Multimodal Phenotyping In Patients Referred With Acute Cardiac faiLurE
MIRACLE
1 other identifier
observational
600
1 country
4
Brief Summary
The goal of this observational study is to learn whether information collected during routine hospital care, together with blood and urine samples, can help doctors better identify different types of cardiogenic shock and better predict outcomes in adults hospitalized with acute heart failure and cardiogenic shock. The main question is whether clinical findings, imaging results, and biomarkers, including sex-specific factors, are associated with the risk of death within 30 days. Participants will not receive an experimental treatment. Researchers will collect data from routine care, collect additional blood and urine samples for biobanking, and follow participants after hospital discharge
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Aug 2024
Longer than P75 for all trials
4 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
August 7, 2024
CompletedFirst Submitted
Initial submission to the registry
March 26, 2026
CompletedFirst Posted
Study publicly available on registry
April 7, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 31, 2028
July 29, 2026
July 1, 2026
3 years
March 26, 2026
July 28, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Mortality
30 days
Secondary Outcomes (3)
Mortality
6 and 12 months
Rehospitalization for heart failure
From hospital discharge until 12 months
Rehospitalization for cardiac reasons (non-elective)
From hospital discharge until 12 months
Other Outcomes (6)
Bleeding ≥ SHARC 3a
Index hospitalization
Functional capacity (physical)
At 6 months follow up
Functional capacity (cognitive)
At 6 months follow up
- +3 more other outcomes
Study Arms (1)
Arm 1
Eligibility Criteria
Consecutive adult patients hospitalized at participating study sites with acute heart failure and cardiogenic shock (SCAI stages B-E).
You may qualify if:
- Patients hospitalized with acute heart failure SCAI stage B - E.
You may not qualify if:
- Not capable of providing informed consent due to reasons not attributable to cardiogenic shock
- Cardiogenic shock following cardiothoracic surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
University Heart Center Freiburg - Bad Krozingen
Bad Krozingen, 79189, Germany
University Medical Center Freiburg, Interdisciplinary Medical Intensive Care
Freiburg im Breisgau, 79106, Germany
Department for Internal Medicine 8, Clinic for Cardiology and Rhythmology, University Clinic of the Paracelsus Medi-cal University Nuremberg
Nuremberg, Germany
Schwarzwald Baar Klinikum Villingen-Schwenningen, Klinik für Kardiologie und Intensivmedizin
Villingen-Schwenningen, Germany
Biospecimen
Serum, plasma (EDTA, citrate), PBMCs, buffy coat, urine
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
- SPONSOR
Study Record Dates
First Submitted
March 26, 2026
First Posted
April 7, 2026
Study Start
August 7, 2024
Primary Completion (Estimated)
July 31, 2027
Study Completion (Estimated)
July 31, 2028
Last Updated
July 29, 2026
Record last verified: 2026-07