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 · Type: INTERVENTIONAL · Enrollment: 300
Last updated 2024-01-12
Summary
To investigate the effectiveness and feasibility of natriuresis-guided diuretic therapy as a personalized approach to managing acute heart failure in patients with underlying chronic kidney disease and its effect on short term outcomes.
Conditions
- Acute Heart Failure
- Chronic Kidney Diseases
Interventions
- DRUG
-
Furosemide 20 MG
1. The median daily total dose of intravenous loop diuretic at the start of treatment will be 20 mg of furosemide. 2. Monitoring of urinary sodium excretion (natriuresis) and diuresis will begin 2 hours after treatment initiation.
- OTHER
-
diuretic therapy
diuretic therapy
Sponsors & Collaborators
-
Assiut University
lead OTHER
Principal Investigators
-
Salah Eldin Sayed Atta, Supervisor · Assiut University
-
Heba Mahmoud Abdel-Mohsen El-Naggar, Supervisor · Assiut University
-
Mohamed Abdullah Khalifah, Supervisor · South Valley University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-31
- Primary Completion
- 2025-03-31
- Completion
- 2025-11-30
More Related Trials
-
Diagnosing and Targeting Mechanisms of Diuretic Resistance in Heart Failure
NCT02546583 ·Status: COMPLETED ·Phase: PHASE1
-
Aquaresis Utility for Hyponatremic Acute Heart Failure Study
NCT02183792 ·Status: COMPLETED ·Phase: PHASE4
-
Effectiveness of a Diuretic Algorithm in Clinical Stability in Heart Failure Patients
NCT02068937 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Combined Action Between Natrecor and Furosemide on Kidney and Neurohormone Responses in Chronic Heart Failure: A Phase-IV study704.351 / DSS
NCT00652652 ·Status: COMPLETED ·Phase: PHASE4
-
Low Dose Continuous Furosemide Effect on Cardiac Surgery Patients With Kidney Dysfunction
NCT04919564 ·Status: COMPLETED ·Phase: PHASE2
-
Pragmatic Urinary Sodium-based Treatment algoritHm in Acute Heart Failure
NCT04606927 ·Status: COMPLETED ·Phase: NA
-
Concentrated Saline Infusions and Increased Dietary Sodium With Diuretics for Heart Failure With Kidney Dysfunction
NCT00575484 ·Status: TERMINATED ·Phase: PHASE2
-
Kidney Sodium Content in Cardiorenal Patients
NCT04170855 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Preparatory Work for a Trial of Adjuncts to Diuretic Treatment in Patients Hospitalised With Heart Failure: Addressing Uncertainties and Building Consensus
NCT07281040 ·Status: RECRUITING
-
Spironolactone and Insulin Resistance in Chronic Heart Failure (CHF)
NCT00664222 ·Status: COMPLETED ·Phase: PHASE4
-
The Heart Failure Diuresis Efficacy Comparison (DEA-HF) Study
NCT05904808 ·Status: COMPLETED ·Phase: PHASE4
-
Intra-Renal Therapy of Diuretic Unresponsive Acute Kidney Injury
NCT01073189 ·Status: WITHDRAWN ·Phase: PHASE4
-
The Effects of Decreasing the Lasix Dose on the Cardiorenal System
NCT00982423 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Comparison of Hydrochlorothiazide and Metolazone in Combination With Furosemide in Congestive Heart Failure Patients
NCT00690521 ·Status: COMPLETED ·Phase: NA
-
Protocolized Diuretic Strategy in Cardiorenal Failure
NCT01921829 ·Status: TERMINATED ·Phase: PHASE4
-
Gender-based Differences in the Outcome of Treatment With Aldosterone Antagonists in Patients With Heart Failure
NCT06233695 ·Status: COMPLETED
-
REWORD-HF REverse WOrsening Renal Function in Decompensated Heart Failure
NCT01140399 ·Status: TERMINATED ·Phase: PHASE4
-
Mechanisms of Diuretic Resistance in Heart Failure, Aim 1
NCT05323487 ·Status: RECRUITING ·Phase: PHASE1
-
Empagliflozin in Acute Heart Failure
NCT05305495 ·Status: COMPLETED ·Phase: PHASE4
-
Use of Nesiritide (BNP) in Kidney Function in Patients With Congestive Heart Failure (CHF) and Kidney Failure
NCT00348556 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Oral Sodium to Preserve Renal EfficiencY in Acute Heart Failure
NCT04334668 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
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
-
Diuretics and Volume Overload in Early CKD
NCT05171686 ·Status: COMPLETED ·Phase: PHASE4
-
Identification of Patient Phenotypes Associated With Elevated Aldosterone Levels
NCT01614860 ·Status: COMPLETED
-
Human B-type Natriuretic Peptide (BNP) (Nesiritide) to Help Heart, Kidney, and Hormonal Functions in Persons With Lower Heart Pumping Function
NCT00405639 ·Status: COMPLETED ·Phase: PHASE1/PHASE2