Can a Mega-Dose of water pills help heart failure patients?
NCT ID NCT06036914
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a very high dose of the diuretic bumetanide can remove more fluid than standard doses of furosemide in people hospitalized with worsening heart failure. Twenty patients received either the ultra-high dose or the usual dose over 24 hours. The goal was to see if the stronger dose safely increases urine output and improves symptoms like swelling and shortness of breath.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Bumetanide (ultra-high dose diuretic) and Furosemide (standard dose diuretic)
- What this could lead to
- If it works, this could point toward a more effective way to quickly remove excess fluid in heart failure patients, potentially reducing hospital stay and symptoms.
- What could go wrong
- This is a very small pilot study with only 20 participants, so results may not apply to everyone. High-dose diuretics can also cause kidney problems or electrolyte imbalances.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
20 people
The number who actually took part.
- Started
-
Nov 2023
- Finished
-
Oct 2024
- 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: * Diagnosis of decompensated heart failure receiving intravenous diuretics * Ability to provide informed consent Exclusion Criteria: * Patients on home inotrope medications * Patients with Chronic Kidney disease stage V and end stage renal failure on dialysis * Patients lacking the capacity to consent for themselves * Known pregnancy or breastfeeding mothers * Complex congenital heart disease * Allergy to furosemide or bumetanide * Respiratory failure requiring non-invasive ventilation (CPAP/BiPAP) or invasive mechanical ventilatory support at the time of randomization * Hypotension with systolic blood pressure \<80 mm Hg at the time of randomization * Acute coronary syndrome * Sustained Ventricular tachycardia requiring treatment in the last 48 hours * Patients weighing ≤ 40 kg
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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
-
Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a smart vest see hidden lung fluid and improve heart failure care?
- Blood test clues: could two proteins predict heart failure crises?
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- Can common heart drugs stay safe during a crisis? a trial investigates
- Simple chair test may predict heart failure prognosis