Treatment of Severe Heart Failure by Ultrafiltration
Recruitment status was Recruiting
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Purpose
Patients with severe congestive heart failure show increased fluid body content which is often resistant to conventional diuretic therapy. Therefore, chronic heart failure patients have frequent access to the emergency room and hospital for hemodynamic instability. Ultrafiltration is a simple renal replacement therapy which reduces fluid overload. The purpose of this study is to determine whether periodic ultrafiltration sessions maintain patients in stable clinical condition and reduce hospitalisations as well as access to emergency heart failure treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Severe Congestive Heart Failure |
Procedure: ultrafiltration |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Ultrafiltration for the Chronic Treatment of Severe Congestive Heart Failure |
- number of hospitalizations for heart failure
- long term major adverse clinical events including death
| Estimated Enrollment: | 60 |
| Study Start Date: | August 2006 |
| Estimated Study Completion Date: | August 2008 |
Patients with severe heart failure (New York Heart Association [NYHA] III-IV) and fluid overload will be randomized to ultrafiltration (UF group) or conventional medical treatment (Control group). Patients follow-up at least monthly visit for one year. Ultrafiltration will be repeated during follow-up in case of body weight gain due to fluid accumulation. Ultrafiltration will be performed during short term hospitalization.
Eligibility| Ages Eligible for Study: | 20 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Severe heart failure (NYHA III-IV) with fluid overload
- Ejection fraction < 40%
- Estimated fluid overload > 4 kg
Exclusion Criteria:
- Severe renal insufficiency
- Acute pulmonary edema and/or cardiogenic shock
Contacts and Locations| Contact: Piergiuseppe Agostoni, MD-PhD | +39 02 58002299 | piergiuseppe.agostoni@ccfm.it |
| Contact: Giancarlo Marenzi, MD | +39 02 58002582 | giancarlo.marenzi@ccfm.it |
| Italy | |
| Centro Cardiologico Monzino | Recruiting |
| Milan, Italy, 20138 | |
| Contact: Piergiuseppe Agostoni, MD,PhD +39 02 58002299 piergiuseppe.agostoni@ccfm.it | |
| Principal Investigator: Piergiuseppe Agostoni, MD,PhD | |
| Principal Investigator: | Piergiuseppe Agostoni, MD.PhD | Centro Cardiologico Monzino |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00360958 History of Changes |
| Other Study ID Numbers: | CCM S67/306 |
| Study First Received: | August 3, 2006 |
| Last Updated: | August 7, 2006 |
| Health Authority: | Italy: Ministry of Health |
Keywords provided by Centro Cardiologico Monzino:
|
ultrafiltration heart failure fluid overload |
Additional relevant MeSH terms:
|
Heart Failure Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 22, 2013