- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04343430
Acute Heart Failure With Preserved Ejection Fraction - COngestion Discharge Evaluation (AHF-CODE-P)
Acute Heart Failure With Preserved Ejection Fraction - COngestion Discharge Evaluation: Evaluation de la Congestion à la Sortie d'Hospitalisation Pour Insuffisance Cardiaque aiguë à Fraction d'éjection préservée
The AHF-CODE preserved study is a prospective, non-randomized, monocenter study performed in patients with heart failure with preserved ejection fraction admitted for worsening heart failure.
The main objective of the AHF-CODE preserved study is to identify congestion markers (clinical, biological and ultrasound) at the end of hospitalization for acute heart failure that are associated with the risk of all cause death or rehospitalization for acute heart failure within 3 months of hospital discharge.
Study Overview
Status
Conditions
Intervention / Treatment
- Procedure: Biological: Blood sample retrieved for biological assessment and biobanking
- Procedure: Telephone interview
- Behavioral: Kansas City Cardiomyopathy Questionnaire (KCCQ)
- Procedure: Clinical examination centered on congestion
- Procedure: Cardio-pulmonary, peritoneal, jugular and renal Doppler ultrasounds and liver elastography
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Nicolas GIRERD, MD,PhD
- Phone Number: + 33 3 + 33 3 83 15 73 22
- Email: n.girerd@chru-nancy.fr
Study Locations
-
-
-
Vandœuvre-lès-Nancy, France, 54500
- Recruiting
- CHRU de Nancy
-
Contact:
- Nicolas GIRERD, MD,PhD
- Phone Number: +333 +33383157322
- Email: n.girerd@chru-nancy.fr
-
Principal Investigator:
- Nicolas GIRERD, MD,PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients hospitalised for acute heart failure.
- Patient with preserved ejection fraction (FE ≥ 50%).
- Patients considered clinically discharging from hospitalisation for acute heart failure.
- Age ≥18 years
- Patients having received complete information regarding the study design and having signed their informed consent form.
- Patient affiliated to or beneficiary of a social security scheme.
Exclusion Criteria:
- Comorbidity for which the life expectancy is ≤ 3 months
- Dialysis patient (peritoneal dialysis or hemodialysis) or patients with glomerular filtration rate <15 ml/min/m² at inclusion.
- History of lobectomy or pneumonectomy lung surgery
- Severe pulmonary or pleural pathology preventing reliable acquisition of lung ultrasound images: severe emphysema, chronic pleurisy, pulmonary fibrosis, etc.
- Pregnant woman, parturient or nursing mother
- Adult person subject to a legal protection measure (guardianship, curatorship, safeguard of justice)
- Adult person who is unable to give consent
- Person deprived of liberty by a judicial or administrative decision,
- Person subject to psychiatric care pursuant to Articles L. 3212-1 and L. 3213-1 of the Public Health Code.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Patients hospitalized for acute heart failure
Patients hospitalized for acute heart failure will undergo the following evaluations:
|
Blood sample collection will be performed before discharge from hospital
Telephone interview will be performed at 3, 12 months and 24 months after discharge from Hospital
Questionnaire centered on patient's quality of life at discharge and 3, 12 and 24 months after discharge
Clinical examination centered on congestion (ASCEND, NYHA and Ambrosy Score) will be performed before discharge from hospital
Cardio-pulmonary, peritoneal, jugular and renal Doppler ultrasounds and liver elastography will be performed before discharge from hospital
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of all-cause death
Time Frame: 3 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3 months after hospital discharge (with outcome 2 and 3)
|
3 months after hospital discharge
|
Rate of re-hospitalisation for acute heart failure
Time Frame: 3 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3 months after hospital discharge (with outcome 1 and 3)
|
3 months after hospital discharge
|
Rate of day-hospital or in-home IV diuretics injection for acute HF
Time Frame: 3 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3 months after hospital discharge (with outcome 2 and 3)
|
3 months after hospital discharge
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of hospitalisation for acute heart failure
Time Frame: 3, 12 and 24 months after hospital discharge
|
Rate of hospitalisation for acute heart Failure at 3, 12 and 24 months after hospital discharge
|
3, 12 and 24 months after hospital discharge
|
NYHA (New York Heart Association) class
Time Frame: 3, 12 and 24 months after hospital discharge
|
3, 12 and 24 months after hospital discharge
|
|
Natriuretic peptides
Time Frame: At inclusion
|
BNP or Nt-Pro BNP
|
At inclusion
|
Renal function assessed by glomerular filtration rate
Time Frame: At inclusion
|
At inclusion
|
|
Plasma volume
Time Frame: At inclusion
|
Calculated from haemoglobin and haematocrit value
|
At inclusion
|
Liver elastography value
Time Frame: At inclusion
|
Measured with Fibroscan®
|
At inclusion
|
Blood potassium
Time Frame: At inclusion
|
At inclusion
|
|
Quality of life assessed by Kansas City Cardiomyopathy Questionnaire
Time Frame: At inclusion and 3, 6 and 24 months
|
Assessed by Kansas City Cardiomyopathy Questionnaire (KCCQ)
|
At inclusion and 3, 6 and 24 months
|
Rate of all-cause death
Time Frame: 3, 12 and 24 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3,12 and 24 months after hospital discharge (with outcome 5)
|
3, 12 and 24 months after hospital discharge
|
Rate of re-hospitalisation for acute heart failure
Time Frame: 3, 12 and 24 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3, 12 and 24 months after hospital discharge (with outcome 4)
|
3, 12 and 24 months after hospital discharge
|
rate of day-hospital or in home IV diuretics injection for acute HF
Time Frame: 3, 12 and 24 months after hospital discharge
|
3, 12 and 24 months after hospital discharge
|
|
Rate of all-cause death
Time Frame: 3, 12 and 24 months after hospital discharge
|
Rate of all-cause death at 3, 12 and 24 months after hospital discharge
|
3, 12 and 24 months after hospital discharge
|
Rate of all-cause death
Time Frame: 3, 12 and 24 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3 months after hospital discharge (with outcome 10)
|
3, 12 and 24 months after hospital discharge
|
Rate of hospitalisation for acute heart failure
Time Frame: 3, 12 and 24 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3 months after hospital discharge (with outcome 9)
|
3, 12 and 24 months after hospital discharge
|
Rate of death from all causes
Time Frame: 3, 12 and 24 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3, 12 and 24 months after hospital discharge (with outcome 12)
|
3, 12 and 24 months after hospital discharge
|
Rate of hospitalisation for acute heart failure
Time Frame: 3, 12 and 24 months after hospital discharge
|
composite endpoint : rate of all-cause death or re-hospitalisation for acute heart failure at 3, 12 and 24 months after hospital discharge (with outcome 11)
|
3, 12 and 24 months after hospital discharge
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2019PI188-2
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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