Key result
Novel AHF drug development approach proposes prioritizing symptom relief and short-term mortality over surrogate endpoints.
Why the study?
Attempts to develop new therapies for acute heart failure have largely failed due to limitations in understanding pathophysiology, current therapies, new agents, and study designs.
Design
Review of clinical drug development strategies for acute heart failure
Authors
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Hypothesis-generating for endpoint selection in acute HF trials; prospective validation required before adoption.
Proposes a novel, structured approach for the clinical development of new therapies for acute heart failure, emphasizing clinically meaningful endpoints over surrogate markers in phase II and III trials.
Cotter et al. (2010) conducted a review in Acute heart failure. New therapies for acute heart failure was evaluated. A novel approach for acute heart failure drug development proposes using clinically meaningful endpoints like symptom relief and short-term mortality rather than surrogate endpoints.
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