Tolvaptan add-on Therapy to Overcome Loop Diuretic Resistance in Acute Heart Failure With Renal Dysfunction
NCT04331132 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 128
Last updated 2022-08-11
Summary
Renal dysfunction, which comprises 10%-40% of acute heart failure patients (AHF), plays an important role in diuretic resistance mechanism. DR-AHF was designed to demonstrate the effectiveness of early tolvaptan (a vasopressin-2 receptor antagonist) add-on therapy in acute heart failure patients with renal dysfunction and clinical evidence of loop diuretic resistance.
Conditions
- Acute Heart Failure
Interventions
- DRUG
-
Tolvaptan 15 MG
vasopressin-2 receptor antagonist 15mg once daily is added-on to the conventional diuretic strategy
Sponsors & Collaborators
-
Otsuka Pharmaceutical Vietnam
collaborator INDUSTRY -
Gia Dinh People Hospital
lead OTHER
Principal Investigators
-
Hai H. Nguyen, Ph.D · Cardiology Department
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-12-01
- Primary Completion
- 2023-06-30
- Completion
- 2023-07-26
Countries
- Vietnam
Study Locations
More Related Trials
-
Furosemide-induced Diuresis With Matched Dehydration Compared to Standard Diuretic Therapy in Patients With Acute Heart Failure and Overt Fluid Overload
NCT05807152 ·Status: UNKNOWN ·Phase: NA
-
Sequential Nephron Blockade in Acute Heart Failure
NCT04163588 ·Status: UNKNOWN ·Phase: PHASE3
-
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
-
Effect of the Aquaretic Tolvaptan on Nitric Oxide System
NCT02527863 ·Status: COMPLETED ·Phase: PHASE2
-
Short-term Renal Hemodynamic Effects of Tolvaptan in Subjects With Autosomal Dominant Polycystic Kidney Disease (ADPKD)
NCT01336972 ·Status: COMPLETED ·Phase: PHASE2
-
Diagnosing and Targeting Mechanisms of Diuretic Resistance in Heart Failure
NCT02546583 ·Status: COMPLETED ·Phase: PHASE1
-
Comparison of Oral or Intravenous Thiazides vs Tolvaptan in Diuretic Resistant Decompensated Heart Failure
NCT02606253 ·Status: COMPLETED ·Phase: PHASE4
-
The Heart Failure Diuresis Efficacy Comparison (DEA-HF) Study
NCT05904808 ·Status: COMPLETED ·Phase: PHASE4
-
Adaptation of Thirst to a Single Administration of Tolvaptan (TOLVATHIRST)
NCT03931369 ·Status: UNKNOWN ·Phase: PHASE2
-
Tolvaptan For Worsening Outpatient Heart Failure: Role of Copeptin In Identifying Responders
NCT02476409 ·Status: COMPLETED ·Phase: PHASE4
-
Diuretic Strategies in Acute Heart Failure Patients at High Risk for Diuretic Resistance
NCT05986773 ·Status: TERMINATED ·Phase: PHASE4
-
Tolvaptan for Advanced or Refractory Heart Failure
NCT02959411 ·Status: TERMINATED ·Phase: PHASE4
-
Effectiveness of a Diuretic Algorithm in Clinical Stability in Heart Failure Patients
NCT02068937 ·Status: COMPLETED ·Phase: NA
-
Tolvaptan-Octreotide LAR Combination in ADPKD
NCT03541447 ·Status: COMPLETED ·Phase: PHASE2
-
Dietary Intervention in ADPKD on Tolvaptan
NCT03858439 ·Status: COMPLETED ·Phase: NA
-
Low Dose Continuous Furosemide Effect on Cardiac Surgery Patients With Kidney Dysfunction
NCT04919564 ·Status: COMPLETED ·Phase: PHASE2
-
High-Dose Aldactone for Treatment of Diuretic Resistant Heart Failure
NCT02429388 ·Status: WITHDRAWN ·Phase: PHASE4
-
Safety and Efficacy of Low Dose Hypertonic Saline Solution and High Dose Furosemide for Congestive Heart Failure
NCT01028170 ·Status: COMPLETED ·Phase: PHASE3
-
The Role of Vasopressin Antagonism on Renal Sodium Handling
NCT03910231 ·Status: COMPLETED ·Phase: PHASE1
-
Diuretic Treatment in Acute Heart Failure With Volume Overload Guided by Serial Spot Urine Sodium Assessment
NCT05411991 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Tolvaptan on Renal Plasma Flow (RPF) and Glomerular Filtration Rate (GFR) in ADPKD
NCT03803124 ·Status: COMPLETED ·Phase: PHASE3
-
Optimal Diuretic Therapies for Acute Heart Failure With Volume Overload
NCT06166654 ·Status: RECRUITING ·Phase: PHASE4
-
REWORD-HF REverse WOrsening Renal Function in Decompensated Heart Failure
NCT01140399 ·Status: TERMINATED ·Phase: PHASE4
-
Efficacy and Safety of Combination Diuretic Therapy in Patients With Acute Decompensated Heart Failure and Volume Overload
NCT06414759 ·Status: RECRUITING ·Phase: PHASE4
-
Effect of the Aquaretic Tolvaptan on Nitric Oxide System (TORA)
NCT01638663 ·Status: COMPLETED ·Phase: PHASE2