Can a common altitude sickness drug help heart failure patients shed excess fluid?
NCT ID NCT07737964
First seen Jul 30, 2026 · Last updated Aug 18, 2026 · Updated 3 times
Summary
This phase 3 trial investigates whether adding acetazolamide—a drug often used for altitude sickness—to standard diuretics can improve fluid removal in people with heart failure who experience sudden fluid buildup. Participants take the medication for up to five days while being monitored remotely via a connected scale. The study aims to see if more patients lose over 2 kilograms of fluid weight compared to those receiving only standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- acetazolamide added to standard loop diuretics (furosemide)
- What this could lead to
- If it works, this could offer a better way to relieve fluid buildup in heart failure patients without needing hospitalization.
- What could go wrong
- This is an early-phase trial with 366 participants; acetazolamide may not improve outcomes and could cause side effects like electrolyte imbalances or kidney issues.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 366 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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: * Age ≥ 18 * Known HF with impaired, midly-reduced or preserved LVEF * Under guideline directed medical therapy for HF according to ESC Heart Failure Guidelines applicable at inclusion * Previously followed (or included at hospital discharge) by remote monitoring allowing daily weight by connected scale (i.e. Careline®, Optified-self®, NewCard®, Implicity®) * Under furosemide diuretic treatment ≥ 20mg/day for at least 30 days prior to inclusion * Current unplanned hospitalization or unplanned/emergent consultation for acute/decompensation HF Exclusion Criteria: * Subject unable to express their consent and sign informed consent form * Subject not covered by public health insurance * Refusal to participate (absence of informed consent). * Subject under guardianship, legal protection, or deprived of liberty. * Pregnant or breastfeeding women. * Subject under law protection and prisoners * Women of child bearing potential, unless they are using an effective method of birth control (i.e. oral contraceptives, implantable contraceptives, injectable contraceptives, transdermal contraceptives, intrauterine devices, male or female condoms with spermicide, abstinence, or a sterile sexual partner) * Subject unable to comprehend or adhere to the protocol and follow-up * Concurrent participation in another interventional study. * Chronic ventricular assist device or heart transplant patients. * Acute heart failure from recent acute coronary syndrome (\< 1 month). * Severe chronic renal failure or dialysis (GFR \< 20 ml/min). * History of renal colic, hyperchloremic acidosis and wheat allergy (other than coeliac disease) * Known severe hepatic insufficiency defined by a PTT \< 50% or a Child-Pugh score C and/or a known (clinial or biological) supplemented adrenal insufficiency * Intolerance to sulphonamides * Hypersensitivity to the active substance (Acetazolamide) or to any of the excipients (Calcium carbonate, wheat starch, gelatine, magnesium stearate) * Concomitant use of carbamazepine or quinidinics (hydroquinidine, quinidine) * Low cardiac output syndrome/cardiogenic shock. * Current use of acetazolamide or any other carbonic anhydrase inhibitor, including but not limited to topical ophthalmic formulations (e.g., brinzolamide, dorzolamide, methazolamide) * Concomitant use of lithium, valproic acid and valpromide * Current use of high-dose aspirin (\>300 mg/day). Non-randomization criteria (Criteria should be controlled before patients' randomization) : * False alarm * Time between alarm and randomization \> 48h * Subject who declines his participation * Loss of study treatments or unable to take it at D0 * Hemodynamic instability justifying an urgent hospitalization * If applicable, positive urine pregnancy test
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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 places running it
25 sites. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Avignon Hospital
Avignon, France
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Bicêtre Hospital
Le Kremlin-Bicêtre, France
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Cardiovascular Institute - Grenoble Mutualist Hospital Group
Grenoble, France
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Chartres Hospital
Chartres, France
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Cholet Hospital
Cholet, France
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Dreux Hospital
Dreux, France
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Ellipse Center Strasbourg
Strasbourg, France
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Hospital Beziers
Béziers, France
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Louis Pradel Hospital
Lyon, France
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Pôle Santé Sud - Le Mans
Le Mans, France
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Regional University Hospital Nancy
Nancy, France
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Sainte Musse Hospital Toulon
Toulon, France
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Sud Francilien Hospital
Corbeil-Essonnes, France
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The Confluent Private Hospital
Nantes, France
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University Hospital Amiens-Picardie
Amiens, France
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University Hospital Angers
Angers, France
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University Hospital Besançon
Besançon, France
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University Hospital Bordeaux
Bordeaux, France
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University Hospital Brest
Brest, France
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University Hospital Caen
Caen, France
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University Hospital Grenoble Alpes
Grenoble, France
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University Hospital Nîmes
Nîmes, France
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University Hospital Toulouse
Toulouse, France
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University hospital Montpellier
Montpellier, France
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Valenciennes Hospital
Valenciennes, France
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Other studies related to the condition(s) this trial covers.
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