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Trial ยท NCT00475852

A Study Testing the Effectiveness of Nesiritide in Patients With Acute Decompensated Heart Failure

NCT00475852, Phase 3, Completed, Scios, Inc.; results first posted 2012-05-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study Testing the Effectiveness of Nesiritide in Patients With Acute Decompensated Heart Failure. Trials, record NCT00475852. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00475852

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study Testing the Effectiveness of Nesiritide in Patients With Acute Decompensated Heart Failure
NCT number
NCT00475852
Status
Completed
Phases
Phase 3
Enrollment
7,141 participants, actual
Lead sponsor
Scios, Inc.
Conditions
Heart Decompensation
Interventions
Nesiritide, Placebo
First posted
2007-05-21
Last updated
2013-03-08
Results first posted
2012-05-10
Limitations and caveats
Only summary counts of deaths by group are provided for other pre-specified endpoints All-cause mortality through Day 30 and All-cause mortality through Day 180. Formal statistical comparisons were not planned.

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryComposite of Rehospitalization Due to Heart Failure and All-Cause MortalityRandomization to Day 30
PrimaryDyspnea Self-Assessment at 6 Hours After Initiation of Study Drug6 hours after initiation of study drug
Dyspnea symptoms were measured by patient self-assessed Likert scale at 6 hours after study drug initiation.The Likert scale is a 7-point ordinal categorical scale (the 7 categories are markedly better, moderately better, minimally better, unchanged, minimally worse, moderately worse, and markedly worse.)
PrimaryDyspnea Self-Assessment at 24 Hours After Initiation of Study Drug24 hours after study drug initiation
Dyspnea symptoms were measured by patient self-assessed Likert scale at 24 hours after study drug initiation. The Likert scale is a 7-point ordinal categorical scale (the 7 categories are markedly better, moderately better, minimally better, unchanged, minimally worse, moderately worse, and markedly worse.)
SecondaryOverall Well-Being Self-Assessment at 6 Hours After Initiation of Study Drug6 hours after study drug initiation
Overall well-being was measured by patient self-assessed Likert scale at 6 hours after study drug initiation. The Likert scale is a 7-point ordinal categorical scale (the 7 categories are markedly better, moderately better, minimally better, unchanged, minimally worse, moderately worse, and markedly worse.)
SecondaryOverall Well-Being Self-Assessment at 24 Hours After Initiation of Study Drug24 hours after study drug initiation
Overall well-being was measured by patient self-assessed Likert scale at 24 hours after study drug initiation. The Likert scale is a 7-point ordinal categorical scale (the 7 categories are markedly better, moderately better, minimally better, unchanged, minimally worse, moderately worse, and markedly worse.)
SecondaryComposite of Persistent or Worsening Heart Failure and All-Cause MortalityRandomization to hospital discharge (up to Day 30)
Clinical manifestations of worsening or persistent decompensated heart failure were defined by at least one of the following: new, persistent or worsening: dyspnea, orthopnea, paroxysmal nocturnal dyspnea, edema, pulmonary basilar rales/crackles, jugular venous distension, renal hypoperfusion with no other apparent cause, or radiologic evidence of worsening heart failure. And was also defined by a new therapy specifically for the treatment of worsening or persistent decompensated heart failure.
SecondaryNumber of Days Alive and Outside the HospitalRandomization to Day 30
SecondaryComposite of Cardiovascular Rehospitalization and Cardiovascular MortalityRandomization to Day 30
OtherAll-Cause Mortality Through Day 30Randomization to Day 30All deaths were adjudicated by an independent Clinical Events Committee.
OtherAll-Cause Mortality Through Day 180Randomization to Day 180All deaths were adjudicated by an independent Clinical Events Committee.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYComposite of Rehospitalization Due to Heart Failure and All-Cause MortalityRandomization to Day 30
The modified intent-to-treat (MITT) population consisted of all randomized patients who received any amount of study medication and was the primary analysis population for all efficacy endpoints. 141 and 164 patients in the nesiritide and placebo groups, respectively, were not MITT population eligible or didn't have outcome measure of interest.
ParticipantsNUMBER
PRIMARYDyspnea Self-Assessment at 6 Hours After Initiation of Study Drug6 hours after initiation of study drug
The modified intent-to-treat (MITT) population consisted of all randomized patients who received any amount of study medication and was the primary analysis population for all efficacy endpoints. 148 and 133 patients in the nesiritide and placebo groups, respectively, were not MITT population eligible or didn't have outcome measure of interest.
ParticipantsNUMBER
PRIMARYDyspnea Self-Assessment at 24 Hours After Initiation of Study Drug24 hours after study drug initiation
The modified intent-to-treat (MITT) population consisted of all randomized patients who received any amount of study medication and was the primary analysis population for all efficacy endpoints. 193 and 179 patients in the nesiritide and placebo groups, respectively, were not MITT population eligible or didn't have outcome measure of interest.
ParticipantsNUMBER
SECONDARYOverall Well-Being Self-Assessment at 6 Hours After Initiation of Study Drug6 hours after study drug initiation
The modified intent-to-treat (MITT) population consisted of all randomized patients who received any amount of study medication and was the primary analysis population for all efficacy endpoints. 158 and 147 patients in the nesiritide and placebo groups, respectively, were not MITT population eligible or didn't have outcome measure of interest.
ParticipantsNUMBER
SECONDARYOverall Well-Being Self-Assessment at 24 Hours After Initiation of Study Drug24 hours after study drug initiation
The modified intent-to-treat (MITT) population consisted of all randomized patients who received any amount of study medication and was the primary analysis population for all efficacy endpoints. 200 and 194 patients in the nesiritide and placebo groups, respectively, were not MITT population eligible or didn't have outcome measure of interest.
ParticipantsNUMBER
SECONDARYComposite of Persistent or Worsening Heart Failure and All-Cause MortalityRandomization to hospital discharge (up to Day 30)
The modified intent-to-treat (MITT) population consisted of all randomized patients who received any amount of study medication and was the primary analysis population for all efficacy endpoints. 105 and 115 patients in the nesiritide and placebo groups, respectively, were not MITT population eligible or didn't have outcome measure of interest.
ParticipantsNUMBER
SECONDARYNumber of Days Alive and Outside the HospitalRandomization to Day 30
The modified intent-to-treat (MITT) population consisted of all randomized patients who received any amount of study medication and was the primary analysis population for all efficacy endpoints. 182 and 188 patients in the nesiritide and placebo groups, respectively, were not MITT population eligible or didn't have outcome measure of interest.
DaysMEAN
SECONDARYComposite of Cardiovascular Rehospitalization and Cardiovascular MortalityRandomization to Day 30
The modified intent-to-treat (MITT) population consisted of all randomized patients who received any amount of study medication and was the primary analysis population for all efficacy endpoints. 141 and 162 patients in the nesiritide and placebo groups, respectively, were not MITT population eligible or didn't have outcome measure of interest.
ParticipantsNUMBER
OTHER_PRE_SPECIFIEDAll-Cause Mortality Through Day 30Randomization to Day 30
The safety population consisted of all randomized patients who received any amount of study medication. For all safety analyses, patients were analyzed according to the treatment actually received. 66 and 68 patients in the nesiritide and placebo groups, respectively, were not included in the safety population.
ParticipantsNUMBER
OTHER_PRE_SPECIFIEDAll-Cause Mortality Through Day 180Randomization to Day 180
The safety population consisted of all randomized patients who received any amount of study medication. For all safety analyses, patients were analyzed according to the treatment actually received. 66 and 68 patients in the nesiritide and placebo groups, respectively, were not included in the safety population.
ParticipantsNUMBER

Results by group82

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Composite of Rehospitalization Due to Heart Failure and All-Cause MortalityNesiritide321Participants
Composite of Rehospitalization Due to Heart Failure and All-Cause MortalityPlacebo345Participants
Dyspnea Self-Assessment at 6 Hours After Initiation of Study DrugNesiritideMarkedly Better513Participants
Dyspnea Self-Assessment at 6 Hours After Initiation of Study DrugPlaceboMarkedly Better460Participants
Dyspnea Self-Assessment at 6 Hours After Initiation of Study DrugNesiritideModerately Better1007Participants
Dyspnea Self-Assessment at 6 Hours After Initiation of Study DrugPlaceboModerately Better989Participants
Dyspnea Self-Assessment at 6 Hours After Initiation of Study DrugNesiritideMinimally Better1119Participants
Dyspnea Self-Assessment at 6 Hours After Initiation of Study DrugPlaceboMinimally Better1174Participants
Dyspnea Self-Assessment at 6 Hours After Initiation of Study DrugNesiritideNo Change692Participants
Dyspnea Self-Assessment at 6 Hours After Initiation of Study DrugPlaceboNo Change748Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDNesiritide3,564
Overall StudySTARTEDPlacebo3,577
Overall StudyCOMPLETEDNesiritide3,047
Overall StudyCOMPLETEDPlacebo3,029
Overall StudyNOT COMPLETEDNesiritide517
Overall StudyNOT COMPLETEDPlacebo548

Adverse events564

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersNesiritide23,498
otherAnaemiaBlood and lymphatic system disordersPlacebo43,509
otherLeukocytosisBlood and lymphatic system disordersNesiritide03,498
otherLeukocytosisBlood and lymphatic system disordersPlacebo23,509
otherThrombocytopeniaBlood and lymphatic system disordersNesiritide13,498
otherThrombocytopeniaBlood and lymphatic system disordersPlacebo03,509
otherAortic Valve StenosisCardiac disordersNesiritide13,498
otherAortic Valve StenosisCardiac disordersPlacebo03,509
otherArrhythmia SupraventricularCardiac disordersNesiritide63,498
otherArrhythmia SupraventricularCardiac disordersPlacebo43,509

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityNesiritide
Total, all-cause mortalityPlacebo
Total, other adverse eventsNesiritide3663,498
Total, other adverse eventsPlacebo3643,509
Total, serious adverse eventsNesiritide53,498
Total, serious adverse eventsPlacebo23,509

Papers21

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
21732835DERIVEDPubMed
22497823DERIVEDPubMed
23032196DERIVEDPubMed
23770519DERIVEDPubMed
23899930DERIVEDPubMed
24054337DERIVEDPubMed
24464687DERIVEDPubMed
24622005DERIVEDPubMed
25074507DERIVEDPubMed
25281655DERIVEDPubMed

1 to 10 of 21

See all 21 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons7

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Nesiritide vs Placebo: Number of Patients With Renal ImpairmentTrial comparisons
Nesiritide vs Placebo: Composite of Persistent or Worsening Heart Failure and All-Cause MortalityTrial comparisons
Nesiritide vs Placebo: All-Cause Mortality Through Day 30Trial comparisons
Nesiritide vs Placebo: Composite of Cardiovascular Rehospitalization and Cardiovascular MortalityTrial comparisons
Nesiritide vs Placebo: Composite of Rehospitalization Due to Heart Failure and All-Cause MortalityTrial comparisons
Nesiritide vs Placebo: All-Cause Mortality Through Day 180Trial comparisons
Nesiritide vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
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
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00475852

GET https://conductscience.org/api/trials/v1/NCT00475852/results?page=2