Therapy Adjustment and IndividuaLized Response With Biomarker Observation in ReaL-world Heart Failure

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorMaastricht University Medical Center

About this trial

The goal of TAILOR-HF is to integrate clinical data, laboratory parameters, treatment patterns, and circulating biomarkers to identify factors that predict individual response to pharmacological treatment in patients with heart failure.

TAILOR-HF is an observational study with protocol-mandated assessments scheduled at baseline and at 1, 3, and 6 months after enrolment. Additional follow-up data will be collected through telephone visits every 6 months until the last participant has completed the protocol-mandated 6-month visit.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Provide written and dated informed consent for participation prior to trial admission,

Age ≥18 years, female or male

A clinical diagnosis of new onset or worsening of heart failure with a left-ventricular ejection fraction of <50%

On treatment with oral or i.v. furosemide ≥40 mg/day or equivalent (bumetanide 1mg, torasemide 10mg)

Disqualifiers

Scheduled or on renal replacement therapy,

Clearly documented intolerance to two or more of the following groups of drugs: BB, ARNI, SGLT2i or MRAs.

Diagnosis of peripartum cardiomyopathy, chemotherapy induced cardiomyopathy, current viral myocarditis, right heart failure in absence of left-sided structural disease, pericardial constriction, genetic hypertrophic cardiomyopathy, or infiltrative cardiomyopathy including amyloidosis.

The presence of a mechanical assist device,

Trial population

Patients with either de novo HF or (acute) decompensated HF who are not yet on optimal doses of guideline-recommended therapies and in whom up-titration is anticipated. Patients will be enrolled either at the outpatient clinic of participating sites or prior to dis-charge of patients who are hospitalized for worsening HF

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

600 Participants
are grouped into 1 trial group
Group A: The cohort

Trial outcomes

Primary outcomes

1

time to death or a worsening heart failure event

time to death or a worsening heart failure event

Time frame
6 months, further long time follow up will be conducted by 6 monthly telephone calls until last patient included in the study has completed primary 6 months follow-up.

Secondary outcomes

1

Time to cardiovascular (CV) mortality

Time to cardiovascular (CV) mortality

Time frame
6 months, further long time follow up will be conducted by 6 monthly telephone calls until last patient included in the study has completed primary 6 months follow-up.
2

Time to first (re)-hospitalization due to heart failure

Time to first (re)-hospitalization due to heart failure

Time frame
6 months, further long time follow up will be conducted by 6 monthly telephone calls until last patient included in the study has completed primary 6 months follow-up.
3

Time to all-cause hospitalization

Time to all-cause hospitalization

Time frame
6 months, further long time follow up will be conducted by 6 monthly telephone calls until last patient included in the study has completed primary 6 months follow-up.
4

Change in clinical congestion score(10) between baseline and 6 months

change in score in 7-item Clinical Congestion Index, higher meaning more signs, based on following criteria: Orthopnea, NYHA ≥III, paroxysmal nocturnal dyspnea, hepatomegaly, peripheral pitting edema, jugular venous distension, rales

Time frame
6 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Maastricht University Medical Center

Lead sponsor

UMCG, University Hospital (Groningen, The Netherlands)

Collaborator

Leiden University Medical Center

Collaborator

Erasmus Medical Center

Collaborator

Uniklinik RTWH Aachen

Collaborator

Charite University, Berlin, Germany

Collaborator

Ospedale San Donato

Collaborator

Fidenza Hospital

Collaborator

Desio Hospital

Collaborator

Gorizia Hospital

Collaborator

UZ Antwerpen

Collaborator

Medizinischen Universität Wien

Collaborator

University College Dublin

Collaborator

University of Ulster

Collaborator

University of Glasgow

Collaborator

This trial is not recruiting at the moment. You can still explore other options: