Can a tiny sensor inside a vein predict heart failure crises?
NCT ID NCT04203576
First seen Sep 03, 2026 · Last updated Sep 04, 2026 · Updated 1 time
Summary
This first-in-human trial tests a small device called the FIRE1 System, which is implanted in a major vein to monitor fluid buildup in people with heart failure. The study enrolls up to 50 adults who have recently needed hospital care for heart failure. Researchers check whether the implant is safe, stays in place, and successfully sends signals that could one day alert doctors to early signs of trouble.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- FIRE1 System, an implantable sensor that monitors the inferior vena cava for signs of fluid overload in heart failure patients
- What this could lead to
- If it works, this implant could give doctors early warning of worsening heart failure, potentially reducing hospital stays and helping patients manage their condition at home.
- What could go wrong
- This is an early, small safety and feasibility study in 50 people. The sensor could move, fracture, or cause blood clots, and it is not yet known if the readings will reliably improve patient outcomes.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2019
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Main Inclusion Criteria * Adults 18 years or older with heart failure with any of the following in the past 6 months: a decompensation due to heart failure resulting in a heart failure hospitalisation, heart failure treatment in a hospital day-care setting or urgent outpatient heart failure visit * Receiving treatment in accordance with internationally recognised guidelines. * Signed patient informed consent form Main Exclusion Criteria: * Significant comorbidity that would interfere with the ability to safely complete the clinical investigation protocol * Patients with an estimated Glomerular Filtration Rate (eGFR) \< 30 ml/min * Patients with IVC filter placement in situ, abnormal IVC or femoral venous anatomy or known congenital malformation or absence of IVC or occlusive or free-floating thrombus in the IVC * Patients with implantable ventricular assist device (LVAD, RVAD, BiVAD) in situ * Patients with Cardiovascular Implantable Electronic Device (CIED) implanted ≤ 3 months prior to enrolment * Patients with conditions associated with occlusion of the IVC, iliac or common femoral veins (e.g. venous leg ulcers)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Erasmus University Medical Center
Rotterdam, Dr. Molewaterplein 40, 3015 GD, Netherlands
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Fakultní Nemocnice Brno
Brno, 625 00, Czechia
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Galway University Hospital
Galway, H91 YR71, Ireland
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Glenfield Hospital
Leicester, LE3 9QP, United Kingdom
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Golden Jubilee National Hospital
Glasgow, G81 4DY, United Kingdom
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Israeli-Georgian Medical Research Clinic Helsikor
Tbilisi, Georgia
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Nemocnice Na Homolce
Prague, Praha 5, 150 30, Czechia
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Queen Alexandra Hospital
Portsmouth, PO6 3LY, United Kingdom
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Royal Bournemouth Hospital
Bournemouth, BH7 7DW, United Kingdom
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Royal Brompton Hospital Sydney Street
London, SW3 6NP, United Kingdom
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Tbilisi Heart and Vascular Clinic
Tbilisi, Georgia
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University Hospital Southampton
Southampton, SO16 6YD, United Kingdom
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University Medical Center, Groningen
Groningen, Hanzeplein 1, 9713 GZ, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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