Cardiovascular and Renal Treatment in Heart Failure Patients With Hyperkalaemia or at High Risk of Hyperkalaemia

NCT ID: NCT04864795

Last Updated: 2024-11-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

2636 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-19

Study Completion Date

2024-08-30

Brief Summary

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The CARE-HK in HF is a registry study based on the hypothesis that adherence to guidelines is associated with improved real-world outcomes for heart failure (HF) patients. For the purpose of this study, adherence to guidelines is defined as adherence to RAASi treatment recommendations, according to the AHA/ACC and ESC guidelines. Objectives relating to patiromer effectiveness will only be evaluated if a sufficient number of patients are available.

The study aims to evaluate in patients at high risk of hyperkalaemia; patients treated with ACEi/ARB/ARNi, and either treated with or candidates for treatment with MRA.

Detailed Description

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The study will have an enrolment period of approximately 24 months, and each patient will be followed prospectively for at least 6 months. Each patient is expected to contribute to the study data collection until study end or until premature discontinuation, whichever occurs first (i.e., due to death, withdrawal of consent, or lost to follow-up).

At enrolment (informed consent signed by patient), relevant patient data will be retrospectively extracted from medical records for the 24 months prior to enrolment or since the time of HF diagnosis.

There are no visits or procedures associated with the study, patients will follow routine clinical care, which may include in-person and/or virtual visits. The study protocol does not recommend the use of any specific treatments and no study medication is provided as part of participation. The nature and heterogeneity of HF means patients will be treated with different treatments over the course of the study, and at the discretion of their treating physician.

Patient data will be collected from patient records and/or during a routine clinical visit and will be entered into the electronic Case Report Form (eCRF) via an electronic data capture (EDC) system. This will include treatments prescribed, routine assessments and measurements (e.g., laboratory parameters) collected at routine clinical visits, as well as hospitalisations and other relevant patient data. Protocol version 3.0, 19-Jul-2023

Conditions

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Heart Failure Hyperkalemia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Single Cohort

Patient data will be collected from patient records and/or during a routine clinical visit. This will include treatments prescribed, routine assessments and measurements collected at routine clinical visits, as well as hospitalisations and other relevant patient data.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Adult aged ≥18 years at enrolment.
2. Patient diagnosed with chronic HF ≥3 months prior to signature of informed consent.
3. Patient has at least 1 record of LVEF documented in patient medical record in the 24 months prior to signature of informed consent. NOTE: If the proportion of patients with HFpEF exceeds 20% of the target sample size, enrolment of patients with an LVEF ≥50% may be capped.
4. Patient treated with ACEi/ARB/ARNi at enrolment.
5. Patient treated with or a candidate for treatment with MRA per a relevant treatment guideline (e.g., HF, CKD, resistant hypertension) at enrolment.
6. Patient at increased risk of hyperkalaemia due to one or more of the following:

1. Current hyperkalaemia (sK+ \>5.0 mEq/l) at enrolment
2. Record of documented hyperkalaemia (sK+ \>5.0 mEq/l) in the 24 months prior to signature of informed consent
3. eGFR \<45 ml/min/1.73 m2, or CKD Stage ≥3b.
7. Patient judged by the Investigator to have sufficient cognitive ability to participate.
8. Signed informed consent provided

Exclusion Criteria

1. Patient on renal replacement therapy or mechanical circulatory support.
2. Disease other than HF with expected survival \<1 year.
3. Patient is participating in, or being screened for, an interventional trial, with the exception of interventional trials relating to SARS-CoV-2.
4. Patient already found to be intolerant to MRA for reasons other than hyperkalaemia or renal impairment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vifor (International) Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sandra Wächter

Role: STUDY_CHAIR

Vifor International

Locations

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University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status

UC San Diego Sulpizio Cardiovascular Center

La Jolla, California, United States

Site Status

Amicis Research Center

Northridge, California, United States

Site Status

Bridgeport Hospital

Bridgeport, Connecticut, United States

Site Status

Bethesda Hospital East

Boynton Beach, Florida, United States

Site Status

Clearwater Cardiovascular Consultants

Clearwater, Florida, United States

Site Status

Innovative Research of West Florida, Inc.

Clearwater, Florida, United States

Site Status

Inpatient Research Clinic, LLC

Hialeah, Florida, United States

Site Status

Clearwater Cardiovascular Consultants

Largo, Florida, United States

Site Status

D&H National Research Centers

Miami, Florida, United States

Site Status

Southwest Florida Research, LLC

Naples, Florida, United States

Site Status

Peace River Cardiovascular Center

Port Charlotte, Florida, United States

Site Status

Clearwater Cardiovascular and Interventional Consultants

Safety Harbor, Florida, United States

Site Status

Florida Cardiology P.A

Winter Park, Florida, United States

Site Status

IACT Health

Columbus, Georgia, United States

Site Status

Cardiology Care Clinics

Eatonton, Georgia, United States

Site Status

NSC Research

Johns Creek, Georgia, United States

Site Status

Chicago Medical Research, LLC

Hazel Crest, Illinois, United States

Site Status

Prairie Cardiovascular Consultants, Ltd.

Springfield, Illinois, United States

Site Status

Cardiovascular Medicine, P.C.

Davenport, Iowa, United States

Site Status

Central Cardiology Associates

Elizabethtown, Kentucky, United States

Site Status

Maine Health

Biddeford, Maine, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

TidalHealth Peninsula Regional Inc.

Salisbury, Maryland, United States

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Ascension St. Mary's Hospital

Saginaw, Michigan, United States

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Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, United States

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St. Louis Heart and Vascular

Bridgeton, Missouri, United States

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Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

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St. Louis University

St Louis, Missouri, United States

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Logan Health Research

Kalispell, Montana, United States

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Virtua Medical Group PA

Marlton, New Jersey, United States

Site Status

Raritan Bay Primary and Cardiology Associates

Matawan, New Jersey, United States

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The Heart House

Sewell, New Jersey, United States

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Albany Stratton VA Medical Center

Albany, New York, United States

Site Status

Capital Cardiology Associates

Albany, New York, United States

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South Shore University Hospital

Bay Shore, New York, United States

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Focus Clinical Research Solutions

Charlotte, North Carolina, United States

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Nephrology Associates of Greater Cincinnati

Cincinnati, Ohio, United States

Site Status

Rama Research LLC

Marion, Ohio, United States

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The Heart and Medical Center

Durant, Oklahoma, United States

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Capital Area Research, LLC

Camp Hill, Pennsylvania, United States

Site Status

UPMC Presbyterian Hospital

Pittsburgh, Pennsylvania, United States

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UT Southwestern Medical Center

Dallas, Texas, United States

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East Texas Cardiology PA

Houston, Texas, United States

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Biopharma Informatic, LLC

Houston, Texas, United States

Site Status

Texas Cardiology Associates of Houston

Kingwood, Texas, United States

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Complete Heart Care

McKinney, Texas, United States

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Baylor Scott & White Round Rock

Round Rock, Texas, United States

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Baylor Scott & White Health - Temple

Temple, Texas, United States

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Victoria Heart & Vascular Center

Victoria, Texas, United States

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Richmond Cardiology Associates

Mechanicsville, Virginia, United States

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William S. Middleton Memorial VA Hospital

Madison, Wisconsin, United States

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KH St. Josef Braunau

Braunau am Inn, , Austria

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LKH Universitatklinikum Graz

Graz, , Austria

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Ordensklinkum Linz Elisabethinen

Linz, , Austria

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Allgemeines Krankenhaus der Stadt Wien

Vienna, , Austria

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Imed-19 privat

Vienna, , Austria

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Klinik Floridsdorf

Vienna, , Austria

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Cliniques Universitaires de Bruxelles Hopital Erasme

Brussels, , Belgium

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Cliniques Universitaires Saint-Luc

Brussels, , Belgium

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Grand Hôpital de Charleroi

Charleroi, , Belgium

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AZ Sint-Blasius

Dendermonde, , Belgium

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CHU de Liège

Liège, , Belgium

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AZ Glorieux

Ronse, , Belgium

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Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS

Bologna, , Italy

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Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)

Brescia, , Italy

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Azienda Ospedaliera Universitaria Arcispedale Sant'Anna

Ferrara, , Italy

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Azienda Ospedaliero Universitaria Ospedali Riuniti di Foggia

Foggia, , Italy

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A.O.U. Policlinico di Modena

Modena, , Italy

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Centro Cardiologico Monzino-IRCCS

Monza, , Italy

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Azienda Ospedaliera Universitaria "Federico II"

Napoli, , Italy

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Azienda Ospedaliero Universitaria Pisana

Pisa, , Italy

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Arcispedale S. Maria Nuova Azienda Ospedaliera di Reggio Emilia

Reggio Emilia, , Italy

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IRCCS San Raffaele Pisana

Roma, , Italy

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IRCCS Ospedale Policlinico San Martino

San Martino, , Italy

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Azienda Servizi Sanitari 1 Triestina

Trieste, , Italy

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Hospital Universitario Severo Ochoa

Leganés, Madrid, Spain

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Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, Madrid, Spain

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Complejo Hospitalario de Navarra

Pamplona, Navarre, Spain

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Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, Spain

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Complejo Hospitalario Universitario A Coruña

A Coruña, , Spain

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Hospital Universitari Germans Trias i Pujol

Badalona, , Spain

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Hospital clinic de Barcelona

Barcelona, , Spain

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Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

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Hospital Universitari de Bellvitge

Barcelona, , Spain

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Hospital Universitari Vall d'Hebron

Barcelona, , Spain

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Hospital Universitario Virgen de las Nieves

Granada, , Spain

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Juan Ramon Jimenez Hospital

Huelva, , Spain

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Complejo Hospitalario de Jaen

Jaén, , Spain

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Hospital Universitario de Gran Canaria Dr. Negrin

Las Palmas de Gran Canaria, , Spain

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Hospital Universitario Clinico San Carlos

Madrid, , Spain

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Hospital Universitario Infanta Leonor

Madrid, , Spain

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Hospital Universitario La Paz

Madrid, , Spain

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Hospital Universitario Ramon y Cajal

Madrid, , Spain

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Hospital Clinico Universitario Virgen de la Victoria

Málaga, , Spain

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Hospital Universitario Puerto Real

Puerto Real, , Spain

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Hospital Universitario Virgen del Rocío

Seville, , Spain

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Hospital Universitario Virgen Macarena

Seville, , Spain

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Hosp. Universitari Sant Joan de Reus

Tarragona, , Spain

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Kantonsspital Aarau AG

Aarau, , Switzerland

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University Hospital Basel

Basel, , Switzerland

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Hôpitaux Universitaires de Genève - HUG

Geneva, , Switzerland

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Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

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Luzerner Kantonsspital

Lucerne, , Switzerland

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Kantonsspital St. Gallen

Sankt Gallen, , Switzerland

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Buckinghamshire Healthcare NHS Trust

Amersham, , United Kingdom

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Bradford Royal Infirmary

Bradford, , United Kingdom

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Royal Devon and Exeter Hospital (Wonford)

Exeter, , United Kingdom

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Northwick Park Hospital

Harrow, , United Kingdom

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Royal Liverpool University Hospital

Liverpool, , United Kingdom

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Barts Health NHS Trust

London, , United Kingdom

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King's College Hospital

London, , United Kingdom

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William Harvey Clinical Research Centre

London, , United Kingdom

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Royal Victoria Infirmary

Newcastle, , United Kingdom

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Derriford Hospital

Plymouth, , United Kingdom

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Whiston Hospital

Rainhill, , United Kingdom

Site Status

Countries

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United States Austria Belgium Italy Spain Switzerland United Kingdom

References

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Greene SJ, Sauer AJ, Bohm M, Bozkurt B, Butler J, Cleland JGF, Coats AJS, Desai NR, Grobbee DE, Kelepouris E, Pinto F, Rosano G, Donachie V, Fabien S, Waechter S, Crespo-Leiro MG, Hulsmann M, Kempf T, Pfister O, Pouleur AC, Saxena M, Schulz M, Volterrani M, Anker SD, Kosiborod MN. Management of patients with heart failure at high risk of hyperkalaemia: The CARE-HK in HF registry. Eur J Heart Fail. 2025 Aug 11. doi: 10.1002/ejhf.3800. Online ahead of print.

Reference Type DERIVED
PMID: 40788620 (View on PubMed)

Other Identifiers

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HQ-NIS-CHF-07.2020

Identifier Type: -

Identifier Source: org_study_id

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