Biomarker Guided Discharge of Heart Failure Patients
NCT03103932 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 750
Last updated 2026-05-06
Summary
This is a multi-centre, single blind, randomized study. Patients admitted to hospital with acute decompensated heart failure will be randomized to biomarker guided discharge algorithm vs usual care in a 2:1 ratio. NTproBNP and other biomarkers will be measured within 24 hours of admission. The NTproBNP results will be used to further stratify participants randomized to the biomarker guided group into lower and medium to higher risk pathways. Biomarkers will be repeated after 2-3 days and again prior to discharge. Specific care pathways will be followed for each of the lower risk and medium-higher risk groups. Biomarkers will be repeated 30 days post discharge. Participants will be followed with a phone call at 3 months and return for a follow up visit at 6 months post discharge for outcome evaluation.
Conditions
- Heart Failure; With Decompensation
Interventions
- OTHER
-
Biomarker guided discharge algorithm
participants randomized to the biomarker guided discharge algorithm will follow a pre-determined care pathway for treatment of heart failure symptoms based on admission NTproBNP levels
Sponsors & Collaborators
-
Genome Canada
collaborator OTHER -
Roche Diagnostics GmbH
collaborator INDUSTRY -
Ottawa Heart Institute Research Corporation
lead OTHER
Principal Investigators
-
Peter Liu, MD · Ottawa Heart Institute Research Corporation
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-08-26
- Primary Completion
- 2026-12-30
- Completion
- 2026-12-30
Countries
- Canada
Study Locations
More Related Trials
-
A Health Economic Evaluation of Using N-Terminal Pro Brain Natriuretic Peptide (NT-Pro BNP) in Acute Heart Failure
NCT03669198 ·Status: COMPLETED ·Phase: NA
-
Improve Management of Heart Failure With Procalcitonin
NCT02392689 ·Status: TERMINATED ·Phase: NA
-
A Registry Study of Biomarkers in Heart Failure
NCT03784833 ·Status: UNKNOWN
-
Peripheral Venous Oxygen Saturation and Biomarkers to Estimate Cardiac Output and Filling Pressures in Heart Failure
NCT00595738 ·Status: COMPLETED
-
Flexible vs. Fixed Diuretic Regimen in the Management of Chronic Heart Failure: A Pilot Study
NCT05594823 ·Status: UNKNOWN ·Phase: PHASE4
-
Descriptive Study of Circulating Gene or Protein Inflammatory Biomarkers and Bioimpedance Parameters in a Population of Patients Hospitalized for Decompensated Heart Failure With Preserved or Mildly Reduced Cardiac Function
NCT07320014 ·Status: NOT_YET_RECRUITING
-
Biomarkers and Therapeutic Modelisation in Heart Failure
NCT01655134 ·Status: UNKNOWN ·Phase: NA
-
NT-proBNP in the Management of Discharged Patients With Acutely Decompensated Heart Failure and Preserved Ejection Fraction
NCT02807168 ·Status: COMPLETED ·Phase: NA
-
Biomarkers in Patients With Suspected HFpEF
NCT06101693 ·Status: RECRUITING
-
Nt-proBNP Versus Clinical Guided Discharge in Acute Heart Failure
NCT01299350 ·Status: COMPLETED ·Phase: PHASE4
-
Point Of Care With Serial NT-proBNP Measurement in Patients With Acute Decompensation of Heart Failure
NCT04471610 ·Status: COMPLETED ·Phase: NA
-
Improvement of Patients With Chronic Heart Failure Using NT-proBNP
NCT00601679 ·Status: UNKNOWN ·Phase: PHASE4
-
Comparison of Outcomes and Access to Care for Heart Failure Trial
NCT02674438 ·Status: COMPLETED ·Phase: PHASE3
-
NT-proBNP in the Optimization of Treatment After Recent Acute Heart Failure Trial
NCT00498472 ·Status: COMPLETED ·Phase: PHASE4
-
A Registry Study of Biomarkers in Progression of Acute Heart Failure(BIOMS-POAHF)
NCT04108182 ·Status: RECRUITING
-
Diastology-Guided Management of Decompensated Heart Failure
NCT06131008 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison Between Urocortin 2 and Brain Type Natriuretic Peptide
NCT05115552 ·Status: UNKNOWN
-
Hemodynamic Testing Strategies to Assess Pulmonary Hypertension in Heart Failure
NCT05672719 ·Status: UNKNOWN
-
DR REGISTRY: Prospective Observational Study of ADHF Patients With Insufficient Response to Diuretics
NCT04877652 ·Status: COMPLETED
-
Patient-centred Home-based Management of Heart Failure
NCT03655496 ·Status: COMPLETED ·Phase: PHASE1
-
Heart Failure Events Reduction With Remote Monitoring and eHealth Support Investigator Initiated Trial
NCT03663907 ·Status: COMPLETED ·Phase: NA
-
Biomarkers for the Assessment of Congestion in Patients With Ambulatory and Hospitalised Heart Failure
NCT06459999 ·Status: NOT_YET_RECRUITING
-
BRING-UP 3 Heart Failure
NCT06279988 ·Status: RECRUITING
-
Exploration of Dyspnea at Non-high Brain Natriuretic Peptide (BNP)
NCT03550235 ·Status: UNKNOWN
-
Clinical Study of Active Intervention in High-risk HFpEF Patients
NCT06532019 ·Status: NOT_YET_RECRUITING ·Phase: NA