Acute Decompensated Heart Failure Clinical Trial
Official title:
NGAL Evaluation Along With B-Type Natriuretic Peptide in Acutely Decompensated HF
This is a multi-center prospective pilot clinical study to assess the utility of the Triage NGAL Test - alone and in conjunction with the Triage BNP test - as an aid in the early risk assessment for heart-failure-related adverse clinical outcomes (deaths, readmissions, and additional emergent outpatient visits) through Day 30 and Day 90 in patients presenting with acutely decompensated heart failure (HF). Its utility as an aid in the early risk assessment for renal dysfunction in patients with acutely decompensated heart failure undergoing treatment with IV diuretics will also be assessed.
Approximately 200 adults presenting to the Emergency Department (ED) / hospital with acutely
decompensated HF will be enrolled. EDTA anti-coagulated blood samples will be collected for
measurement of blood NGAL levels (using the Triage NGAL Test) at the point of care in all
subjects at up to 8 different time points from presentation until discharge.
The results of these NGAL assessments will be blinded to the medical team during the study
and will not impact the medical management of the subject.
Blood samples for unblinded assessment of both serum creatinine (analyzed at the hospital's
laboratory) and whole blood BNP (analyzed with the Triage BNP Test at the point-of-care or
laboratory) will also be obtained at some of the same time points.
Dialysis, emergent outpatient visits for HF, hospitalizations and mortality will be recorded
through Day 30 and Day 90. If an additional serum creatinine has been obtained as standard
care near Day 30, it will also be recorded.
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Observational Model: Cohort, Time Perspective: Prospective
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