NCT02686866

Brief Summary

Feeding optimization and nutritional assessment in patients with severe heart failure are challenging. The prevalence of cardiac cachexia may be underestimated by simple measurements of body weight and body mass index because many patients show relative reductions in muscle mass despite being of normal overall weight. Body composition measurement can be essential in chronic heart failure (CHF) patients to estimate sarcopenia. Chronic heart failure patients with cardiac cachexia have a mortality two to three times higher than noncachectic patients. Bedside body composition measurements can reveal developing cardiac cachexia hence can be useful in prevention.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
35

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Jan 2016

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2016

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

February 2, 2016

Completed
20 days until next milestone

First Posted

Study publicly available on registry

February 22, 2016

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2016

Completed
Last Updated

February 22, 2016

Status Verified

February 1, 2016

Enrollment Period

5 months

First QC Date

February 2, 2016

Last Update Submit

February 16, 2016

Conditions

Outcome Measures

Primary Outcomes (5)

  • Compare total body water (TBW) measured with BIA and DXA.

    6 month

  • Compare fat mass (FM) measured with BIA and DXA.

    6 month

  • Compare fat-free mass (FFM) measured with BIA and DXA.

    6 month

  • Compare extracellular mass (ECM) measured with BIA and DXA.

    6 month

  • Compare body cell mass (BCM) measured with BIA and DXA.

    6 month

Secondary Outcomes (1)

  • Evaluate adverse events that are related to study procedure.

    6 month

Study Arms (1)

Body composition measurement

EXPERIMENTAL

All patients will undergo body composition measurement with dual-energy X-ray absorptiometry and bioelectrical impedance analysis methods. Hand grip strength will also be performed.

Device: bioelectrical impedance analysis (Bodystat, Quadscan 4000)Device: dual-energy X-ray absorptiometry (Hologic, Delphi QDR)Device: hand grip strength

Interventions

Body composition measurement

Eligibility Criteria

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

You may qualify if:

  • Chronic heart failure (NYHA III-IV)
  • Hospitalization for acute decompensation
  • Willing to participate

You may not qualify if:

  • Unstable hemodynamic status
  • Iv. inotropic, vasopressor support
  • Severe orthopnea
  • Pacemaker, implantable cardioverter-defibrillator (ICD), cardiac resynchronization therapy (CRT)
  • High fever
  • Contrast agent administration within 1 week
  • Females with childbearing potential

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hungarian Institute of Cardiology

Budapest, Hungary

RECRUITING

MeSH Terms

Conditions

CachexiaSarcopenia

Interventions

Absorptiometry, PhotonHand Strength

Condition Hierarchy (Ancestors)

Weight LossBody Weight ChangesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsThinnessMuscular AtrophyNeuromuscular ManifestationsNeurologic ManifestationsNervous System DiseasesAtrophyPathological Conditions, Anatomical

Intervention Hierarchy (Ancestors)

RadiographyDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisDensitometryPhotometryChemistry Techniques, AnalyticalInvestigative TechniquesMuscle StrengthPhysical ExaminationMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Peter Andreka, MD, PhD

    Hungarian Institute of Cardiology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Peter Andreka, MD, PhD

CONTACT

Peter Takacs, MD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD, FESC

Study Record Dates

First Submitted

February 2, 2016

First Posted

February 22, 2016

Study Start

January 1, 2016

Primary Completion

June 1, 2016

Study Completion

June 1, 2016

Last Updated

February 22, 2016

Record last verified: 2016-02

Locations