The Use of Tolvaptan to Prevent Renal Dysfunction in High Risk Patients With Heart Failure-Pilot Study
NCT01663662 · Status: WITHDRAWN · Phase: PHASE4 · Type: INTERVENTIONAL
Last updated 2015-12-11
Summary
It is well known that the use of loop diuretics in acute setting may decrease glomerular filtration rate (GFR) and increase serum creatinine leading to renal dysfunction. Loop diuretic induced elevation in serum creatinine can lead to increase in length of hospital stay and possibly morbidity. Previous studies have suggested that tolvaptan unlike aggressive loop diuretic therapy may not activate neurohormonal system nor decrease renal blood flow. These properties may make tolvaptan a useful addition to diuretic therapy to prevent renal dysfunction in high-risk patients. Therefore the primary objective of this study is to determine if the use of tolvaptan in combination with diuretic therapy may prevent development of renal dysfunction in high risk patients with heart failure.
Hypothesis: Administration of tolvaptan in combination with continuous loop diuretic therapy in acutely decompensated heart failure patients at high risk for developing diuretic induced renal dysfunction will have a lower proportion of patients increasing their serum creatinine \> 0.3 mg/dL within a 96 hour time frame as compared to patients just receiving standard of care continuous infusion diuretic.
Conditions
Interventions
- DRUG
-
Tolvaptan
- DRUG
Sponsors & Collaborators
-
Otsuka Pharmaceuticals
collaborator UNKNOWN - lead OTHER
Principal Investigators
-
Barry E Bleske, Pharm. D. · University of Michigan
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-08-31
- Primary Completion
- 2013-11-30
- Completion
- 2013-11-30
Countries
- United States
Study Locations
More Related Trials
-
Regional Tolvaptan Registry
NCT02666651 ·Status: UNKNOWN ·Phase: PHASE4
-
EVEREST: Efficacy of Vasopressin Antagonism in hEart failuRE: Outcome Study With Tolvaptan
NCT00071331 ·Status: COMPLETED ·Phase: PHASE3
-
Tolvaptan add-on Therapy to Overcome Loop Diuretic Resistance in Acute Heart Failure With Renal Dysfunction
NCT04331132 ·Status: UNKNOWN ·Phase: NA
-
Effect of the Aquaretic Tolvaptan on Nitric Oxide System (TORA)
NCT01638663 ·Status: COMPLETED ·Phase: PHASE2
-
Aquaresis Utility for Hyponatremic Acute Heart Failure Study
NCT02183792 ·Status: COMPLETED ·Phase: PHASE4
-
Subacute Effect of Tolvaptan on Total Kidney Volume in Adult Patients With Autosomal Dominant Polycystic Kidney Disease
NCT03596957 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of the Aquaretic Tolvaptan on Nitric Oxide System
NCT02527863 ·Status: COMPLETED ·Phase: PHASE2
-
Protocolized Diuretic Strategy in Cardiorenal Failure
NCT01921829 ·Status: TERMINATED ·Phase: PHASE4
-
Tolvaptan For Worsening Outpatient Heart Failure: Role of Copeptin In Identifying Responders
NCT02476409 ·Status: COMPLETED ·Phase: PHASE4
-
Natriuresis-Guided Diuretic Therapy in Patients With Acute Heart Failure With Reduced Ejection Fraction and Chronic Kidney Disease
NCT06203236 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Randomized, Double-Blind, Placebo Controlled Study of the Short Term Clinical Effects of Tolvaptan in Patients Hospitalized for Worsening Heart Failure With Challenging Volume Management
NCT01584557 ·Status: COMPLETED ·Phase: PHASE3
-
Post-Marketing Surveillance Study of Tolvaptan in Patients With ADPKD
NCT02847624 ·Status: COMPLETED
-
Dietary Intervention in ADPKD on Tolvaptan
NCT03858439 ·Status: COMPLETED ·Phase: NA
-
Diagnosing and Targeting Mechanisms of Diuretic Resistance in Heart Failure
NCT02546583 ·Status: COMPLETED ·Phase: PHASE1
-
Spironolactone and Insulin Resistance in Chronic Heart Failure (CHF)
NCT00664222 ·Status: COMPLETED ·Phase: PHASE4
-
Urine Sodium-Driven Diuretic Adjustment Strategy in Acute Decompensated Heart Failure
NCT07263035 ·Status: RECRUITING ·Phase: PHASE4
-
International, Multicenter, Open-Label and Randomized Withdrawal Study of Oral Lixivaptan in Heart Failure Patients With Chronic Hyponatremia
NCT00876876 ·Status: WITHDRAWN ·Phase: PHASE3
-
Efficacy and Safety Study of the Tolvaptan Tablets in Patients With Non-hypovolemic Non-acute Hyponatremia
NCT01507727 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Use of Tolvaptan to Reduce Urinary Supersaturation: a Pilot Proof of Principle Study
NCT02096965 ·Status: COMPLETED ·Phase: PHASE1
-
Effects of Tolvaptan in Healthy Adults
NCT01973140 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy of Low Dose Hypertonic Saline Solution and High Dose Furosemide for Congestive Heart Failure
NCT01028170 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of Ultra High Dose Diuretics to Treat Heart Failure
NCT06036914 ·Status: COMPLETED ·Phase: PHASE2
-
Carvedilol and Micro T-Wave Alternans in Hypertensives With Chronic Kidney Disease
NCT00638222 ·Status: TERMINATED ·Phase: NA
-
Intra-Renal Therapy of Diuretic Unresponsive Acute Kidney Injury
NCT01073189 ·Status: WITHDRAWN ·Phase: PHASE4
-
PREVENTION OF WORSENING RENAL FUNCTION OF INTRAVENUS ALBUMIN IN HEART FAILURE PATIENTS
NCT06630923 ·Status: RECRUITING ·Phase: PHASE3