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Clinical Trials/NCT04877652
NCT04877652
Completed
Not Applicable

DR REGISTRY: Prospective Observational Study of Decongestion in Acute Heart Failure Patients With Insufficient Response to Diuretics

Revamp Medical Ltd.4 sites in 1 country6 target enrollmentNovember 17, 2021

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Acute Decompensated Heart Failure
Sponsor
Revamp Medical Ltd.
Enrollment
6
Locations
4
Primary Endpoint
Serum Creatinine
Status
Completed
Last Updated
3 years ago

Overview

Brief Summary

The study objective is to observe and measure clinical outcomes, urine output, and safety events occurring during standard medical treatment of ADHF patients deemed to have insufficient diuretic response.

Registry
clinicaltrials.gov
Start Date
November 17, 2021
End Date
May 25, 2022
Last Updated
3 years ago
Study Type
Observational
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Subject is \>18 and \< 85 years of age.
  • Subject is hospitalized with primary diagnosis of ADHF.
  • N-terminal-pro-brain natriuretic peptide (NT-proBNP) ≥1,600 pg/m or BNP≥400 pg/mL.
  • Evidence of fluid overload as indicated by 2 or more of the following criteria:
  • peripheral edema ≥ 2+
  • radiographic pulmonary edema or pleural effusion
  • enlarged liver or ascites
  • pulmonary rales or paroxysmal nocturnal dyspnea, or orthopnea
  • Jugular venous distention \> 7 cmH2O
  • Subject insufficiently responds to IV diuretic therapy

Exclusion Criteria

  • Systolic blood pressure \<90 mmHg at the time of screening.
  • Acute myocardial infarction or acute coronary syndrome or cardiogenic shock or pleural synthesis within past 7 days or cardiovascular intervention within past 4 days.
  • Known LVEF \< 15% by echocardiography within 1 year prior to enrolment.
  • Complex congenital heart disease (e.g., Tetralogy of Fallot subjects, single ventricle physiology).
  • Known active myocarditis, hypertrophic obstructive cardiomyopathy, constrictive pericarditis or cardiac tamponade.
  • Severe Aortic valvular disorder (i.e., hemodynamically relevant valvular diseases such as severe stenosis \\severe regurgitation) or Severe mitral disease with planned intervention.
  • Evidence of active systemic infection documented by either one of the following: fever \>38°C/100°F, or ongoing uncontrolled infection (i.e., inflammatory parameters not decreasing despite \> 48 hours of antibiotic treatment).
  • Moribund subject or subject with severe or deteriorating damage in more than 3 critical body systems, based on investigator's clinical judgement.

Outcomes

Primary Outcomes

Serum Creatinine

Time Frame: Baseline [T=0] and 48 hours

Change in level

Serious Adverse Events

Time Frame: 30 days

SAEs (including MACE) post enrollment based on CEC adjudication.

Urine Output

Time Frame: Baseline [T=0-12h] and through 24 hours [T=12-36h]

Change in the rate

Study Sites (4)

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