NCT06475105

Combination Oral Acetazolamide and Intravenous Furosemide on Acute Decompensated Heart Failure Outcomes

Effects of Combination Oral Acetazolamide and Intravenous Furosemide on Acute Decompensated Heart Failure

• Status: Recruiting
• Phase: Phase 4
• Study type: Interventional
• Enrollment: 66 (estimated)
• Sponsor: Universitas Diponegoro · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Based on ADVOR trial, the potential of adding acetazolamide in increasing the success of decongestion, the amount of natriuresis and diuresis. However, the use of intravenous acetazolamide may not be possible in Indonesia, where the intravenous formulation is not available. This clinical research study is being conducted in single hospitals in Indonesia. We aim to learn if Oral Acetazolamide in addition to Furosemide intravenous works to treat congestion in Acute Decompensated Heart Failure, besides evaluating the total urinary output, change of NT pro BNP level, and safety profile of oral Acetazolamide. The hypothesis of this study is oral acetazolamide works well to achieve successful decongestion.

Detailed description

This is a randomized, double blind study with 2 treatment groups. Participants diagnosed with ADHF who meet the inclusion criteria and no exclusion criteria are given an explanation regarding the research and additional therapy that will be given, then informed consent is requested. Participants will be randomized to one of the two treatment groups by chance. Patients randomized to the first group will receive intravenous furosemide and oral acetazolamide. Patients randomized to the other treatment group will receive a combination of iv furosemide and placebo. It is expected that the patients of the treatment group with the combination therapy will have a faster reduction of their fluid overload. In consequence the treatment duration and total dose of diuretics administered will be shorter.

Conditions

• Acute Decompensated Heart Failure

Interventions

Type	Name	Description
DRUG	Oral Acetazolamide	Participants will be randomized into group receiving either oral acetazolamide or placebo for up to 3 days
DRUG	Placebo	Participants will be randomized into group receiving either oral acetazolamide or placebo for up to 3 days

Timeline

• Start date: 2024-04-20
• Primary completion: 2024-11-30
• Completion: 2024-12-31
• First posted: 2024-06-26
• Last updated: 2024-10-22

Locations

2 sites across 1 country: Indonesia