Serotonin Receptor Blockers in Ischemic Mitral Regurgitation

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorLaval University

About this trial

This study is intended to investigate the effect of cyproheptadine (a 5HT2B receptor blocker) on mitral regurgitation severity.

Eligibility criteria

Qualifiers

Patients 18-80 years old with a 1st episode of STEMI with documented coronary obstruction.

Left ventricle ejection fraction (LVEF)<50% and mitral tenting area ≥ 4 cm2, OR LVEF ≤ 40% and inferior/posterior wall motion anomaly, OR LVEF≤30% and wall motion in any territory.

Disqualifiers

Inability to provide informed consent

Hemodynamic instability / cardiogenic shock / papillary muscle rupture

Prior mitral valve procedure/surgery

Permanent atrial fibrillation (limiting imaging and MR quantification)

Trial design

Treatments tested in this trial

  • Cyproheptadine 4 Mg Oral Tablet
  • Placebo

Treatment groups

214 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Laval University

Lead sponsor

Canadian Institutes of Health Research (CIHR)

Collaborator