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Urocortin-2 infusion in acute decompensated heart failure: findings from the UNICORN study (urocortin-2 in the treatment of acute heart failure as an adjunct over conventional therapy)

Plain-language guide to PMID 24621976 (2013): double-blind randomized controlled trial study of Urocortin.

Key Facts

PMID
24621976
Journal
JACC. Heart failure
Year
2013
Study type
Randomized Controlled Trial
Authors
Chan WY et al. (5 authors)
DOI
10.1016/j.jchf.2013.07.003

What This Study Did, in Plain Language

What Was Tested

Researchers studied Urocortin in this randomized controlled trial publication.

The purpose of this study is to investigate the effects of urocortin-2 as adjunct therapy in acute decompensated heart failure (ADHF).

Why It Was Studied

Urocortin-2 produced favorable integrated effects in experimental heart failure but there are no equivalent human data.

The researchers describe the first therapeutic study of urocortin-2 infusion in ADHF.

Who Took Part

PubMed indexes the participants as middle-aged adults and older adults, both men and women.

Changes in vital signs, plasma neurohormonal and renal indices during treatment were compared using repeated-measures analysis of covariance.

Ten patients in each arm underwent more detailed invasive hemodynamic evaluation.

How the Study Was Run

The researchers set it up as a randomized, double-blind and placebo-controlled study.

Because people in this Urocortin study were split into groups at random, differences between the groups are less likely to reflect who happened to join each one.

Neither the participants nor the staff measuring them knew who was on Urocortin, so expectations could not easily colour the readings.

The comparison arm used a placebo, so changes seen with Urocortin could be set against what happens without it.

What Was Measured

Topics PubMed links to this paper include Acute Disease, Combined Modality Therapy, Heart Failure and Urocortins.

Author keywords: acute heart failure, double-blind method, hormone, randomized controlled trial and urocortin-2.

What This Means in Plain Language

The paper is a randomized, double-blind and placebo-controlled study of Urocortin.

The abstract goes on to report its results in about 8 sentences; this page does not restate them, so read the paper for the findings and their limits.

The publication is from 2013 (JACC. Heart failure), a journal based in United States.

More context: the Urocortin compound page, all human trials.

Our Notes on the Compound

Urocortin: A family of peptides related to CRH that act on the heart and stress-response system; studied in heart failure trials.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.