NCT04877652
Completed
Not Applicable
DR REGISTRY: Prospective Observational Study of Decongestion in Acute Heart Failure Patients With Insufficient Response to Diuretics
ConditionsAcute Decompensated Heart Failure
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.
Investigators
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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