Rapid Emergency Department Heart Failure Outpatient Trial (REDHOT II)
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Purpose
The purpose of this study is to test whether physicians can make more informed treatment, admission, and discharge decisions related to patient care by having serial Triage® BNP test results available to assess disease severity, while patients are being treated for HF in the Emergency Department and/or during their admission. This is believed to lead to a better outcome as well as more efficient and cost-effective treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Heart Failure |
Device: Triage BNP Test |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind Primary Purpose: Diagnostic |
| Official Title: | Rapid Emergency Department Heart Failure Outpatient Trial (REDHOT II |
- Length of hospital stay
- Combined cardiac related re-hospitalizations and all cause mortality (14-day and 30-day)
- Discharge BNP
- Change in BNP from enrollment to discharge (ΔBNP)
- Ratio of ΔBNP/length of stay
- Cost Effectiveness
- Quality of life
| Estimated Enrollment: | 680 |
| Study Start Date: | November 2004 |
This is a patient-randomized clinical study consisting of patients who present to the ED requiring treatment and/or admission for HF. At each site, patients will be randomized into either a control arm or an experimental arm. Serial blood samples will be collected from all patients throughout their stay in the ED and the hospital. In the experimental arm, the Triage® BNP test will be performed on all blood samples collected and each BNP result will be made available to the attending physicians immediately. In the control arm, blood samples will not be analyzed on-site for BNP but instead sent directly to Biosite Inc. for testing.A comparison will be made between the control and experimental arms of the study to determine if there are any significant differences in length of stay, re-hospitalizations, all cause mortality, BNP levels, quality of life, and costs to treat patients.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Age 18 and older Patient needs treatment for HF
Exclusion Criteria:
Current MI or ACS with ST deviation of 1 mm or greater Renal failure requiring dialysis Undergone hemodialysis within the last month Enrollment (Baseline) Triage® BNP concentration = 100 pg/ml or less Enrolled in any other drug trial or receiving an experimental treatment for HF.
Contacts and Locations| United States, Arizona | |
| Chandler Regional Hospital | |
| Chandler, Arizona, United States, 85224 | |
| United States, California | |
| University of California, San Diego MedicalCenter | |
| San Diego, California, United States, 92103 | |
| United States, Michigan | |
| Detroit Receiving Hospital/Wayne State University | |
| Detroit, Michigan, United States, 48201 | |
| Sinai Grace Hospital/Wayne State | |
| Detroit, Michigan, United States, 48235 | |
| Beaumont Hospital, Troy | |
| Troy, Michigan, United States, 48085 | |
| United States, New York | |
| New York Methodist Hospital | |
| Brooklyn, New York, United States, 11215 | |
| Stony Brook University Hospital | |
| Stony Brook, New York, United States, 11794 | |
| United States, North Carolina | |
| Duke University Hospital | |
| Durham, North Carolina, United States, 27710 | |
| Wake Forest University Baptist Medical Center | |
| Winston-Salem, North Carolina, United States, 27157 | |
| United States, Pennsylvania | |
| Hospital of the University of Pennsylvania | |
| Philadelphia, Pennsylvania, United States, 19104 | |
| Principal Investigator: | Judd E Hollander, MD | University of Pennsylvania |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00206843 History of Changes |
| Other Study ID Numbers: | 005 |
| Study First Received: | September 12, 2005 |
| Last Updated: | November 1, 2006 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Emergencies Heart Failure Disease Attributes |
Pathologic Processes Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 19, 2013