Can a kidney salt scan predict who Won't respond to water pills?
NCT ID NCT04170855
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether measuring salt levels in the kidneys using a special MRI can help doctors predict which heart failure patients will not respond well to water pills (diuretics). About 50 adults with heart failure and kidney disease will be scanned to compare salt content between those who respond to diuretics and those who don't. The goal is to help doctors prescribe the right dose from the start, avoiding treatment failure and side effects.
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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 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2020
- Expected to finish
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Feb 2027
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 for Visit 1 * Clinico-pathological diagnosis of heart failure * Age ≥ 18 years * Estimated GFR ≥ 15 mL/min/1.73m2 * Receiving loop diuretics for at least a week at ≥ 40 mg/day (furosemide) or 2 mg/day (bumetanide), either orally or intravenously * Willing and able to provide consent Inclusion Criteria for Visit 2 · Patients from visit 1 with diuretic resistance Exclusion Criteria for Visit 1 Direct contraindications to MR scanning (implanted materials etc.) * Additional diuretic types other than spironolactone/epleronone/metolazone/finerenone * Liver disease with hepato-renal syndrome * Pregnant, breastfeeding or intending pregnancy * Kidney malformation leading to chronic kidney disease (for example polycystic kidney) * Unable to provide consent Exclusion criteria for Visit 2 · Hypokalemia (serum potassium \<3.5 mmol/l)
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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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Heart Failure Clinic | St. Joseph's Health Care London
London, Ontario, N6A 3N3, Canada
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