External Body Pressure in Heart Failure With Preserved Ejection Fraction

NCT ID: NCT05764564

Last Updated: 2026-01-29

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

Clinical Phase

PHASE1/PHASE2

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-21

Study Completion Date

2025-05-31

Brief Summary

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The primary objective of the study is to test the impact of positive and negative body pressure on exercise capacity, symptoms, blood volume distribution and central cardiac hemodynamics in patients with heart failure and preserved ejection fraction. Aim 1 will study healthy volunteers and heart failure patients non invasively while Aim 2 will study heart failure patients invasively (intracardiac pressures).

Detailed Description

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Conditions

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Heart Failure, Diastolic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Experimental: Patients with heart failure (Aim 1)

Group Type EXPERIMENTAL

Positive or negative pressure

Intervention Type DIAGNOSTIC_TEST

Positive or negative pressure is applied via a closed chamber.

Control: Healthy Volunteers (Aim 1)

Group Type ACTIVE_COMPARATOR

Positive or negative pressure

Intervention Type DIAGNOSTIC_TEST

Positive or negative pressure is applied via a closed chamber.

Experimental: Patients with heart failure (Aim 2)

Group Type EXPERIMENTAL

Positive or negative pressure

Intervention Type DIAGNOSTIC_TEST

Positive or negative pressure is applied via a closed chamber.

Interventions

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Positive or negative pressure

Positive or negative pressure is applied via a closed chamber.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age greater than or equal to 30 yrs
* Established diagnosis of HFpEF with left ventricular ejection fraction greater than or equal to 50%
* NYHA II-III symptoms
* Stable HF drug regimen for the preceding 1 month
* Wedge pressure greater than or equal to 15 mmHg at rest or greater than or equal to 25 mmHg with peak exercise
* (For Aim 2 only) Scheduled for an elective right heart catheterization at Duke University Hospital.

* Age greater than or equal to 30 yrs
* Able to speak English
* Ambulatory \[assistive devices ok\]
* Able to provide informed consent

Exclusion Criteria

* HF hospitalization for type I myocardial infarction within 3 months
* Infiltrative (ie amyloid) or hypertrophic cardiomyopathy
* Uncontrolled atrial or ventricular arrhythmia
* Chronic oxygen use
* History of vasovagal syncope
* Considered inappropriate to participate by PI or Sub-I
* Healthy Volunteers (Controls)

* Acute myocardial infarction (3-5 days)
* Unstable angina
* Uncontrolled arrhythmia causing symptoms or haemodynamic compromise
* Syncope
* Active endocarditis
* Acute myocarditis or pericarditis
* Symptomatic severe aortic aneurysm
* Uncontrolled asthma
* Arterial desaturation at rest on room air \<85%
* Untreated left main stem coronary stenosis
* Asymptomatic severe aortic stenosis
* Severe untreated arterial hypertension at rest (\>200 mm Hg systolic, \>120 mm Hg diastolic)
* Tachyarrhythmias or bradyarrhythmias
* Hypertrophic cardiomyopathy
* Significant pulmonary hypertension
* Thrombosis of the lower extremity until treated for a minimum of 2 weeks
* Within 2 weeks of acute symptomatic pulmonary embolus
* Abdominal aortic aneurysm \>8.0 cm
* Electrolyte abnormalities
* Pregnancy
* Inmate of correctional facility (i.e. prisoner)
* Diagnosed history of dementia
* Inability to ambulate independently
* Considered inappropriate to participate by Principal Investigator
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hemming

Role: STUDY_CHAIR

Duke

Locations

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Duke University Medical Center

Durham, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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Pro00112081

Identifier Type: -

Identifier Source: org_study_id

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