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Trial · NCT03296813

TRANSFORM-HF: ToRsemide compArisoN With furoSemide FORManagement of Heart Failure

NCT03296813, Phase 3, Completed, Duke University; results first posted 2025-10-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. TRANSFORM-HF: ToRsemide compArisoN With furoSemide FORManagement of Heart Failure. Trials, record NCT03296813. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03296813

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Trial

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

Title
TRANSFORM-HF: ToRsemide compArisoN With furoSemide FORManagement of Heart Failure
NCT number
NCT03296813
Status
Completed
Phases
Phase 3
Enrollment
2,973 participants, actual
Lead sponsor
Duke University
Conditions
Heart Failure
Interventions
Torsemide, Furosemide
First posted
2017-09-28
Last updated
2025-10-16
Results first posted
2025-10-16

Source ClinicalTrials.gov

Registered outcomes6

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

ListOutcomeTime frameDescription
PrimaryAll-cause Mortality, as Measured by Follow-up Phone Call or NDIup to 30 months
Death information was obtained from the Call Center through 30 months for patients 1-500, through 24 months for patients 501-1000, through 18 months for patients 1001-1500, and through 12 months for the remaining patients (except those who were randomized \< 12 months when the study was stopped by the DSMB). Also death information was obtained through searches of the 2018-2021 National Death Index (NDI) database.
SecondaryAll-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)up to 12 months
The time-to-event analysis of all-cause mortality or all-cause primary re-hospitalization was based on the time from randomization through death or the first primary re-hospitalization through 12 months. Patients who died or whose first all-cause re-hospitalization was after month 12 were censored at month 12. Patients who did not have a re-hospitalization and were alive were censored at the minimum of the time of the last re-hospitalization assessment or month 12.
SecondaryTotal Re-hospitalizations, as Measured by Follow-up Phone Callup to 12 months
Total all-cause primary re-hospitalization was defined as a hospitalization after the index hospitalization through month 12 that met one of the following criteria: 1.) at least a 24-hour stay (or a change in calendar date if the time of admission/discharge is not available) or 2.) reported as an in-patient admission by the patient/proxy with an admission date (complete or month and year) and no discharge date (i.e., length of stay could not be derived). Unit of measurement is the total number of re-hospitalizations for each subject (e.g., if a subject had 3 re-hospitalizations, then the outcome is 3 for the subject).
SecondaryAll-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)30 daysAll-cause mortality or all-cause hospitalization over 30 days
SecondaryChange in Health-related Quality of Life (QOL), as Measured by Follow-up Phone CallBaseline, 1 month, 6 months, 12 months
QOL as assessed by the Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS) (range, 0-100 with 100 indicating best health status). The KCCQ was administered prior to randomization (collected by the site) and at Months 1, 6 and 12 (ascertained at the Call Center visits). The outcome is the least square means in Torsemide and Furosemide groups where the difference = Torsemide mean minus Furosemide mean at the monthly assessment.
SecondarySymptoms of Depression as Measured by the Patient Health Questionnaire-2 (PHQ-2)Month 1, month 6, month 12
Depression was assessed by the Patient Health Questionnaire-2 (PHQ-2) over 12 months. The PHQ-2 inquires about the frequency of depressed mood and anhedonia (inability to feel pleasure) over the past two weeks. The responses to the questions are scored 0 = Not at all, 1 = Several days, 2 = More than half the days, and 3 = Nearly every day. The PHQ-2 total score is obtained by adding the score for each question. The PHQ-2 total score ranges from 0-6. Reported as the number of patients with a total score \<3 versus \>=3.

Outcomes6

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAll-cause Mortality, as Measured by Follow-up Phone Call or NDIup to 30 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAll-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)up to 12 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTotal Re-hospitalizations, as Measured by Follow-up Phone Callup to 12 monthsParticipants who had at least one re-hospitalization.re-hospitalizationsNUMBER
SECONDARYAll-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)30 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange in Health-related Quality of Life (QOL), as Measured by Follow-up Phone CallBaseline, 1 month, 6 months, 12 monthsParticipants with both baseline and monthly KCCQ-CSS scores available (i.e., change from baseline at the month assessment could be analyzed).score on a scaleLEAST_SQUARES_MEAN
SECONDARYSymptoms of Depression as Measured by the Patient Health Questionnaire-2 (PHQ-2)Month 1, month 6, month 12Participants with data available at each time point.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group26

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

OutcomeGroupCategoryValueSpreadUnits
All-cause Mortality, as Measured by Follow-up Phone Call or NDITorsemide373Participants
All-cause Mortality, as Measured by Follow-up Phone Call or NDIFurosemide374Participants
All-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)Torsemide677Participants
All-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)Furosemide704Participants
Total Re-hospitalizations, as Measured by Follow-up Phone CallTorsemide940re-hospitalizations
Total Re-hospitalizations, as Measured by Follow-up Phone CallFurosemide987re-hospitalizations
All-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)Torsemide149Participants
All-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)Furosemide157Participants
Change in Health-related Quality of Life (QOL), as Measured by Follow-up Phone CallTorsemideBaseline to Month 169.5295% Confidence Interval 67.53 to 71.51score on a scale
Change in Health-related Quality of Life (QOL), as Measured by Follow-up Phone CallFurosemideBaseline to Month 168.2295% Confidence Interval 66.22 to 70.23score on a scale

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTorsemide1,431
Overall StudySTARTEDFurosemide1,428
Overall StudyCOMPLETEDTorsemide1,378
Overall StudyCOMPLETEDFurosemide1,368
Overall StudyNOT COMPLETEDTorsemide53
Overall StudyNOT COMPLETEDFurosemide60

Adverse events0

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

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTorsemide3731,431
Total, all-cause mortalityFurosemide3741,428
Total, other adverse eventsTorsemide00
Total, other adverse eventsFurosemide00
Total, serious adverse eventsTorsemide00
Total, serious adverse eventsFurosemide00

Papers8

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33714745DERIVEDPubMed
35181553DERIVEDPubMed
36648467DERIVEDPubMed
37212600DERIVEDPubMed
38436075DERIVEDPubMed
38745502DERIVEDPubMed
39196651DERIVEDPubMed
42419438DERIVEDPubMed

Grants1

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.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U01HL125511TRANSFORM-HF CCCVELAZQUEZ, ERIC J; MENTZ, ROBERT JOHNYALE UNIVERSITYNATIONAL HEART, LUNG, AND BLOOD INSTITUTE2017 to 2021

Trial comparisons4

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

ComparisonSource
Torsemide vs Furosemide: All-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)Trial comparisons
Torsemide vs Furosemide: All-cause Mortality, as Measured by Follow-up Phone Call or NDITrial comparisons
Torsemide vs Furosemide: All-cause Mortality or All-cause Hospitalization, as Measured by Follow-up Phone Call or NDI (for Death)Trial comparisons
Torsemide vs Furosemide: deaths from any causeTrial 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/NCT03296813

GET https://conductscience.org/api/trials/v1/NCT03296813/results?page=2