Early Discharge With Subcutaneous Furosemide Versus Standard Care in Acute Heart Failure
NCT07018297 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 250
Last updated 2026-05-04
Summary
This will be a prospective, cluster-randomized, crossover, non-inferiority trial of 250 participants within 48 hours of an inpatient admission for heart failure or emergency department presentation for heart failure with plans for admission or observation/short-stay hospitalization comparing early discharge using subcutaneous furosemide to standard inpatient care. Individual practice groups will serve as "clusters" and the unit of randomization. Each participating cluster will implement either the early discharge strategy using the intervention or standard care for initial two-month blocks, followed by a crossover to the alternate strategy. The primary outcome is days alive and out of hospital at 30 days.
Conditions
- Heart Failure
- Acute Decompensated Heart Failure
Interventions
- COMBINATION_PRODUCT
-
Early Discharge with Lasix® ONYU (furosemide injection, for subcutaneous use) using SQIN-Infusor
Each practice group randomized to early discharge with subcutaneous furosemide will provide the patient with prefilled units of Lasix® ONYU furosemide injection containing 80 mg per 2.67 mL in a single-dose prefilled cartridge co-packaged with a single-use Disposable Unit of the Infusor that will be used in conjunction with the reusable unit of the Lasix ONYU Infusor. Dosing based on pre-admission oral furosemide requirements: ≤80mg/day oral furosemide will be given 80mg subcutaneous once daily or \>80mg/day oral furosemide will be given 80mg subcutaneous twice daily. Dosing will be continued until clinical euvolemia is reached.
Sponsors & Collaborators
-
University of Texas Southwestern Medical Center
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-31
- Primary Completion
- 2028-08-01
- Completion
- 2028-09-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Effects of Sevoflurane on Extravascular Lung Water and Pulmonary Vascular Permeability in Patients With ARDS
NCT04530188 ·Status: UNKNOWN ·Phase: PHASE3
-
Natriuresis-guided Depletion After Cardiac Surgery
NCT07077772 ·Status: RECRUITING ·Phase: NA
-
Using Furosemide to Prevent Fluid Overload During Red Blood Cell Transfusion in Neonates
NCT00618852 ·Status: UNKNOWN ·Phase: PHASE3
-
Small Volume Fluid Challenge as a Predictor of Fluid Responsiveness in Patients With Circulatory Failure
NCT03622099 ·Status: COMPLETED
-
Ultrafiltration (Aquapheresis) in Patients With Leukemia and Severe Fluid Overload
NCT01508260 ·Status: WITHDRAWN ·Phase: NA
-
Evaluation of the Variation of the Sub-pulmonary Velocity-time Integral to Predict Fluid Responsiveness
NCT07202637 ·Status: RECRUITING
-
Furosemide Stress Test to Predict Successful Liberation From RRT
NCT05612490 ·Status: COMPLETED
-
Safety and Feasibility of the WhiteSwell System"
NCT02863796 ·Status: COMPLETED ·Phase: NA
-
Effect of Fluid Deresuscitation With Central Venous Pressure Target 0-4 mmHg in Septic Shock Patients
NCT04156451 ·Status: COMPLETED ·Phase: NA
-
Nebulized Furosemide, Heparin, Hypertonic Saline in Mechanically Ventilated Acute Respiratory Distress Syndrome Adult Patients
NCT07286409 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Fluid Balance Guided by Modified Venous Excess Ultrasonography Versus Standard Care in Patients With Acute Kidney Injury Receiving Continuous Renal Replacement Therapy
NCT07346118 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Extracellular Vesicle Treatment for Acute Respiratory Distress Syndrome (ARDS) (EXTINGUISH ARDS)
NCT05354141 ·Status: RECRUITING ·Phase: PHASE3
-
Safety and Preliminary Efficacy of Sequential Multiple Ascending Doses of Solnatide to Treat Pulmonary Permeability Oedema in Patients With Moderate-to-severe ARDS
NCT03567577 ·Status: COMPLETED ·Phase: PHASE2
-
Hyponatremia Volume Status Analysis by Point-of-care Ultrasound
NCT06013800 ·Status: ACTIVE_NOT_RECRUITING
-
The Furosemide Stress Test, Electrolytes Response and Renal Index in Critically Ill Patients
NCT04215419 ·Status: COMPLETED
-
Role of Active Deresuscitation After Resuscitation:
NCT06326112 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Diuretic Efficacy of Aminophylline and Furosemide Combination vs Furosemide Alone in Critically Ill Adults
NCT05933642 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Strong Albumin Solutions in Patients With Septic Shock
NCT05208242 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Glucocorticoid Therapy for Acute Respiratory Distress Syndrome
NCT05401812 ·Status: WITHDRAWN ·Phase: PHASE2
-
Multicentric, Randomized Study to Assess Safety and Efficacy of Centhaquine in Patients With ARDS
NCT05241067 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Non-interventional Follow-up Versus Fluid Bolus in RESPONSE to Oliguria in the Critically Ill
NCT02860572 ·Status: COMPLETED ·Phase: NA
-
Non-invasive Fluid Management
NCT02892799 ·Status: UNKNOWN ·Phase: NA
-
VExUS-guided Fluid Management in Patients With Acute Kidney Injury in the Intensive Care Unit
NCT05240833 ·Status: UNKNOWN ·Phase: NA
-
Once Versus Twice Daily Electrolyte Monitoring in CHF
NCT02497742 ·Status: COMPLETED ·Phase: NA
-
Sodium Bicarbonate for the Treatment of Severe Metabolic Acidosis With Moderate or Severe Acute Kidney Injury in ICU
NCT04010630 ·Status: COMPLETED ·Phase: NA