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oop Diuretics Dosage in Patients with Acute Heart Failure and Renal Failure: Conventional versus Carbohydrate Antigen 125 guided Strategy

Phase 1
Conditions
Acute Heart Failure
MedDRA version: 17.0Level: LLTClassification code 10000803Term: Acute heart failureSystem Organ Class: 100000004849
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2014-001433-83-ES
Lead Sponsor
Fundación INCLIVA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
170
Inclusion Criteria

1. Older than 18 years.
2. Presence of symptoms (dyspnea at rest or minimal exertion) and signs attributable to congestion (signs of congestion on chest radiography or presence of peripheral edema or ascites or jugular engorgement to 45 degrees or crackles on lung auscultation).
3. Elevated natriuretic peptides levels (NT-proBNP >1000 pg/ml or BNP >100 mg/dl).
4. Serum creatinine ?1.4 mg/dl on admission, provided that the estimated glomerular filtration rate is less than 60 ml/min/m2.
5. Intention to be treated with intravenous loop diuretics.
6. Participant or his legal representativeis willing and able to give informed consent for participation in the study.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 140
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 30

Exclusion Criteria

1. Life expectancy less than 6 months due to other comorbid conditions.
2. Cardiogenic shock.
3. Diagnosis of acute coronary syndrome in the previous 30 days.
4. Pregnancy at the time of inclusion.
5. Severe obstructive or restrictive lung disease.
6. Previously known Stage V chronic kidney disease (estimated glomerular filtration rate <15 ml/min/m2) or patient included in the dialysis program.
7. Participation in another randomized trial at the time of inclusion.
8. History of malignancy within the last 2-year
5.2.10. Temperature ?38°C or diagnosis of pneumonia.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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