Salt pills could boost heart failure treatment, small trial hints
NCT ID NCT04334668
First seen Jun 25, 2026 · Last updated Jul 14, 2026 · Updated 3 times
Summary
This study tests whether giving oral salt tablets alongside standard IV diuretics helps hospitalized heart failure patients lose more fluid and maintain better kidney function. About 67 adults with acute decompensated heart failure will receive either salt or placebo three times daily for about 4 days. The goal is to see if this simple addition improves weight loss and creatinine levels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- oral sodium chloride (table salt)
- What this could lead to
- If it works, this could point toward a simple, low-cost way to improve fluid removal and protect kidneys during heart failure treatment.
- What could go wrong
- This is a small, early-phase study with only 67 participants, so results may not apply broadly. Adding salt could also worsen fluid overload in some 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
-
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
-
67 people
The number who actually took part.
- Started
-
May 2020
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Age ≥ 18 years old AND * Admitted to cardiology floor (non-ICU) with primary diagnosis of decompensated heart failure AND * NT-proBNP \>1000 ng/L AND * Initiation of continuous furosemide infusion at a rate of 10 mg/hr or higher Exclusion Criteria: * Serum sodium (Na+) level less than 120 or greater than 145. * Average Systolic Blood Pressure \>180 mmHg or Diastolic Blood Pressure \>100 mmHg over past 24 hours. * Anticipated length of stay less than 72 hours. * Use of vasopressin antagonist * Current use of sodium chloride tablets * Active diagnosis of diabetes insipidus * Inability to tolerate oral diet or swallow pills * Presence of malabsorptive gastrointestinal disorder (Crohn's disease, short gut syndrome) * The use of iodinated radiocontrast material in the past 72 hours or anticipated use of intravenous contrast during the current hospitalization * Admission with intention to transplant or implant permanent Ventricular Assistive Device * Use of intravenous inotropes, vasopressors or vasodilators at enrollment * A baseline estimated glomerular filtration rate \<15 mL/min/1.73m² according to the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula at the moment of inclusion * Use of renal replacement therapy at time of enrollment
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute decompensated heart failure are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Cleveland Clinic
Cleveland, Ohio, 44195, United States
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
- 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
- Fluid overload hides true lung pressure in dialysis patients, study aims to unmask it
- Heart failure fluid removal device trial halted early