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Heart failure fluid removal device trial halted early
NCT ID NCT05318105
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compared a device called Aquadex, which filters excess fluid from the blood, to standard IV diuretics in 167 hospitalized heart failure patients with fluid overload. The goal was to see which method better prevented heart failure events like rehospitalization. However, the trial was terminated early, so the results are incomplete and should be interpreted with caution.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Aquadex Smartflow System (a device that removes excess fluid from the blood) and IV loop diuretics (medication to increase urine output)
- What this could lead to
- If successful, this could provide a more effective way to remove excess fluid in heart failure patients, potentially reducing hospital readmissions.
- What could go wrong
- The trial was terminated early, meaning it did not complete as planned. This limits the reliability of any findings, and the device may not prove better than standard diuretics.
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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167 people
The number who actually took part.
- Started
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Jun 2022
- Finished
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Apr 2026
- 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: * 18 years or older * Man, or non-pregnant woman * Admitted to the hospital with a diagnosis of acute decompensated heart failure * On regularly prescribed oral loop diuretics, Sodium-glucose Cotransporter-2 (SGLT2) Inhibitors or a Mineralcorticoid Receptor Antagonists (MRA) prior to admission * Fluid overload manifested by at least three clinical indications (e.g., edema, an excess of at least 10 pounds of fluid, etc.) * Provide written informed consent Exclusion Criteria: * New diagnosis of heart failure * Acute coronary syndromes * Creatinine ≥ 3.0 mg/dl or planned renal replacement therapies at the time of enrollment * Contraindications to systemic anticoagulation * Severe concomitant disease expected to prolong hospitalization or cause death in less than 90 days * Sepsis or ongoing systemic infection * Active myocarditis * Constrictive pericarditis or restrictive cardiomyopathy * Severe aortic stenosis * Any condition in the opinion of the investigator that would prevent the patient from follow-up/survival
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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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Abington Jefferson Health
Abington, Pennsylvania, 19001, United States
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Banner Health
Tucson, Arizona, 85721, United States
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BayCare Medical Group, Morton Plant
Clearwater, Florida, 33756, United States
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Baylor Scott & White Research Institute
Dallas, Texas, 75207, United States
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Henry Ford Health
Detroit, Michigan, 48202, United States
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Jackson Madison County General Hospital
Jackson, Tennessee, 38301, United States
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MemorialCare, Long Beach Medical Center
Long Beach, California, 90806, United States
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Mount Sinai Morningside
New York, New York, 10025, United States
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Northwell Health
New York, New York, 10075, United States
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Sentara Norfolk General Heart Hospital
Norfolk, Virginia, 23507, United States
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Sharp Memorial Hospital, San Diego Cardiac Center
San Diego, California, 92123, United States
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The Christ Hospital
Cincinnati, Ohio, 45219, United States
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The Mount Sinai Hospital
New York, New York, 10029, United States
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The Ohio State University
Columbus, Ohio, 43215, United States
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University of Kentucky
Lexington, Kentucky, 40536, United States
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