Multiple-biomarker Approach for Individualized Treatment of Heart Failure with Preserved Ejection Fraction
ADAPT-HFpEF
A Dynamic, Multiple-biomarker Approach Aiming for Individualized Treatment of Heart Failure with Preserved Ejection Fraction (ADAPT-HFpEF)
1 other identifier
observational
200
1 country
6
Brief Summary
The primary objective is to investigate the association between temporal evolutions of blood biomarkers and clinical adverse events, in order to produce a dynamic, individual, and accurate prediction model for patients with HFpEF. Moreover several secondary objectives will be investigated.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2022
Typical duration for all trials
6 active sites
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
November 25, 2022
CompletedFirst Submitted
Initial submission to the registry
July 15, 2024
CompletedFirst Posted
Study publicly available on registry
January 21, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
January 21, 2025
January 1, 2025
3.8 years
July 15, 2024
January 20, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary endpoint is the number of participants with a combined endpoint of: urgent visit resulting in intravenous therapy for HF, hospital readmission for acute or worsened HF, and cardiovascular death.
This is a composite endpoint; therefore, the first occurrence of any of the described components will result in the endpoint being met for an individual patient.
Every 6 months, up to 3,5 years
Secondary Outcomes (7)
Number of participants with urgent visit resulting in intravenous therapy for heart failure
Every 6 months, up to 3,5 years
Number of patients with hospital readmission for acute or worsened HF
Every 6 months, up to 3.5 years
Number of participants with cardiovascular death.
Every 6 months, up to 3.5 years
Number of participants with the combined endpoint urgent visit resulting in intravenous therapy for HF, hospital readmission for acute or worsened HF, and all-cause death.
Every 6 months, up to 3,5 years
Number of partcipants with all-cause death
Every 6 months, up to 3,5 years
- +2 more secondary outcomes
Study Arms (1)
Heart failure patients visiting the outpatient clinic
Heart failure patients visiting the outpatient clinic
Eligibility Criteria
Patients with a (suspected) diagnosis of HFpEF will be recruited through the Cardiology outpatient clinics of the Erasmus MC and five other hospitals.
You may qualify if:
- Age of 18 years or older
- Capable of understanding and signing informed consent
- A diagnosis of HFpEF according to the HFA-PEFF diagnostic algorithm of the ESC or/and a high (90%) probability of HFpEF according to the H2FPEF score, i.e. a score of 6 or higher.
You may not qualify if:
- History of LVEF ≤40%
- Impaired renal function, defined as eGFR \< 20 mL/min/1.73 m2 (CKD-EPI) or requiring dialysis at the time of screening
- Acute or chronic liver disease, defined by serum levels of transaminases or alkaline phosphatase more than three times the upper limit of normal at screening
- COPD Gold stage IV
- Congenital heart disease
- Pregnancy
- Coexistent condition with life expectancy of \<1 year
- Unlikely to appear at all scheduled follow-up visits
- Linguistic barrier
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Erasmus Medical Centerlead
- Ikazia Hospital, Rotterdamcollaborator
- Franciscus Gasthuis & Vlietland (Hospital)collaborator
- OLVGcollaborator
- Free University Medical Centercollaborator
- Noordwest Ziekenhuisgroepcollaborator
Study Sites (6)
Noordwest Ziekenhuisgroep
Alkmaar, North Holland, 1815JD, Netherlands
Amsterdam UMC
Amsterdam, North Holland, 1081HV, Netherlands
OLVG Ziekenhuis
Amsterdam, North Holland, 1091AC, Netherlands
Franciscus Gasthuis & Vlietland Ziekenhuis
Rotterdam, South Holland, 3004BA, Netherlands
Erasmus MC
Rotterdam, South Holland, 3015GD, Netherlands
Ikazia Ziekenhuis
Rotterdam, South Holland, 3083AN, Netherlands
Biospecimen
Blood (EDTA plasma, citrate plasma, serum) and urine samples are taken at the day of inclusion and at follow-up visits, which will be performed every 6 months, until the end of the scheduled follow-up, or until the patient dies. The maximum total number of samples per patient is 8 (in patients with 3.5 year follow-up).
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. dr., MD PhD
Study Record Dates
First Submitted
July 15, 2024
First Posted
January 21, 2025
Study Start
November 25, 2022
Primary Completion (Estimated)
September 1, 2026
Study Completion (Estimated)
September 1, 2026
Last Updated
January 21, 2025
Record last verified: 2025-01