Evaluation of Renal Sodium Excretion After Salt Loading in Heart Failure With Preserved Ejection Fraction
NCT03837470 · Status: COMPLETED · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 14
Last updated 2021-04-19
Summary
Heart failure (HF) affects 2-3% of the population, and is characterized by impaired sodium balance which results in fluid overload. Ejection fraction, a measure of systolic function, is reduced in only about half of all HF patients. Incidence of heart failure with preserved ejection fraction (HFpEF) has increased in the last 20 years making it a growing public health problem. Currently, most patients admitted to the hospital with heart failure have preserved rather than reduced ejection fractions. However, to date it remains unknown why patients with HFpEF retain salt and water. The hypothesis is that patients with clinical HFpEF have an impaired renal response to salt loading, intravascular expansion and diuretics. Characterization of the salt and water excretory renal response to intravascular salt, fluid and diuretic load in patients with HFpEF will provide insight into the pathophysiology of HFpEF, and may help in the development of novel strategies to target renal sodium handling in patients with HFpEF. This characterization is the primary objective of this pilot project.
Conditions
Interventions
- DRUG
-
0.9% Sodium Chloride
Intravenous infusion of 0.25ml/kg/min of 0.9% sodium chloride intravenously for a total of 60 minutes
- DRUG
-
Furosemide 40 mg
Bolus intravenous injection of 40 mg furosemide
Sponsors & Collaborators
-
University of Utah Center for Clinical and Translational Science
collaborator UNKNOWN -
Adhish Agarwal
lead OTHER
Principal Investigators
-
Adhish Agarwal, MD · University of Utah
Study Design
- Allocation
- NA
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 21 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2019-05-06
- Primary Completion
- 2020-02-20
- Completion
- 2020-02-20
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Dietary Sodium Intake and Outcomes in Heart Failure
NCT02467296 ·Status: COMPLETED ·Phase: NA
-
Prolonged Intravenous Therapy Versus Early Initiation of an Oral Loop Diuretic in Decompensated Heart Failure
NCT05652322 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
Sodium-glucose Cotransporter Type 2 Inhibitors for Acute Cardiorenal Syndrome Prevention
NCT04778787 ·Status: COMPLETED ·Phase: PHASE4
-
Dapagliflozin With or Without Spironolactone for HFpEF
NCT05676684 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Acute Reno-Cardiac Action of Dapagliflozin In Advanced Heart Failure Patients on Heart Transplant Waiting List
NCT06868797 ·Status: RECRUITING ·Phase: NA
-
Sub-Q Versus IV Furosemide in Acute Heart Failure
NCT02579057 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Effects of Furosemide Plus Small HSS in Subjects With Heart Failure With Reduced Ejection Fraction (HFrEF)
NCT04628325 ·Status: COMPLETED ·Phase: PHASE3
-
Liberal Use of Sodium in Ambulatory Heart Failure
NCT04226755 ·Status: COMPLETED ·Phase: NA
-
Use of a Novel SUBCUTaneous Preparation of Furosemide to Facilitate Early Supported Discharge of Patients With Heart Failure
NCT05419115 ·Status: COMPLETED ·Phase: PHASE2
-
Role of Sacubitril/Valsartan in the Improvement of Heart Failure With Reduced Ejection Fraction
NCT04397302 ·Status: COMPLETED
-
Oral Nitrite for Older Heart Failure With Preserved Ejection Fraction
NCT02918552 ·Status: COMPLETED ·Phase: PHASE2
-
Reduced Contractile Reserve: a Therapeutic Target in Heart Failure With Preserved Ejection Fraction(HFpEF)
NCT01354613 ·Status: COMPLETED ·Phase: NA
-
Effect of Sodium Glucose Cotransporter 2 Inhibitiors on Left Ventricular Remodeling Among Diabetic and Non Diabetic Patients With Chronic Heart Failure
NCT06137430 ·Status: NOT_YET_RECRUITING
-
Efficacy of Oral Acetazolamide in Decongestion in Patients With Heart Failure
NCT05940220 ·Status: UNKNOWN ·Phase: PHASE3
-
Acute Effects of Inorganic Nitrite on Cardiovascular Hemodynamics in Heart Failure With Preserved Ejection Fraction
NCT01932606 ·Status: COMPLETED ·Phase: PHASE2
-
Acetazolamide Per os for Decompensation of Heart Failure
NCT05802849 ·Status: RECRUITING ·Phase: PHASE4
-
Study to Assess Hemodynamic Effects, Safety and Tolerability of Chimeric Natriuretic Peptide (CD-NP) in Patients With Stabilized Acute Heart Failure (AHF)
NCT00699712 ·Status: COMPLETED ·Phase: PHASE2
-
Diuretics and Dopamine in Heart Failure With Preserved Ejection Fraction
NCT01901809 ·Status: COMPLETED ·Phase: PHASE4
-
Ultrafiltration Versus IV Diuretics in Worsening Heart Failure
NCT05318105 ·Status: RECRUITING ·Phase: NA
-
SGLT-2 Inhibitor and High-Dose Furosemide Plus Small-Volume Hypertonic Saline Solution in Acute HF
NCT06442280 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Peritoneal Ultrafiltration in Cardio Renal Syndrome.
NCT03994874 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Mechanism and Effects of Manipulating Chloride Homeostasis in Stable Heart Failure
NCT03440970 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Acetazolamide in Patients With Acute Heart Failure
NCT03720288 ·Status: UNKNOWN ·Phase: PHASE3
-
Exogenous Ketones for Acutely Decompensated HEart Failure
NCT04698005 ·Status: UNKNOWN ·Phase: PHASE3
-
Intracellular Magnesium and Heart Failure
NCT06353750 ·Status: NOT_YET_RECRUITING