Diuretics and Dopamine in Heart Failure With Preserved Ejection Fraction
NCT01901809 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2018-08-16
Summary
Heart Failure with preserved Ejection Fraction (HFPEF) accounts for 40-50% of all heart failure patients with a frequency of hospital admissions for acute decompensation and short and long term mortality similar to patients with heart failure with reduced ejection fraction (HFREF). Patients with HFPEF are often preload dependent and despite admission to the hospital for acute decompensated heart failure (ADHF), are typically difficult to diurese due to the development of acute kidney injury. No studies have been performed evaluating treatment strategies for these patients. The investigators hypothesize that changing the method of diuresis and/or the addition of low-dose dopamine for the treatment of ADHF in patients with HFPEF will reduce renal injury, resulting in a shorter length of stay, and decrease hospital readmissions over the ensuing year. This trial will randomize patients to either bolus or continuous infusion furosemide and then to either dopamine or no dopamine. The primary endpoint will be renal function at 72 hours as measured by change in Glomerular Filtration Rate (GFR). Secondary endpoints for readmission, functional capacity, quality of life, and amount of diuresis will also be collected.
Conditions
- Heart Failure, Diastolic
Interventions
- DRUG
-
Furosemide
- DRUG
-
Dopamine
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Kavita Kavita, MD · Johns Hopkins School of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-08-31
- Primary Completion
- 2017-06-30
- Completion
- 2018-05-31
Countries
- United States
Study Locations
More Related Trials
-
Stratified Treatment to Ameliorate Diastolic Left Ventricular Stiffness in Heart Failure With Preserved Ejection Fraction
NCT04475042 ·Status: UNKNOWN ·Phase: PHASE2
-
Dapagliflozin (DAPA) Effects in HFpEF
NCT04730947 ·Status: COMPLETED ·Phase: PHASE2
-
Determining Optimal Dose and Duration of Diuretic Treatment in People With Acute Heart Failure (The DOSE-AHF Study)
NCT00577135 ·Status: COMPLETED ·Phase: PHASE3
-
Myocardial Perfusion, Oxidative Metabolism, and Fibrosis in HFpEF
NCT02589977 ·Status: COMPLETED ·Phase: PHASE4
-
Management of Volume Overload HF Patients by Individual DSR Treatment adJustment-a clinicAl inVestigation of InfusatE2.0
NCT05965934 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Study to Evaluate the Effect of Dapagliflozin on the Incidence of Worsening Heart Failure or Cardiovascular Death in Patients With Chronic Heart Failure
NCT03036124 ·Status: COMPLETED ·Phase: PHASE3
-
Empagliflozin in Heart Failure Patients With Reduced Ejection Fraction
NCT03198585 ·Status: COMPLETED ·Phase: PHASE2
-
Dapagliflozin Evaluation to Improve the LIVEs of Patients With PReserved Ejection Fraction Heart Failure.
NCT03619213 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of Renal Sodium Excretion After Salt Loading in Heart Failure With Preserved Ejection Fraction
NCT03837470 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Polydiuretic Therapy for Heart Failure With Preserved Ejection Fraction and Diabetes Mellitus
NCT04697485 ·Status: WITHDRAWN ·Phase: PHASE4
-
Dapa Acute Heart Failure Study
NCT05759000 ·Status: RECRUITING
-
Dapagliflozin in PRESERVED Ejection Fraction Heart Failure
NCT03030235 ·Status: COMPLETED ·Phase: PHASE4
-
Outcome and Safety of Intermittent Dobutamine Infusion at a Day-Care Center in Advanced Heart Failure Patients
NCT01930734 ·Status: UNKNOWN ·Phase: PHASE4
-
Chronotropic Incompetence in Patients With HFpEF
NCT02524145 ·Status: COMPLETED ·Phase: NA
-
Dapagliflozin on Hypotensive Heart Failure Patients After Sacubitril/Valsartan Therapy
NCT04575675 ·Status: COMPLETED ·Phase: PHASE4
-
Clinical Outcomes of Dapagliflozin in Acute Heart Failure With Reduced Ejection Fraction (CODA-HFrEF)
NCT06012279 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety of Dapagliflozin in Acute Heart Failure
NCT04298229 ·Status: COMPLETED ·Phase: PHASE3
-
Prolonged Intravenous Therapy Versus Early Initiation of an Oral Loop Diuretic in Decompensated Heart Failure
NCT05652322 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
Polydiuretic Therapy for HFpEF, a Randomised Controlled Trial
NCT05129722 ·Status: TERMINATED ·Phase: PHASE4
-
DETERMINE-preserved - Dapagliflozin Effect on Exercise Capacity Using a 6-minute Walk Test in Patients With Heart Failure With Preserved Ejection Fraction
NCT03877224 ·Status: COMPLETED ·Phase: PHASE3
-
DETERMINE-reduced - Dapagliflozin Effect on Exercise Capacity Using a 6-minute Walk Test in Patients With Heart Failure With Reduced Ejection Fraction
NCT03877237 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Dapagliflozin on Submaximal Exercise Tolerance in Heart Failure
NCT04956809 ·Status: COMPLETED ·Phase: PHASE2
-
Dapagliflozin at Discharge on Hospital Heart Failure Readmission
NCT04249778 ·Status: COMPLETED ·Phase: PHASE4
-
Study to Evaluate the Effect of Balcinrenone/Dapagliflozin in Patients With Heart Failure and Impaired Kidney Function
NCT06307652 ·Status: RECRUITING ·Phase: PHASE3
-
Study of DITPA in Patients With Congestive Heart Failure
NCT00103519 ·Status: TERMINATED ·Phase: PHASE2