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Comparison · NCT05411991-bb77013d

Intervention Arm vs Control Arm: Renal Safety Endpoint

Calculated by ConductScience from the counts the trial posted to ClinicalTrials.gov.

2 sourcestrial-comparisons-2026-03-23-0.1.0

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ConductScience Library. Intervention Arm vs Control Arm: Renal Safety Endpoint. Trial comparisons, record NCT05411991-bb77013d. Release trial-comparisons-2026-03-23-0.1.0, 23 Mar 2026. https://conductscience.org/library/comparisons/NCT05411991-bb77013d

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Measures6

Calculated by ConductScience from the counts the trial posted to ClinicalTrials.gov.

MeasureValue95% interval, lower95% interval, upperMethodNote
Risk in group 10.1730.09380.297wilson
Risk in group 20.05880.02020.159wilson
Risk difference, group 1 minus group 20.114-0.01370.244newcombe hybrid score
Risk ratio, group 1 over group 22.940.84410.3log
Odds ratio, group 1 over group 23.350.85113.2log
Number needed to treat, for one more participant with the outcome on Intervention Arm than on Control Arm8.75from the risk difference intervalthe interval includes no difference

Groups2

Group 2 names the comparator: control.

GroupTitleDescriptionWith the outcomeAnalysedClinicalTrials.gov code
Group 1Intervention Arm
Application of a standardized diuretic schedule with following key components:~* Serial post-diuretic spot urine sodium (UNa) assessment~* Loop diuretic dosing according to estimated glomerular filtration rate (eGFR)~* Upfront use of intravenous acetazolamide 500 mg OD~* Upfront use of oral chlorthalidone 50 mg OD if eGFR \<30 mL/min/1.73m² OR hypernatremia~* Full nephron blockade for diuretic resistance~* Provision of 500 mL intravenous Dextrose 5% with 3 g MgSO4 and 40 mmol KCl daily during intravenous diuretics
952OG000
Group 2Control Arm
Usual care for AHF. It is recommended to administer an intravenous loop diuretic dose at least BID (or through continuous infusion), with the aim of achieving a urine output 3-5 L per day until the patient is considered in an optimal volume status as is recommended by current guidelines. Urine electrolyte assessment in the control arm is not allowed as it is a key component of the studied intervention.~Usual AHF care: It is recommended to administer an intravenous loop diuretic dose at least BID (or through continuous infusion), with the aim of achieving a urine output 3-5 L per day until the patient is considered in an optimal volume status as is recommended by current guidelines.
351OG001

Outcome

Type
SECONDARY
Title
Renal Safety Endpoint
Description
Number of patients with doubling of the serum creatinine or plasma cystatin C value compared to baseline with an absolute value \>2 mg/dL or \>2 mg/L, respectively, or the need for ultrafiltration and/or renal replacement therapy during the index hospital admission.
Time frame
30 days
Population

Source ClinicalTrials.gov

Trial

Title
Diuretic Treatment in Acute Heart Failure With Volume Overload Guided by Serial Spot Urine Sodium Assessment
NCT number
NCT05411991
Phases
PHASE4
Conditions
Acute Heart Failure, Diuretics Drug Reactions
Interventions
UNa measurement after intravenous loop diuretic bolus, Intravenous acetazolamide 500 mg OD, Intravenous bumetanide TID, Oral chlorthalidone OD, Intravenous canrenoate 200 mg OD, Maintenance infusion, Oral potassium supplements, Intravenous hypertonic saline, Switch to oral diuretic therapy, Usual AHF care
Lead sponsor
Vrije Universiteit Brussel
Results first posted
2025-08-08

Source ClinicalTrials.gov

Source

Release
trial-comparisons-2026-03-23-0.1.0
Release manifest SHA-256
f66225897fbf258b57ea10bdacfd0347d3cdfda93f7f5685234b7e06ea36fa57
AACT copy
2026-03-23
Tables read
outcome_counts.parquet, outcome_measurements.parquet, outcomes.parquet, reported_event_totals.parquet, reported_events.parquet, result_groups.parquet, studies.parquet, ctgov_trial.parquet

Source ClinicalTrials.gov

Sources 2

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions. The measures are ConductScience's calculation from them.

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