New device automates fluid removal in heart failure – could it be a game changer?

NCT ID NCT05174312

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested a bedside device called the Reprieve Decongestion Management System in 100 hospitalized patients with acute decompensated heart failure. The device automatically adjusts the dose of a diuretic (furosemide) and saline based on the patient's real-time urine output, aiming to remove excess fluid more safely and effectively than standard care. The main goals were to see if the device increases urine sodium output and reduces complications like kidney injury or electrolyte problems.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Reprieve Decongestion Management System (a bedside device that automatically adjusts diuretic and saline infusion based on urine output)

What this could lead to

If successful, this device could help doctors remove excess fluid more safely and efficiently in heart failure patients, potentially reducing hospital stays and complications.

What could go wrong

This is a small, early-stage trial (100 participants) comparing a device to standard care. The device may not show clear benefits, and there are risks like kidney injury or electrolyte imbalances.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

Get updates

Get notified about this study

Sign up to get updates when this study changes or when new studies for ACUTE DECOMPENSATED HEART FAILURE are added.

Our safety recommendation!

By submitting, you agree to our Terms of use

Conditions

The condition(s) this trial relates to.

congestive heart failure heart failure

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Ascension Texas Cardiovascular

    Austin, Texas, 78705, United States

  • Atrium Health Wake Forest Baptist Medical Center

    Winston-Salem, North Carolina, 27157, United States

  • Baylor Scott & White

    Dallas, Texas, 75246, United States

  • Cone Health

    Greensboro, North Carolina, 27401, United States

  • Duke University Hospital

    Durham, North Carolina, 27710, United States

  • Eastern Shore Research Institute

    Fairhope, Alabama, 36532, United States

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010, United States

  • Medical University of South Carolina

    Charleston, South Carolina, 29425, United States

  • Ohio State University Hospital

    Columbus, Ohio, 43210, United States

  • Prisma Health

    Columbia, South Carolina, 29203, United States

  • St. Louis VA

    St Louis, Missouri, 63130, United States

  • The Lindner Research Center at Christ Hospital

    Cincinnati, Ohio, 45219, United States

  • Trinity Health Ann Arbor Hospital

    Ypsilanti, Michigan, 48197, United States

  • University of California Irvine

    Irvine, California, 92697, United States

  • University of Vermont Medical Center

    Burlington, Vermont, 05401, United States

  • Washington University

    St Louis, Missouri, 63130, United States