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临床试验/NCT02324400
NCT02324400Unknown1 期

Pilot Study for the Evaluation of the Safety and Performance of the RenaSense System in Hospitalized Acute Decompensated Heart Failure Patients

Nephera Ltd.6 个研究点 分布在 1 个国家目标入组 36 人开始时间: 2015年1月1日最近更新:
适应症

试验速览

阶段
1 期
发起方
入组人数
36
试验地点
6
主要终点
Number of Participants with unanticipated adverse events as a measure of safety and tolerability

研究概览

简要总结

The study is intended to verify the safety and assess the performance of up to 3-days treatment protocol with the RenaSense System in ADHF patients.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Care Provider)

入排标准

年龄范围
18 Years 至 85 Years(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Age 18-85 years
  • Admitted to the hospital with a primary diagnosis of decompensated heart failure
  • Estimated glomerular filtration rate (GFR)* ≤60 ml/min and ≥20 ml/min, based on serum creatinine at initial evaluation
  • History of chronic use of oral loop diuretics (≥ 80 mg/day Furosemide or equivalent) during the past 3 months
  • Indication for treatment with intravenous diuretics
  • Volume overload
  • For patients with a pulmonary artery catheter, persistent volume overload will include:
  • Pulmonary capillary wedge pressure greater than 22mmHg and one of the following clinical signs:
  • at least 2+ peripheral edema and/or
  • Pulmonary edema or pleural effusions on chest x-ray
  • For patients without a pulmonary artery catheter, persistent volume overload will include at least two of the following:
  • At least 2+ peripheral edema
  • Jugular venous pressure greater than 10 cm on physical examination (or central venous pressure greater than 10 mmHg when measured)
  • pulmonary edema or pleural effusions on chest x-ray
  • Indication for urinary catheterization
  • BNP > 400 pg/mL at initial evaluation
  • Able and willing to sign the informed consent

排除标准

  • History of urinary tract infection within the last 1 month based on medical history and/or urinalysis on day of admission
  • Gross hematuria, perineal hematoma or symptomatic microscopic hematuria
  • Hypertension, systolic >180 mmHg or diastolic > 110 mmHg
  • Hypotension, systolic pressure <100 mmHg
  • Status post renal denervation
  • Implanted cardiac rhythm management device such as pacemakers, cardiac resynchronization therapy (CRT), Implantable cardioverter-defibrillator (ICD)
  • Suspected or known pregnancy
  • Previous organ transplantation
  • Life threatening condition such as severe infection, malignancy or infarction
  • Subject is participating in other concurrent clinical investigation
  • Diseases or conditions which, in the judgment of the investigator, preclude participation in the clinical trial

结局指标

主要结局

Number of Participants with unanticipated adverse events as a measure of safety and tolerability

时间窗: 72 hours

次要结局

  • Renal Function as Assessed by Serum Cystatin C level(24, 48 and 72 hours)
  • Sum of Global Rank Score following 72 hours of treatment as compared to baseline(72 hours)
  • Urinary symptoms, hospitalizations and mortality(90 days)
  • Urine volume(24, 48 and 72 hours)

研究者

发起方
Nephera Ltd.
申办方类型
Industry
责任方
Sponsor

研究点 (6)

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