Can a water pill get ICU patients home faster?
NCT ID NCT04180397
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a drug called furosemide (a water pill) can safely help intensive care patients who have too much fluid in their bodies. About 1000 adults will be randomly assigned to receive either furosemide or a placebo until the extra fluid is gone. The goal is to see if this treatment helps patients leave the hospital sooner and reduces complications.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 1,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2020
- Expected to finish
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Apr 2028
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: ALL below must be met. * Acute admission to the intensive care unit. * Age ≥ 18 years of age * Fluid overload ≥ 5% of ideal body weight. If possible, all fluids administered before admission to the intensive care unit are to be included in the calculation of cumulative fluid balance. * Clinical stable (minimum criteria: MAP \> 50 mmHg and maximum infusion of 20 microgram/kg/minute of noradrenaline and lactate \< 4.0 mmol/L) Exclusion Criteria: * Known allergy to furosemide or sulphonamides. * Known pre-hospitalization advanced chronic kidney disease (eGFR \< 30 mL/minute/1.73 m\^2 or chronic RRT). * Ongoing renal replacement therapy. * Anuria \> 6 hours. * Rhabdomyolysis with indication for forced diuresis * Ongoing life-threatening bleeding as these patients need specific fluid/blood product strategies. * Acute burn injury of more than 10% of the body surface area as these patients need a specific fluid strategy. * Severe dysnatremia (p-Na \< 120 or \> 155 mmol/L) as these patients need a specific fluid strategy. * Severe hepatic failure as per the clinical team. * Patients undergoing forced treatment. * Fertile women (women \< 50 years) with positive urine human chorionic gonadotropin (hCG) or plasma-hCG. * Consent not obtainable as per the model approved for the specific trial site.
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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
20 sites in 6 countries. 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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Departement of Intensive Care, Gentofte Hospital
TERMINATEDGentofte Municipality, Denmark
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Departmen of Intensive Care
RECRUITINGAalborg, 9000, Denmark
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Department of Critical Care, University Medical Center Groningen
RECRUITINGGroningen, Netherlands
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Department of Intensive Care
RECRUITINGKolding, 6000, Denmark
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Department of Intensive Care
RECRUITINGOdense, 5000, Denmark
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Department of Intensive Care
WITHDRAWNVejle, 7100, Denmark
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Department of Intensive Care
TERMINATEDTurku, Finland
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Department of Intensive Care, Aarhus University Hospital
TERMINATEDAarhus, Denmark
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Department of Intensive Care, Herlev Hospital
RECRUITINGHerlev, 2730, Denmark
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Department of Intensive Care, IKEM
RECRUITINGPrague, Czechia
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Department of Intensive Care, Inselspital
RECRUITINGBern, Switzerland
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Department of Intensive Care, Landspitali National University Hospital of Iceland
TERMINATEDReykjavik, Iceland
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Department of Intensive Care, Liverpool Hospital
RECRUITINGSydney, Australia
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Department of Intensive Care, Nordsjællands hospital
RECRUITINGHillerød, Denmark
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Department of Intensive Care, Regionshospital Gødstrup
RECRUITINGHerning, 7400, Denmark
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Department of Intensive Care, Regionshospital Nordjylland Hjørring
RECRUITINGHjørring, Denmark
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Department of Intensive Care, Regionshospitalet Randers
RECRUITINGRanders, 8930, Denmark
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Department of Intensive Care, Rigshospitalet
RECRUITINGCopenhagen, 2100, Denmark
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Department of Intensive Care, Royal North Shore Hospital
RECRUITINGSydney, Australia
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Department of Intensive Care, Stavanger University Hospital
TERMINATEDStavanger, 4068, Norway
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Department of Intensive Care, Sygehus Sønderjylland Aabenraa
TERMINATEDAabenraa, Denmark
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Department of Intensive Care, Tampere University Hospital
TERMINATEDTampere, 33520, Finland
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Department of Intensive Care, University Hospital Zealand, Roskilde
RECRUITINGRoskilde, Denmark
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Department of Intensive Care, University Hospital of Ostrava
NOT_YET_RECRUITINGOstrava, Czechia
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Department of Intensive Care, University Hospital of Pilsen
RECRUITINGPilsen, Czechia
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Department of Intensive Care, Zealand University hospital
RECRUITINGKøge, 4600, Denmark
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Department of Intensive Care, Ålesund Sjukehus
TERMINATEDÅlesund, Norway
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Regionshospitalet Viborg
RECRUITINGViborg, 8800, Denmark
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Vilnius University Hospital Santaros Clinics
RECRUITINGVilnius, Lithuania
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a diuretic plan clear excess fluid in critically ill patients?
- Can too much fluid harm ICU patients? a global investigation
- Ultrasound-Guided fluid removal may offer safer relief for overloaded kidneys
- Heart failure fluid removal device trial halted early
- New study aims to predict dialysis danger in ICU patients
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