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TRANSFORM-HF Ancillary Mechanistic Study

Completed
Conditions
Heart Failure
Registration Number
NCT04702958
Lead Sponsor
Inova Health Care Services
Brief Summary

Patients with heart failure are frequently treated with diuretics, including furosemide and torsemide, but it is not known if one is better than the other. The TRANSFORM-HF trial is studying if torsemide is superior than furosemide for reducing the endpoint of death or hospitalization, but is not designed to study why. This ancillary study seeks to measure proteins in the blood and urine to help explain the underlying mechanism for why patients who take one of these diuretics may have better outcomes than patients who take the other.

Detailed Description

Patients who are enrolling in the TRANSFORM-HF study or being prescribed Torsemide or Furosemide at hospital discharge will provide blood and urine at the time of study enrollment (within 72 hours of hospital discharge) and at 90 days (+/- one week) after hospital discharge.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
150
Inclusion Criteria
  • Participation in the TRANSFORM-HF trial or prescription of Torsemide or Furosemide
  • Willing to provide blood and urine sample at enrollment and follow-up
Exclusion Criteria
  • Inability or unwillingness to comply with the study requirements

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Differences in proteomic protein clusters between treatment groupsbaseline

How the biomarkers are different between groups

Differences in trajectories of protein clusters between treatment groups90 days

How the protein clusters change over time from baseline to 90 days

Secondary Outcome Measures
NameTimeMethod
Differences in single biomarkers and biomarker trajectories between treatment groupsbaseline and 90 days

How the biomarkers are different between groups at baseline and how the biomarkers change over time from baseline to 90 days

Differences in urinary protein levels between treatment groupsbaseline

How the in urinary protein levels are different between patient prescribed Torsemide vs Furosemide

Trial Locations

Locations (9)

Yale University School of Medicine

πŸ‡ΊπŸ‡Έ

New Haven, Connecticut, United States

Ochsner Clinic Foundation

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

Baltimore VA

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

University of Minnesota

πŸ‡ΊπŸ‡Έ

Minneapolis, Minnesota, United States

Northwell Health

πŸ‡ΊπŸ‡Έ

Manhasset, New York, United States

University of North Carolina at Chapel Hill

πŸ‡ΊπŸ‡Έ

Chapel Hill, North Carolina, United States

Duke University Hospital

πŸ‡ΊπŸ‡Έ

Durham, North Carolina, United States

Inova Health System

πŸ‡ΊπŸ‡Έ

Falls Church, Virginia, United States

Sentara Norfolk

πŸ‡ΊπŸ‡Έ

Norfolk, Virginia, United States

Yale University School of Medicine
πŸ‡ΊπŸ‡ΈNew Haven, Connecticut, United States

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