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Acute Decompensated Heart Failure

Part of Heart Failure

5 published articles · Updated continuously

Clinical Trial Landscape

Clinical Trials for Acute Decompensated Heart Failure

9 trials tracked for Acute Decompensated Heart Failure: 3 in phase 3 or 4 and 1 with published results. The most-cited published study has 576 citations.

9Trials tracked
3Phase 3 & 4
0Recruiting
1With published results
Phase distribution
Phase 4 2 Phase 3 1 Phase 2 2 Other / NA 4
  1. Phase 4 Acetazolamide in Decompensated Heart Failure With Volume OveRload (ADVOR) Completed · 576 cited
  2. Phase 4 Assessment of Biomarkers and Cardiorenal Syndrome in Acute Decompensated Heart Failure With Vasodilator Therapy Completed
  3. Phase 3 Six Months Efficacy and Safety of Aliskiren Therapy on Top of Standard Therapy, on Morbidity and Mortality in Patients With Acute Decompensated Heart Failure Completed
  4. Phase 2 The Clinical Study of the Safety and Efficacy of Istaroxime in Treatment of Acute Decompensated Heart Failure Completed
  5. Phase 2 Study of the Safety of BMS-986259 in Participants With Post-Acute Decompensated Heart Failure Completed
  6. N/A REducing 30-day ADMIssions in posT-discharge Subjects (READMIT) Completed
Show 3 more trials
  1. N/A Fluid Management of Acute Decompensated Heart Failure Subjects Treated With Reprieve Decongestion Management System (DMS) Completed
  2. N/A A Trial of Rehabilitation Therapy in Older Acute Heart Failure Patients Completed
  3. N/A Acute Kidney Injury Neutrophil Gelatinase-Associated Lipocalin Evaluation of Symptomatic Heart Failure Study Completed

Showing the 9 most-cited and recently-updated of 9 trials. Browse the full registry →

Trial data sourced from ClinicalTrials.gov. Counts describe the research landscape and are not a treatment recommendation. Informational only — not medical advice.

What the trials found Updated — new results For clinicians

Acute Decompensated Heart Failure: what the trials found

Clinical investigations have evaluated various pharmacological interventions for patients with heart failure. Acetazolamide was studied as an intervention in this patient population 2. Additionally, Nesiritide has been investigated in the context of heart failure management 3.

A large-scale trial assessed the impact of Aliskiren on outcomes including cardiovascular death or heart failure re-hospitalization within 6 and 12 months. The study reported specific counts of these events across different groups, with the clinical summary score showing consistent changes from baseline at 1, 6, and 12 months 4.

Recent results — preliminary, needs further review

  • Diuretic administration was associated with total urine sodium outputs of 1082 and 423 (p<0.001). The incidence of clinically significant acute kidney injury, severe electrolyte abnormality, symptomatic hypotension, or hypertensive emergency did not differ significantly between groups (p=0.43) 1.

For the clinician treating this condition

  • Acetazolamide and Nesiritide are established interventions investigated in heart failure populations [2, 3].
  • Aliskiren was evaluated for its impact on cardiovascular death and re-hospitalization rates over a 12-month period 4.

AI synthesis of 4 cited trials, updated Jun 29, 2026. Informational only — not medical advice; trial data sourced from ClinicalTrials.gov. How we use AI.

HCP Mode — summaries include clinical detail, trial data, and statistical outcomes.
Patient Mode — summaries use plain language, avoiding clinical jargon.

Research across Heart Failure

Related studies from across the Heart Failure family.

Intradialytic exercise improves cardiovascular function and arterial stiffness in patients on maintenance haemodialysis
Physical Medicine & Rehab Meta-analysis
Intradialytic exercise improves cardiovascular function and arterial stiffness in patients on maintenance haemodialysis Intradialytic Exercise May Improve Heart Function in Dialysis Patients
This meta-analysis of 934 patients receiving maintenance haemodialysis found that intradialytic exercise improved left ventricular ejection …
Exercise during dialysis may improve heart function and blood pressure for patients with heart failure on maintenance hemodialysis.
Four mailer types aim to increase health care proxy documentation in patients with chronic conditions
Primary Care & Family Medicine RCT
Four mailer types aim to increase health care proxy documentation in patients with chronic conditions New trial plans to use mailers to help patients name proxies
This study protocol describes a factorial randomized trial of approximately 20,000 patients with cancer, congestive heart failure, or chroni…
A new study plans to see if different types of mailers can help patients with serious illnesses name a healthcare proxy.
Rheumatic heart disease prevalence in Nepal is 3.1% with significant geographic and temporal disparities
Cardiology Meta-analysis
Rheumatic heart disease prevalence in Nepal is 3.1% with significant geographic and temporal disparities Rheumatic heart disease is much more common in rural Nepal
This meta-analysis of 209,815 participants in Nepal indicates a pooled rheumatic heart disease prevalence of 3.1%. Findings show a higher pr…
New data shows rheumatic heart disease is six times more common in rural areas of Nepal compared to the capital city of Kathmandu.
High-flow nasal cannula shows no significant difference from noninvasive ventilation in acute heart failure
Rheumatology Meta-analysis
High-flow nasal cannula shows no significant difference from noninvasive ventilation in acute heart failure High-flow nasal cannula shows no advantage over noninvasive ventilation
This meta-analysis of 1,282 patients with respiratory failure secondary to acute heart failure found no statistically significant difference…
New data shows that high-flow nasal cannula does not outperform noninvasive ventilation for patients with heart failure and respiratory issu…
Geographic and socioeconomic disparities limit access to mechanical circulatory support and heart transplantation
Cardiology Sys. Review
Geographic and socioeconomic disparities limit access to mechanical circulatory support and heart transplantation Heart Devices and Transplants Are Out of Reach for Many
This narrative review with scoping methods examines the global landscape of mechanical circulatory support (MCS) and heart transplantation f…
A new review finds heart transplants and mechanical support are concentrated in wealthy regions, leaving many patients without access.
Breviscapine Add-On May Improve Angina Response in Coronary Heart Disease
Cardiology Meta-analysis
Breviscapine Add-On May Improve Angina Response in Coronary Heart Disease Breviscapine May Help Heart Disease Patients With Angina Symptoms
A meta-analysis finds breviscapine plus conventional therapy improves total effective rate in coronary heart disease with angina. Safety dat…
A new analysis finds breviscapine may improve treatment success for people with heart disease and angina. More research is needed to confirm…
Conduction system pacing reduces heart failure hospitalization and cardiomyopathy risk compared to right ventricular pacing
Cardiology Meta-analysis
Conduction system pacing reduces heart failure hospitalization and cardiomyopathy risk compared to right ventricular pacing Conduction system pacing may lower heart failure hospital risks
This meta-analysis of randomized controlled trials involving 1466 patients with preserved or mildly reduced LVEF found that conduction syste…
A new type of heart pacing could significantly lower the risk of heart muscle damage and hospital stays for patients with heart failure.
Culturally tailored meal programs reduce hospitalization rates among patients with heart failure
Cardiology RCT
Culturally tailored meal programs reduce hospitalization rates among patients with heart failure Tailored Navajo meal program reduces heart failure hospital visits
Researchers evaluated a culturally and medically tailored meal program for adults with heart failure in a rural setting. The intervention wa…
A culturally tailored meal program using traditional Navajo foods helped reduce hospital visits for patients living with heart failure.
MASLD linked to 35% higher odds of HFpEF in pooled analysis of 899,629 patients
Cardiology Meta-analysis
MASLD linked to 35% higher odds of HFpEF in pooled analysis of 899,629 patients Liver Disease Linked to Higher Risk of Heart Failure
This meta-analysis of 3 studies (899,629 patients, 47,610 with MASLD) found that MASLD was associated with higher odds of clinically diagnos…
People with metabolic dysfunction-associated steatotic liver disease (MASLD) show a higher risk of developing heart failure with preserved e…
Disulfidptosis may drive cardiomyocyte injury and cytoskeletal collapse under conditions of disulfide stress
Cardiology Sys. Review
Disulfidptosis may drive cardiomyocyte injury and cytoskeletal collapse under conditions of disulfide stress New research explores a specific cell death path in heart failure
This narrative review explores the role of disulfidptosis in heart failure and cardiomyocyte injury. The authors suggest that disulfide stre…
Scientists are looking into a process called disulfidptosis to understand how heart cells die during heart failure.
Sarcopenia and Low Grip Strength Correlate with Increased Cardiovascular Risk in Older Adults
Geriatrics & Aging Meta-analysis
Sarcopenia and Low Grip Strength Correlate with Increased Cardiovascular Risk in Older Adults Low Muscle Mass and Grip Strength Linked to Heart Risks
A large-scale meta-analysis identifies sarcopenia and low grip strength as significant markers for increased cardiovascular events in elderl…
Lower muscle mass and weaker grip strength are linked to a higher risk of heart disease and stroke in older adults.
Tai Chi provides positive effects for balance, mood, and cognitive performance in older adults
Primary Care & Family Medicine Guideline
Tai Chi provides positive effects for balance, mood, and cognitive performance in older adults Tai Chi Shows Positive Effects for Older Adults with Parkinson's
This evidence map synthesized 118 systematic reviews regarding Tai Chi for older adults. The findings indicate positive effects for balance,…
Tai Chi may help older adults improve balance, reduce anxiety, and manage symptoms of Parkinson's disease and other age-related conditions.

Questions about Acute Decompensated Heart Failure

Does furosemide plus hypertonic saline lower biomarker levels in acute decompensated heart failure?

Yes, furosemide plus hypertonic saline is linked to lower increases in biomarkers like NT-proBNP, IL-6, and sST2 after a saline load in ADHF patients, though baseline reductions may be similar.

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Can natriuresis-guided protocols help with weight loss in acute decompensated heart failure?

Yes, natriuresis-guided protocols increase weight loss in acute decompensated heart failure, with a meta-analysis showing about 0.45 kg more weight loss at 48 hours compared to standard care.

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Does a natriuresis-guided diuretic protocol shorten hospital stays for acute decompensated heart failure?

Evidence is mixed: one meta-analysis found natriuresis-guided protocols shortened hospital stays by about 1 day, but another found no significant difference.

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