Bedside blood test may reveal how well heart failure treatment works
NCT ID NCT07762521
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This observational study looks at whether changes in a blood marker called NT-proBNP, measured at the bedside, can reflect how well fluid is being removed in patients hospitalized with acute decompensated heart failure. Participants receive standard care, and researchers track NT-proBNP levels and congestion signs during the first days in the hospital. The goal is to see if this marker could serve as a useful indicator of treatment response, potentially guiding more personalized heart failure management in the future.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Serial NT-proBNP measurement (a blood test measuring a heart stress marker)
- What this could lead to
- If successful, this could show that simple bedside NT-proBNP tests help doctors gauge how well heart failure treatment is working, potentially guiding more personalized care in the future.
- What could go wrong
- This is a small observational study, so it cannot prove cause and effect. The results may not apply to all heart failure patients, and the test is not yet proven to improve outcomes.
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.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- 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
The study population consists of adult patients with acute decompensated heart failure admitted to the cardiac intensive care unit. All participants will receive standard guideline-directed medical treatment. The study will prospectively evaluate the relationship between dynamic changes in NT-proBNP levels and clinical decongestion status during hospitalization.
- 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: * Adults aged ≥18 years. * Patients hospitalized in the cardiac intensive care unit (CCU) with a diagnosis of acute decompensated heart failure (ADHF). * Presence of clinical evidence of congestion at admission, including at least one of the following: * Symptoms or signs of volume overload (e.g., dyspnea, orthopnea, peripheral edema, elevated jugular venous pressure). * Pulmonary congestion based on physical examination or imaging findings. * Other clinically recognized evidence of congestion judged by the treating physician. * Patients receiving standard guideline-directed medical treatment for acute decompensated heart failure, including intravenous diuretic therapy according to clinical practice. * Ability to provide informed consent or availability of a legally authorized representative to provide consent. Exclusion Criteria: * Cardiogenic shock or requirement for immediate mechanical circulatory support. * End-stage kidney disease requiring maintenance dialysis or renal replacement therapy at admission. * Acute conditions requiring urgent intervention that may interfere with study assessments, including acute coronary syndrome requiring immediate revascularization or acute pulmonary embolism. * Clinical conditions in which NT-proBNP interpretation is considered unreliable or inappropriate by the investigator. * Expected survival of less than 72 hours, early transfer from the CCU, or inability to complete the core observation period. * Any other condition considered inappropriate for participation by the investigator.
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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 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.
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