Status:

UNKNOWN

Systematic Escalation of diuREtics With Natriuresis in Heart Failure Patients: SERENA Trial

Lead Sponsor:

University of Turin, Italy

Conditions:

Heart Failure

Eligibility:

All Genders

18-99 years

Phase:

PHASE3

Brief Summary

The present is a multicenter, prospective, randomized, open-label, blinded end-point trial aiming to investigate the clinical benefit of a stepwise, natriuresis-driven diuretic strategy versus standar...

Eligibility Criteria

Inclusion

  • Admission for acute decompensate chronic heart failure or acute de novo heart failure
  • Ejection Fraction \<40%
  • Severe signs and symptoms of congestion with modified wet score ≥ 12
  • Spot urinary sodium excretion ≤ 70 mEq/L at 2 hours from first intravenous loop diuretic administration
  • Systolic blood pressure ≥90 mmHg

Exclusion

  • Reversible etiology of acute heart failure (including acute coronary syndromes, myocarditis, acute pulmonary embolism, acute rhythm disorders, severe organic valve disease)
  • Cardiogenic shock at admission or sign of hypoperfusion needing inotropic agents or mechanical circulatory support.
  • eGFR lower than 15 ml/min/1.73m2 or dialysis
  • Pregnancy or breastfeeding

Key Trial Info

Start Date :

October 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2025

Estimated Enrollment :

198 Patients enrolled

Trial Details

Trial ID

NCT04907123

Start Date

October 1 2021

End Date

January 1 2025

Last Update

May 28 2021

Active Locations (1)

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A.O.U. Città della Salute e della Scienza di Torino

Torino, To, Italy, 10126