N/A
N=50
FAST PV and mGFR™ Technology in Congestive Heart Failure
CHF
Bottom Line
View on ClinicalTrials.gov: NCT03808948 ↗Enrolled (actual)
50
Serious AEs
42.0%
Results posted
Nov 2021
Primary outcome: Primary: Number of Participants With Treatment Related AEs and Serious Adverse Events (SAEs) — 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- VFI (Device)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Charite University, Berlin, Germany
- Primary completion
- Aug 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Treatment Related AEs and Serious Adverse Events (SAEs) |
— | — |
| PRIMARY Percentage Difference in Mean Plasma Concentration of FD003 Over the 15-, 30-, and 60-minute Blood Draws on Days 1 and 3 |
-2.36; -3.12; -0.8; -0.79 | — |
| SECONDARY Accuracy Between Estimated PV (ePV) on Days 1 and 3 (by Established Measures) and Measured PV (mPV; as Assessed by FAST Methodology) Defined as the Percentage of the Population With a <15% and <30% Difference Between ePV and mPV |
32; 44; 24; 30 | — |
| SECONDARY Accuracy Between Estimated Total Blood Volume (TBV) on Days 1 and 3 and Measured TBV (mTBV; Calculated From mPV and Measured Hematocrit) Defined as the Percentage of the Population With a <15% and <30% Difference Between ePV and mPV |
32; 45; 25; 32 | — |
| SECONDARY Accuracy of eGFR Determined by CKD-EPI-SCr and mGFR on Day 1 and Day 3 Defined the Percentage of the Population With a <15% and <30% Difference Between eGFR and mGFR |
20; 10; 33; 24 | — |
| SECONDARY Percentage of the Population That Developed Acute Kidney Injury (AKI) Within the Following 48-72 Hour and Prediction of AKI by mGFR/eGFR Ratio on Days 1 and 3 |
17; 11 | 0.4842 |
| SECONDARY Percentage of Patients Who Are Refractory to Diuretic Therapy |
7; 40 | — |
| SECONDARY Percentage of Population in Which Clinical Decision Making Would Have Been Influenced by Adding FAST GFR and PV Measurements to Clinical Routine Determined by Survey Response (by an Adjudication Committee) |
40; 5; 6; 1 | — |
Summary
This is an investigator-initiated, one-armed, phase 2 clinical trial using an injectable fluorescent tracer to assay and evaluate measured plasma volume (mPV) and measured glomerular filtration rate (mGFR) in hospitalized patients with acute decompensated congestive heart failure (CHF).
Eligibility Criteria
Inclusion Criteria
- Written informed consent indicating an understanding of the purpose of and procedures required for the study and willingness to participate in the study prior to any study-related measures present.
- Hospitalized patient with acute decompensated heart failure, diagnosed on the basis of the presence of at least one symptom (dyspnea, orthopnea, or edema) and one sign (rales, peripheral edema, ascites, or pulmonary vascular congestion on chest radiography) of heart failure.
- ≥ 18 years of age.
- Male with female partners of childbearing potential give agreement to practice abstinence or use condoms from enrollment through 90 days after administration of the last dose of study drug present.
- Partner of a male patient: Agreement to use a medically acceptable method of contraception (a barrier method, intrauterine device, or hormonal contraception) from enrollment through 90 days after administration of the last dose of study drug present.
- Male patient agrees to not donate sperm from enrollment through 90 days after administration of the last dose of study drug present.
- A female patient is eligible to enter the study if she is not pregnant or nursing; of non-childbearing potential (ie, post-menopausal defined as having been amenorrheic for at least 1 year prior to screening, or has had bilateral tubal ligation at least 6 months prior to administration of study drug or bilateral oophorectomy or complete hysterectomy); and if of childbearing potential, must have a negative urine or serum pregnancy test within 24 h prior to drug administration and be using a highly effective means of contraception during study participation and until 1 month after the last dose of study drug. Highly effective contraception methods include total abstinence or combination of any two of the following: (i) use of oral, injected, or implanted hormonal methods of contraception or other forms of hormonal contraception that have comparable efficacy; (ii) placement of an intrauterine device (IUD) or intrauterine system (IUS); and (iii) barrier methods of contraception: condom or occlusive cap (diaphragm or cervical/vault caps). In case of use of oral contraception, women should have been stable on the same pill for a minimum of 3 months before taking study treatment.
- Patient is able to communicate effectively with the study personnel.
- Patient is informed of the nature and risks of the study and give written informed consent prior to enrollment.
Exclusion Criteria
- New or ongoing myocardial infarction or unstable angina present at the time of planned study inclusion.
- Patient shows evidence of severe infection other than pneumonia, or active internal bleeding (characterized by recent decrease of blood hemoglobin concentration by more than 2 g/dl).
- Patient experiences new onset atrial fibrillation.
- Patient has an elective surgery planned during the 30 days he/she is enrolled in the study.
- Patient has a psychiatric disease or a history of illicit drug use that would prohibit him/her from complying with study requirements.
- Prior exposure to VFI present.
- History of any clinically significant allergic or negative reactions, side effects, or anaphylaxis to fluorescent dyes, or dextran molecules present.
- Patient requires intravenous vasodilators or inotropic agents (other than digoxin or digitoxin) for heart failure.
- Patient undergoes chronic dialysis (for example peritoneal or hemodialysis) treatments.
- Patient is in cardiogenic shock or on vasopressors.
- Hypotension as defined by blood pressure ≤ 90 mm Hg systolic and/or ≤ 50 mm Hg diastolic exists.
- Patient has significant non-cardiac disease of other organ system (eg, malignancies, significant neurological disease).
- Patient does not have a working telephone.
- Patient is pregnant or nursing (lactating), where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotro
Data sourced from ClinicalTrials.gov (NCT03808948). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.