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NCT02769351: GENTLE-UF

Global rEgistry on decongestioN Therapy Using Less invasivE UltraFiltration

Terminated Results posted Last updated 5 August 2021
What this trial tests

trial testing periph. minimal invasive ultrafiltration in Acute Heart Failure in 104 participants. Terminated before completion.

Timeline
3 December 2015
Primary endpoint
4 March 2019
4 March 2019

Quick facts

Lead sponsorFresenius Medical Care Deutschland GmbH
StatusTerminated
Study typeOBSERVATIONAL
Enrollment104
Start date3 December 2015
Primary completion4 March 2019
Estimated completion4 March 2019
Sites19 locations across Sweden, Switzerland, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Fresenius Medical Care Deutschland GmbH — full company profile →

Who can join

18 and older, any sex, with Acute Heart Failure or Cardiac Decompensation. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Rehospitalisation (Yes/no) Due to Exacerbation of Heart Failure/Volume Overload of Other Origin Primary · 12 months

The number of rehospitalizations due to heart failure resp. volume overload has been measured as a clinical endpoint and analyzed based on the AP.

Rehospitalization due to Heart Failure
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration7
Rehospitalization due to other reasons
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration12
Significant Deterioration of Kidney Function - Creatinine Secondary · Recruitment; Discharge from Index Hospitalization; Outpatient visit I (3-9 months); Outpatient visit II ( 12 months)

Significant deterioration of kidney function has been measured as a safety endpoint and analyzed based on the SP. The variables have been measured at recruitment, discharge from the index hospitalization, Outpatient visit I (3-9 months) and Outpatient visit II (12 months).

Creatinine at Recruitment
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration208.30± 71.79
Creatinine at Discharge from Index Hospitalization
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration180.66± 78.13
Creatinine at Outpatient visit I
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration224.99± 162.7
Creatinine at Outpatient visit II
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration430.31± 454.01
Significant Deterioration of Kidney Function - Urea Secondary · Recruitment; Discharge from Index Hospitalization; Outpatient visit I (3-6 months); Outpatient visit II (12 months)

Significant deterioration of kidney function has been measured as a safety endpoint and analyzed based on the SP. The variables have been measured at recruitment, discharge from the index hospitalization, Outpatient visit I (3-9 months) and Outpatient visit II (12 months).

Urea at Recruitment
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration21.7± 15.01
Urea at Discharge from Index Hospitalization
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration51.67± 168.40
Urea at Outpatient visit I
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration282.99± 457.51
Significant Deterioration of Kidney Function - eGFR (Estimated Glomerular Filtration Rate) Secondary · Recruitment, Discharge from index hospitalization, Outapteint visit I (3-6 months), Outpatient visit II (12 months)

Significant deterioration of kidney function has been measured as a safety endpoint and analyzed based on the SP. The variables have been measured at recruitment, discharge from the index hospitalization, Outpatient visit I (3-9 months) and Outpatient visit II (12 months).

eGFR at Recruitment
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration28.58± 15.56
eGFR at Discharge from Index hositalization
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration37.82± 24.48
eGFR at Outaptient visit I
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration36.19± 30.87
eGFR at Outpatient visit II
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration41.52± 52.96
Significant Deterioration of Kidney Function - Cystatin Secondary · recruitment, discharge from the index hospitalization, Outpatient visit I (3-9 months), Outpatient visit II (12 months)

Significant deterioration of kidney function has been measured as a safety endpoint and analyzed based on the SP. The variables have been measured at recruitment, discharge from the index hospitalization, Outpatient visit I (3-9 months) and Outpatient visit II (12 months).

Cystatin at Recruitment
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration2.26± 1.72
Cystatin at Discharge from index Hospitalization
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration0.09± 0.13
Cystatin at Outpatient visit II
GroupValue95% CI
Periph. Minimal Invasive Ultrafiltration6.99

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from signing the informed consent up to 12 month after recruitment.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Periph. Minimal Invasive Ultrafiltration
Serious: 22/46 (48%)
Deaths: 15/46

Serious adverse events (15 terms)

ReactionSystemPeriph. Minimal Invasive U…
Cardiac failureCardiac disorders
DeathGeneral disorders
Cardiac failure chronicCardiac disorders
HospitalisationSurgical and medical procedures
Staphylococcal sepsisInfections and infestations
PneumoniaRespiratory, thoracic and mediastinal disorders
Fluid retentionMetabolism and nutrition disorders
CardiomyopathyCardiac disorders
Palliative careSurgical and medical procedures
Chronic kidney diseaseRenal and urinary disorders
Acute kidney injuryRenal and urinary disorders
Catheter placementSurgical and medical procedures
Peritoneal catheter insertionSurgical and medical procedures
Demyelinating polyneuropathyImmune system disorders
ContusionInjury, poisoning and procedural complications
Other adverse events (3 terms — click to expand)

ReactionSystemPeriph. Minimal Invasive U…
HospitalisationSurgical and medical procedures
Atrial fibrillationCardiac disorders
Thrombosis in deviceProduct Issues

Most-reported serious reactions: Cardiac failure, Death, Cardiac failure chronic, Hospitalisation, Staphylococcal sepsis, Pneumonia, Fluid retention, Cardiomyopathy.

Data from ClinicalTrials.gov NCT02769351 adverse events section.

Sponsor's own description

In patients with advanced volume overload, minimally invasive ultrafiltration treatment in the acute phase can have a positive effect on clinical outcome. The aim is to collect treatment data in the context of a prospective registry of the safety and performance of minimally invasive ultrafiltration. The data will be recorded via an electronic case report form (eCRF); the eCRF runs on a server located in Germany and complies with current data protection regulations. It is intended to include about 300-500 patients with advanced volume overload at a minimum of 10 sites. In addition, data on a disease management programme (in-body measurement and home monitoring) will be recorded in up to 40 of these patients. The treatment data from each patient will be recorded over 12 months. An interim analysis will be performed after 150 patients have been observed for 6 months. The knowledge about ultrafiltration in volume overload obtained from the registry, in some cases in combination with a disease management programme, is intended to improve the body of evidence. In addition, the data will be used for hypothesis generation.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Acute Heart Failure

Currently open trials in the same condition.

Other Fresenius Medical Care Deutschland GmbH trials

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02769351.

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