RecruitingPhase 2NCT05419115

Use of a Novel SUBCUTaneous Preparation of Furosemide to Facilitate Early Supported Discharge of Patients With Heart Failure

Use of a Novel SUBCUTaneous Preparation of Furosemide to Facilitate Early Supported Discharge of Patients With Heart Failure: a Multicentre, Phase II, Randomised, Parallel Group, Active Comparator Controlled Trial


Sponsor

NHS Greater Glasgow and Clyde

Enrollment

170 participants

Start Date

Nov 17, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

To investigate whether an early supported discharge strategy for patients admitted to hospital because of HF, using a pH neutral subcutaneous (SC) furosemide formulation (SQINFurosemide) at home (delivered by non-CE marked SQINInfusor), compared to a usual care strategy with intravenous (IV) furosemide in hospital, results in an increased number of days spent alive and out of hospital (DAOH) at 30 days.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a subcutaneous (under-the-skin) injectable form of furosemide — a common water pill used to remove excess fluid — to help heart failure patients transition safely from hospital to home earlier. Traditionally, this drug is given by IV in hospital, and this new form may allow it to be used at home. **You may be eligible if...** - You are 18 or older - You meet medical criteria for a heart failure diagnosis (elevated fluid markers in the blood and signs of fluid buildup) - You are currently hospitalized and stable enough to be considered for early discharge **You may NOT be eligible if...** - You have severe kidney failure requiring dialysis - You have low sodium or potassium levels that are difficult to manage - You have another serious condition requiring ongoing hospitalization - You have allergies to furosemide or similar medications - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGSQIN-Furosemide

The investigational furosemide formulation (SQIN-Furosemide) is a Captisol®buffered solution of 80mg furosemide in 2.7 mL (30 mg/mL) at pH 7.4 (range: 7.0 to 7.8). SC infusion will be performed using the SQIN-Infusor which will deliver 2.7 mL of the SQIN-Furosemide formulation (80mg) over approximately 5 hours, using a biphasic delivery profile.

DEVICESQIN-Infusor

The investigational device (SQIN-Infusor) is an on-body delivery system that consists of a RU, DU, plus a charger (Figure 2). For the purpose of SUBCUT-HF II trial, the RU will be used for multiple infusions for a single participant. The DU will be used only once per infusion and disposed of. The RU must be charged after each use and will not restart for the next infusion without charging. Charging takes up to 15 minutes. SQIN-Infusor is a bespoke system, adapted from the design of a SC insulin pump. The RU consists of the drive-unit, the controllers, the rechargeable battery, and the user interface.


Locations(22)

Stoke Mandeville Hospital

Aylesbury, England, United Kingdom

Basildon University Hospital

Basildon, England, United Kingdom

Blackpool Victoria Hospital

Blackpool, England, United Kingdom

University Hospitals Dorset

Bournemouth, England, United Kingdom

University Hospital of North Tees

Hardwick, England, United Kingdom

Wycombe General Hospital

High Wycombe, England, United Kingdom

Glenfield Hospital

Leicester, England, United Kingdom

Leeds General Infirmary

Leeds, England, United Kingdom

Queen Alexandra Hospital

Portsmouth, England, United Kingdom

Sunderland Royal Hospital

Sunderland, England, United Kingdom

University Hospital Ayr

Ayr, Scotland, United Kingdom

Ninewells Hospital

Dundee, Scotland, United Kingdom

Forth Valley Hospital

Larbert, Scotland, United Kingdom

University Hospital Monklands

Airdrie, United Kingdom

University Hospital Southampton

Southampton, United Kingdom

The Great Western Hospital

Swindon, United Kingdom

Manchester Heart Centre

Manchester, England, United Kingdom

Glasgow Royal Infirmary

Glasgow, Scotland, United Kingdom

Queen Elizabeth University Hospital

Glasgow, Strathclyde, United Kingdom

Southmead Hospital

Bristol, England, United Kingdom

St Thomas' Hospital

London, England, United Kingdom

St. George's University of London

London, England, United Kingdom

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NCT05419115


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