NCT07493590

Brief Summary

The goal of this observational study is to improve early detection, characterization, and understanding of heart failure with preserved ejection fraction (HFpEF) in adults at risk of or diagnosed with HFpEF, including men and women across Danish regions. The main questions to answer are: Can systematic cardiovascular screening and deep phenotyping improve early identification and classification of HFpEF? Which clinical, imaging, biomarker, and metabolic characteristics define subtypes (phenotypes) of HFpEF and predict disease progression and outcomes? Researchers will compare participants with HFpEF, participants at risk of HFpEF, and relevant control groups to see if differences in biomarkers, imaging findings, and clinical characteristics can identify early disease stages and distinct HFpEF phenotypes. Participants identified with HFpEF will:

  • Undergo detailed cardiovascular examinations (e.g., echocardiography, CT and other imaging examinations, RHC, CPET)
  • Provide blood and tissue samples for biomarker and metabolic analyses
  • Complete clinical assessments and questionnaires
  • Have relevant health data collected from national health registries
  • Attend follow-up assessments to monitor disease progression

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
30,000

participants targeted

Target at P75+ for all trials

Timeline
108mo left

Started Apr 2026

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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 Progress2%
Apr 2026Apr 2035

First Submitted

Initial submission to the registry

March 16, 2026

Completed
9 days until next milestone

First Posted

Study publicly available on registry

March 25, 2026

Completed
7 days until next milestone

Study Start

First participant enrolled

April 1, 2026

Completed
7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2033

Expected
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2035

Last Updated

March 25, 2026

Status Verified

March 1, 2026

Enrollment Period

7 years

First QC Date

March 16, 2026

Last Update Submit

March 23, 2026

Conditions

Keywords

Heart failureHeart Failure with Preserved Ejection Fraction (HFpEF)Cardiovascular MortalityCardiovascular DiseaseChronic Heart Failure

Outcome Measures

Primary Outcomes (1)

  • Early identification of HFpEF

    Proportion (%) of individuals identified through the screening procedures outlined in the protocol among the target population.

    baseline, pre-intervention

Secondary Outcomes (5)

  • Response, acceptance, and attendance rates

    Up to 24 months

  • Barriers to participation

    Up to 24 months

  • Patterns among non-responders

    Up to 24 months

  • Prevalence of Heart failure with preserved ejection fraction in risk factor subgroups

    Up to 24 months

  • Feasibility of the logistical screening setup

    Up to 24 months

Interventions

Observational measurements including collection of blood for biomarker and genetic analyses, echocardiography, ECG, and extraction of clinical data from electronic health records (comorbidities, medications, and prior hospitalizations). No treatment or procedure is assigned; all data reflect routine care and participant characteristics.

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adult individuals across Denmark with risk factors for heart failure with preserved ejection fraction (HFpEF). Participants will be identified through nationwide registries and invited via the Danish secure e-mail system (e-Boks).

You may qualify if:

  • Patients \>60 years with ≥1 risk factor, OR
  • Patients \>50 years with ≥2 risk factors
  • Hypertension
  • Type 1 or 2 diabetes
  • Chronic kidney disease (eGFR \<60 mL/min/1.73 m²)
  • Previous cardiotoxic drug exposure
  • atrial fibrillation
  • Ischemic heart disease
  • Previous heart valve surgery/intervention
  • Body mass index \>30 kg/m² (self-reported)
  • Use of ≥40 mg furosemide
  • Obstructive sleep apnea
  • Non-alcoholic fatty liver disease

You may not qualify if:

  • Cancer \<1 year
  • Dialysis
  • COPD and O2
  • Nursing home
  • Age \>90 years
  • Dementia
  • Known dilated cardiomyopathy
  • Prior organ-transplantation
  • Amyloidosis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Herlev and Gentofte Hospital

Copenhagen, Denmark

Location

Biospecimen

Retention: SAMPLES WITH DNA

Peripheral venous blood (approximately 50 mL) will be collected and processed into plasma, serum, and whole blood fractions. Whole blood will be stored for potential DNA extraction. Samples will be retained in a regional biobank (BIOSEK) for up to 10 years for future genetic, -omics, and cardiovascular biomarker analyses. Furthermore, myocardial biopsies from a subset of participants will also be stored for later analysis.

MeSH Terms

Conditions

Heart FailureCardiovascular Diseases

Condition Hierarchy (Ancestors)

Heart Diseases

Study Officials

  • Emil Wolsk, MD, PhD

    Department of Cardiology, Herlev and Gentofte Hospital, Copenhagen, Denmark

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
10 Years
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Specialist Cardiologist

Study Record Dates

First Submitted

March 16, 2026

First Posted

March 25, 2026

Study Start

April 1, 2026

Primary Completion (Estimated)

April 1, 2033

Study Completion (Estimated)

April 1, 2035

Last Updated

March 25, 2026

Record last verified: 2026-03

Locations