBron, France
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Hôpital Gabriel Montpied
NOT_YET_RECRUITINGClermont-Ferrand, France
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Hôpital Laennec
RECRUITINGNantes, France
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Hôpital Michallon
NOT_YET_RECRUITINGGrenoble, France
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Hôpital Pitié Salpetrière
RECRUITINGParis, France
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Hôpital Rangueil
NOT_YET_RECRUITINGToulouse, France
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Hôpital de Haut-Lévêque
NOT_YET_RECRUITINGPessac, France
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Hôpital de la Timone
NOT_YET_RECRUITINGMarseille, France
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Nouvel Hôpital Civil
NOT_YET_RECRUITINGStrasbourg, France
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