Can a new care pathway speed up advanced heart failure decisions?
NCT ID NCT07826078
First seen Sep 17, 2026 · Last updated Sep 18, 2026 · Updated 1 time
Summary
Researchers are testing whether a standardized care pathway helps adults with advanced heart failure in Latin America complete a multidisciplinary evaluation and receive a documented treatment decision within 90 days. The trial includes 360 adults with acquired or structural heart disease who may need heart transplantation, mechanical circulatory support, or other advanced therapies. Clinics switch from their usual local approach to the TORCH pathway in stages, and the study tracks how many patients complete evaluations, reach authorized treatment pathways, and what clinical outcomes follow.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a standardized health-services pathway for advanced heart failure care
- What this could lead to
- If the pathway works, it could help more adults with advanced heart failure get timely evaluations and reach authorized treatment options such as transplantation or mechanical support.
- What could go wrong
- This is a health-services trial, not a new drug or device, so it cannot cure heart failure. Results may not apply outside Latin America, and better coordination does not guarantee that organs or advanced therapies become available.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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 360 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2027
An estimate. Start dates often move.
- Expected to finish
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Mar 2031
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.
Inclusion Criteria: * Adult aged 18 years or older at informed consent. * Documented acquired or structural heart disease with advanced heart failure meeting a protocol-defined trigger for specialized advanced-therapy evaluation. * Identification within an activated TORCH network cluster with an operational route to at least one authorized advanced-therapy or transplant center. * Ability to complete protocol-defined follow-up directly or through an authorized network pathway. * Provision of informed consent according to applicable requirements. Exclusion Criteria: * Congenital heart disease as the primary condition, or absence of a documented pathophysiological relationship between acquired or structural heart disease and advanced heart failure. * No authorized route for protocol evaluation or follow-up at the time of enrollment. * Unable or unwilling to provide informed consent when required. * The prespecified multidisciplinary evaluation and advanced-pathway decision were already completed and remain clinically current before enrollment.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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