NCT00453453

Brief Summary

The investigators hypothesize that patients admitted to an emergency department (ED) observation unit will have a decreased rate of hospital admissions and ED recidivism when treated with nesiritide versus standard therapy. The investigators also hypothesize that decreasing B-type Natriuretic Peptide (BNP) levels during treatment in an ED observation unit will predict improved patient outcomes.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
17

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Mar 2007

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2007

Completed
27 days until next milestone

First Submitted

Initial submission to the registry

March 28, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 29, 2007

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2007

Completed
Last Updated

February 9, 2015

Status Verified

February 1, 2015

Enrollment Period

6 months

First QC Date

March 28, 2007

Last Update Submit

February 6, 2015

Conditions

Keywords

Congestive heart failureobservation unitnesiritide

Outcome Measures

Primary Outcomes (1)

  • Number of subjects that return to the emergency department in 90 days

    90 days

Secondary Outcomes (1)

  • Correlation between BNP levels at admission and number of subjects who return to the emergency department

    90 days

Study Arms (2)

Nesiritide

EXPERIMENTAL

Subjects who come into the ED with CHF will be treated with nesiritide

Drug: Nesiritide

Standard care

NO INTERVENTION

Subjects who come into the ED with CHF will receive standard care treatment

Interventions

Nesiritide given orally in the emergency department

Also known as: Natrecor
Nesiritide

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult patient \> 18 years of age
  • Alert, oriented and able to provide informed consent.

You may not qualify if:

  • Dialysis Dependent Renal Failure
  • Temperature \> 38.5 degrees celsius
  • Pneumonia (Infiltrates on Chest X-ray)
  • Requiring IV vasoactive agents (Other than Nesiritide)
  • Killip Class III/IV
  • Systolic blood pressure \< 90 mmHg
  • EKG diagnostic or suggestive of Acute myocardial infarction or ischemia
  • Abnormal Cardiac Markers
  • Lack of a telephone
  • Inability to provide informed consent due to cognitive impairment or a severe psychiatric disorder

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Grady Memorial Hosptial

Atlanta, Georgia, 30303, United States

Location

MeSH Terms

Conditions

Heart Failure

Interventions

Natriuretic Peptide, Brain

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Natriuretic PeptidesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and ProteinsNerve Tissue ProteinsProteins

Study Officials

  • Douglas Ander, MD

    Emory University

    PRINCIPAL INVESTIGATOR
  • Daniel Wu, MD

    Emory University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

March 28, 2007

First Posted

March 29, 2007

Study Start

March 1, 2007

Primary Completion

September 1, 2007

Study Completion

September 1, 2007

Last Updated

February 9, 2015

Record last verified: 2015-02

Locations