Blood RNA may reveal who responds to heart failure treatment
NCT ID NCT03345446
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at tiny RNA molecules in the blood of 200 people hospitalized with acute congestive heart failure. Researchers want to see if these RNA levels change as patients receive decongestive therapy and if they can help predict who will respond well to treatment. The goal is to better understand heart failure and find new markers to guide care.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2016
- 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.
Who is studied
Patients with Acute Congestive Heart Failure, either with preserved ejection fraction (HF-pEF) or reduced ejection fraction (HF-rEF). The subjects will be enrolled in the acute CHF setting from two sites: * Beth Israel Deaconess Medical Center (BIDMC; under direction of Dr. Pablo Pinzon-Quintero, Heart Failure/Transplant Attending Physician) * Massachusetts General Hospital (MGH; under direction of Dr. Ravi Shah, Heart Failure/Transplant Attending Physician) Subjects will be drawn from the inpatient population at both hospitals, admitted with a diagnosis of heart failure.
- 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: 1. Age \>/= 18 years of age 2. Assessment of LV function within the last year or planned during hospital admission 3. Acute CHF diagnosis, requiring clinical signs and/or symptoms (including exertional or rest dyspnea, orthopnea or PND) AND 1. N-terminal pro-BNP level \> 1000 pg/ml or BNP \> 400 pg/ml, OR 2. Clinical evidence of congestion: * X-ray evidence of pulmonary edema or pleural effusions * Elevated JVP, lower extremity edema, or rales on pulmonary examination * Right heart catheterization evidence of elevated filling pressures (RA pressure \> 10 mmHg; PCWP \> 18 mmHg) 4. Clinical response to IV diuretic therapy (as judged by a physician) Exclusion Criteria: 1. Hematocrit at time of consent \< 30% 2. End-stage non-cardiovascular diseases 1. Known HIV/AIDS 2. Cirrhosis 3. Hemodialysis-dependent renal failure 3. Pregnancy (as adjudicated by patient history) 4. Ventricular assist device support 5. Acute mechanical support on admission 6. Post-heart transplant 7. Malignancy within the last 1 year or clinically active rheumatologic or autoimmune illnesses
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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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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Other studies related to the condition(s) this trial covers.
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