Ultrafiltration Versus IV Diuretics in Worsening Heart Failure

NCT ID: NCT05318105

Last Updated: 2025-05-15

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

RECRUITING

Clinical Phase

NA

Total Enrollment

372 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-28

Study Completion Date

2026-12-31

Brief Summary

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The REVERSE-HF study is a randomized controlled trial to evaluate clinical outcomes of adjustable ultrafiltration with the Aquadex System as compared to adjustable IV loop diuretics in patients with worsening heart failure (HF) and fluid overload.

Detailed Description

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Conditions

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Heart Failure (for Example, Fluid Overload) Heart Failure Fluid Overload

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Aquadex ultrafiltration therapy

Group Type EXPERIMENTAL

Aquadex Smartflow® System

Intervention Type DEVICE

ultrafiltration

IV loop diuretics

Group Type ACTIVE_COMPARATOR

IV Loop Diuretics

Intervention Type DRUG

diuretics

Interventions

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Aquadex Smartflow® System

ultrafiltration

Intervention Type DEVICE

IV Loop Diuretics

diuretics

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* Man, or non-pregnant woman
* Admitted to the hospital with a diagnosis of acute decompensated heart failure
* On regularly prescribed oral loop diuretics, Sodium-glucose Cotransporter-2 (SGLT2) Inhibitors or a Mineralcorticoid Receptor Antagonists (MRA) prior to admission
* Fluid overload manifested by at least three clinical indications (e.g., edema, an excess of at least 10 pounds of fluid, etc.)
* Provide written informed consent

Exclusion Criteria

* New diagnosis of heart failure
* Acute coronary syndromes
* Creatinine ≥ 3.0 mg/dl or planned renal replacement therapies at the time of enrollment
* Contraindications to systemic anticoagulation
* Severe concomitant disease expected to prolong hospitalization or cause death in less than 90 days
* Sepsis or ongoing systemic infection
* Active myocarditis
* Constrictive pericarditis or restrictive cardiomyopathy
* Severe aortic stenosis
* Any condition in the opinion of the investigator that would prevent the patient from follow-up/survival
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nuwellis, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sean Pinney, MD

Role: PRINCIPAL_INVESTIGATOR

Mount Sinai Morningside

Maria DeVita, MD, FASN

Role: PRINCIPAL_INVESTIGATOR

Lenox Hill Hospital

Locations

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Banner Health

Tucson, Arizona, United States

Site Status RECRUITING

MemorialCare, Long Beach Medical Center

Long Beach, California, United States

Site Status RECRUITING

Sharp Memorial Hospital, San Diego Cardiac Center

San Diego, California, United States

Site Status RECRUITING

University of California San Francisco

San Francisco, California, United States

Site Status WITHDRAWN

BayCare Medical Group, Morton Plant

Clearwater, Florida, United States

Site Status COMPLETED

St. Joseph's Hospital

Tampa, Florida, United States

Site Status WITHDRAWN

University of Kentucky

Lexington, Kentucky, United States

Site Status RECRUITING

Henry Ford Health

Detroit, Michigan, United States

Site Status RECRUITING

Mount Sinai Morningside

New York, New York, United States

Site Status RECRUITING

The Mount Sinai Hospital

New York, New York, United States

Site Status RECRUITING

Northwell Health

New York, New York, United States

Site Status RECRUITING

The Christ Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

The Ohio State University

Columbus, Ohio, United States

Site Status RECRUITING

Abington Jefferson Health

Abington, Pennsylvania, United States

Site Status RECRUITING

Jackson Madison County General Hospital

Jackson, Tennessee, United States

Site Status RECRUITING

Baylor Scott & White Research Institute

Dallas, Texas, United States

Site Status RECRUITING

Sentara Norfolk General Heart Hospital

Norfolk, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Megan Cotts

Role: CONTACT

952-345-4217

Facility Contacts

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Dalise Dai

Role: primary

312-237-5891

Morgan Ebbert

Role: primary

Emma Burkhalter, RN, MSN

Role: primary

858-244-6889

Diana Nguyen

Role: backup

Jennifer Isaacs

Role: primary

859-323-4738

Kelsey Neaton

Role: primary

Katharine Idrissi

Role: primary

Kathryn Bass

Role: primary

212-241-3149

Alana Gulliver

Role: primary

212-434-3802

Karen Federle

Role: primary

maeve McLoughlin, MPH

Role: primary

614-292-4084

Colleen Marchand, RN

Role: primary

215-481-4661

Mary Harris, RN

Role: primary

731-541-6910

Amy Watts

Role: primary

254-724-1392

Kelly Jordan

Role: primary

Ashley Williams

Role: backup

References

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McCallum W, Sarnak MJ. Cardiorenal Syndrome in the Hospital. Clin J Am Soc Nephrol. 2023 Jul 1;18(7):933-945. doi: 10.2215/CJN.0000000000000064. Epub 2023 Jan 13.

Reference Type DERIVED
PMID: 36787124 (View on PubMed)

Other Identifiers

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CLIN07687

Identifier Type: -

Identifier Source: org_study_id

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