Registry Of Best Up-titration STrategies in Acute Heart Failure
NCT05865665 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 5000
Last updated 2023-05-19
Summary
STRONG-HF showed that rapid up-titration of renin-angiotensin inhibitor (RASI), beta-blocker, and mineralocorticoid receptor antagonist (MRA) to full optimal doses within 2 weeks post-discharge from a hospital admission for acute heart failure (AHF), using frequent safety assessments, significantly reduced the 180-day risk of HF readmission or death and significantly increased 90-day quality of life regardless of left ventricular ejection fraction (LVEF). Recent evidence also suggests that initiation of angiotensin-receptor neprilysin inhibitor (ARNI) and SGLT-2 inhibitors close to the time of discharge regardless of LVEF, and iron supplementation where indicated, improve patient prognosis.
In this prospective registry of patients not treated with optimal doses of oral HF medications being discharged from an admission for AHF, ROBUST-HF, data will be collected describing their post-discharge care including the management of their oral HF medications and frequency and content of post-discharge assessments and clinical outcomes through 6 months post discharge.
Conditions
- Acute Heart Failure
Sponsors & Collaborators
-
INSERM UMR-942, Paris, France
collaborator OTHER -
Hôpitaux Universitaires Saint-Louis-Lariboisière
collaborator UNKNOWN -
Momentum Research, Inc.
collaborator INDUSTRY -
Roche Diagnostics GmbH
collaborator INDUSTRY -
Heart Initiative
lead OTHER
Principal Investigators
-
Alexandre Mebazaa, MD · Hôpitaux Universitaires Saint-Louis-Lariboisière, University Paris Diderot, Inserm 942
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-06-30
- Primary Completion
- 2027-12-31
- Completion
- 2027-12-31
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