Ireland
--:--IST
Recruiting Not applicable

Investigating aCute heArt failuRe Decongestion Guided by Lung UltraSonography

NCT06465498 · tracked via the Priya Life Science Switzerland tracker
Sponsor
Antonio Leidi
Phase
Not applicable
Started
2024-10-22
Last updated
2026-04-01

Condition(s) studied

Acute Heart Failure

Investigational drug(s) / intervention(s)

LUS decongestive strategyPE decongestive strategy

LUS decongestive strategy: LUS results are documented in the electronic case report form (eCRF) and converted into a common score ranging from absence of congestion to severe congestion. This generic congestion score will be communicated to the treating physician by the research personnel, along with a proposal to step-up, maintain, or step-down the decongestive therapy.

PE decongestive strategy: PE results are documented in the eCRF and converted into a common score ranging from absence of congestion to severe congestion. This generic congestion score will be communicated to the treating physician by the research personnel, along with a proposal to step-up, maintain, or step-down the decongestive therapy.

Study summary

The goal of this clinical trial is to investigate whether a lung ultrasonography (LUS)-guided decongestion strategy in adults hospitalized for acute heart failure (AHF) can improve patient-centered outcomes.

The main questions it aims to answer are:

* Does this strategy shorten the length of stay and reduce early hospital readmissions?
* Does this strategy improve patients' symptoms and quality of life ?

Researchers will compare LUS to physical examination (PE).

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * ≥ 18 years old * Planned or actual admission to intermediate care units, general internal medical or cardiology wards * Diagnosis of congestive AHF on admission chart (primary or secondary diagnosis) * Raised value of N terminal-pro-brain natriuretic peptide (≥1000 ng/l). Key Exclusion Criteria: * Known isolated right heart failure * Systolic blood pressure \<90 mmHg, mean arterial pressure \<65 mmHg at the moment of inclusion * The following conditions mimicking lung cardiogenic oedema on LUS if known at inclusion and documented: Interstitial lung disease, lung cancer or metastasis, acute respiratory distress syndrome, pulmonary contusion * Known virologically confirmed SARS-CoV-2 pneumonia in the preceding 3 months * Unwillingness to give consent * Subjects who are pregnant or breastfeeding * Hospitalisation for palliative care and probable end-life within 30 days

Primary outcome measure(s)

  • DAOH-40 — 40 days from study inclusion
    Number of days spent alive outside the hospital in a 40-day timeframe from study inclusion. This outcome ultimately evaluates number of days spent alive and nonhospitalized, simultaneously assessing (re)hospitalization, unplanned emergency visits and mortality

Trial sites (5)

FacilityCityRegionStatus
Trois-Chêne Hospital, Geneva Univesity Hospitals Geneva Canton of Geneva Recruiting
Geneva University Hospitals Geneva Canton of Geneva Recruiting
Inselspital, Universitätspital Bern Switzerland Recruiting
Fribourg University Hospital Fribourg Switzerland Recruiting
Ospedale Civico, Ente Ospedaliero Cantonale Lugano Switzerland Terminated

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06465498 on ClinicalTrials.gov ↗ ← All trials in Switzerland