Can a simple blood test decide when heart failure patients go home?
NCT ID NCT03103932
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing whether using a blood test called NTproBNP can help doctors decide the best time to discharge patients hospitalized with worsening heart failure. 750 participants will be randomly assigned to either a biomarker-guided discharge plan or usual care. The goal is to see if this approach reduces hospital readmissions and keeps patients healthier longer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Biomarker guided discharge algorithm
- What this could lead to
- If successful, this could lead to a more personalized discharge plan for heart failure patients, potentially reducing hospital readmissions and improving recovery.
- What could go wrong
- This is an early-stage study testing a new decision-making tool, not a treatment. The biomarker approach may not improve outcomes compared to standard care, and results may not apply to all heart failure patients.
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 750 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2017
- Expected to finish
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Dec 2026
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients admitted to hospital with a primary diagnosis of acute decompensated heart failure, compatible with the modified Framingham criteria Exclusion Criteria: * Patient unable to provide blood samples or cannot participate in follow-up * Patient with end stage organ failure * Kidney: creatinine \>350 μmol/L or Estimated GFR ≤15 ml/min * Liver dysfunction: liver function test \>2.5 times normal * Lungs: pulmonary FEV1\<50% predicted * Patient requiring intubation * Patient with an admission NTproBNP measurement of \>30,000 pg/ml * Patient listed for heart transplant, or admitted specifically for transplant workup * Patient in cardiogenic shock * Patient with life expectancy of less than 6 months, or has major co-morbidities such as new stroke, cancer, pneumonia, or other serious life threatening illness * Patient with conditions that will make it difficult to discharge from hospital such as a fall or waiting for a long term care bed * Any other significant disease or disorder which, in the opinion of the Investigator, may either put the patient at risk because of participation in the trial, or may bias the result of the trial, or the patient's ability to participate in the trial * Patient who has participated in another research trial involving an investigational product in the past 30 days
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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
1 site. 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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University of Ottawa Heart Institute
RECRUITINGOttawa, Ontario, K1Y 4W7, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Stick-On patch aims to catch dangerous heart decline sooner
- Can a smart vest see hidden lung fluid and improve heart failure care?
- Blood test clues: could two proteins predict heart failure crises?
- Are heart failure patients taking their meds? a urine test at the ER aims to find out
- Can common heart drugs stay safe during a crisis? a trial investigates
- Simple chair test may predict heart failure prognosis