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CompletedNCT02008110CHANCE-HFUpdated Feb 4, 2016

Carbohydrate Antigen 125-guided Therapy in Heart Failure

A Phase 4 interventional study of CA125 guided strategy and CA125 guided strategy in Heart Failure, sponsored by Fundación para la Investigación del Hospital Clínico de Valencia. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-02-04.

Sponsored by Fundación para la Investigación del Hospital Clínico de Valencia · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Preliminary data suggest a potential role for monitoring and up-titrate pharmacological therapy of plasma levels of antigen carbohydrate 125 (CA125) following and admission for acute heart failure (AHF).

This study will evaluate the effect of a CA125-guided management strategy versus standard therapy on the composite endpoint of 1-year all-cause mortality or readmission for AHF in patients recently discharged for AHF.

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Conditions studied

  • Heart Failure

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Keywords

  • Heart failure
  • Biomarker guided-therapy
  • Carbohydrate antigen 125
  • Clinical outcomes.
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In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's enrollment of 360 is above the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Fundación para la Investigación del Hospital Clínico de Valencia is the lead sponsor of 70 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18 years or older.
  • At least 1 admission for AHF, in the last 180 days.
  • Demonstrates functional New York Heart Association status of Class ≥II at the moment of enrollment.
  • Objective evidence, either during the index admission or at least 180 days before enrollment, of a structural or functional abnormality of the heart at rest, and defined as: N terminal-pro-brain natriuretic peptide >1000 pg/ml or brain natriuretic peptide >100 pg/ml or echocardiographic abnormalities congruent with HF diagnosis such as: systolic left ventricular dysfunction (LVEF \<50%); left ventricular hypertrophy (defined as left ventricular septum or left ventricular posterior wall thickness ≥12 millimeters or left ventricular mass index >104 g/m2 in women or 116 g/m2 in men); Ee'>15 or significant valvular heart disease (moderate-severe).
  • A plasma CA125 value >35 U/ml in a recent test evaluation (at least 30 days before enrollment, and preferably assessed before hospital discharge).
  • Patient must be capable of understanding and signing an informed consent form.

Exclusion criteria

Exclusion Criteria:

  • Life expectancy \<12 months due to other diseases different from HF.
  • Having undergone a cardiac transplantation, coronary revascularization procedure (percutaneous coronary intervention and/or coronary artery bypass grafting) or cardiac valve replacement in the past 3 months.
  • Angina pectoris higher than class II (Canadian Cardiovascular Society Classification).
  • Pregnancy at the moment of enrollment.
  • Valvular heart disease already scheduled for surgical intervention.
  • Severe chronic obstructive and/or restrictive pulmonary disease, requiring continuous oxygen administration.
  • Serum creatinine level > 3 mg/dl or chronic renal insufficiency on dialysis treatment.
  • Patients receiving resynchronization therapy during the index admission.
  • Significant concurrent medical diseases including cancer or a history of cancer within 5 years of entering the screening period, endometriosis, cirrhosis, acute coronary syndrome within 6 months, uncontrolled hypertension, history of human immunodeficiency virus (HIV) infection, or a significant active infection.
  • Participating in another randomized study.
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
360 participants (actual)

Study arms

  • Experimental
    CA125 guided strategy

    In this group, physician will be encouraged to maximize all treatment measures aimed to keep CA125≤35 U/ml (normal values).

    Drug: CA125 guided strategy · Other: CA125 guided strategy

  • Active comparator
    Standard treatment strategy

    Therapy is based on established european current guidelines

    Drug: Standard treatment strategy

Interventions

  • DrugCA125 guided strategy

    Up titration of loop diuretics according to plasma levels of CA125 in the active arm

  • DrugCA125 guided strategy

    Consider statins in all patients in the active arm

  • DrugCA125 guided strategy

    Consider omega-3 polyunsaturated fatty acids in the active arm

  • OtherCA125 guided strategy

    Frequency of monitoring according plasma evolution of CA125 in the active arm.

  • DrugStandard treatment strategy

    All patients should be treated following standard european guidelines regarding angiotensin converting enzyme inhibitors, angiotensin receptor blockers, beta-blockers, aldosterone antagonists, diuretics, ivabradine and other treatments such as (diet, anticoagulants, antiarrhythmics, statins, omega-3 polyunsaturated fatty acids, digoxin, nitrates and vasoactive group).

  • DrugCA125 guided strategy

    All patients should be treated following standard european guidelines regarding angiotensin converting enzyme inhibitors, angiotensin receptor blockers, beta-blockers, ivabradine and other treatments such as (diet, anticoagulants, antiarrhythmics, digoxin, nitrates and vasoactive group).

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What researchers measure

Primary outcomes

  1. Composite of all-cause mortality plus acute heart failure related rehospitalization

    Time frame: 1 year

Secondary outcomes

  1. Composite of total mortality plus readmission for any cause

    Time frame: 1 year

  2. Days alive outside of the hospital

    Time frame: 1 year

  3. Number of heart failure rehospitalizations.

    Time frame: 1 year

  4. Number of episodes of worsening HF not requiring hospitalization

    Time frame: 1-year

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Study locations

1 site
  • Hospital Clínico Unbiversitario de Valencia
    Valencia, 46010, Spain
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References and documents

Publications

  • Nunez J, Llacer P, Bertomeu-Gonzalez V, Bosch MJ, Merlos P, Garcia-Blas S, Montagud V, Bodi V, Bertomeu-Martinez V, Pedrosa V, Mendizabal A, Cordero A, Gallego J, Palau P, Minana G, Santas E, Morell S, Llacer A, Chorro FJ, Sanchis J, Facila L; CHANCE-HF Investigators. Carbohydrate Antigen-125-Guided Therapy in Acute Heart Failure: CHANCE-HF: A Randomized Study. JACC Heart Fail. 2016 Nov;4(11):833-843. doi: 10.1016/j.jchf.2016.06.007. Epub 2016 Aug 10. PubMed 27522630 ↗
  • Nunez J, Merlos P, Facila L, Llacer P, Bosch MJ, Bertomeu-Martinez V, Garcia-Blas S, Montagud V, Pedrosa V, Mendizabal A, Cordero A, Minana G, Sanchis J, Bertomeu-Gonzalez V; CHANCE-HF Investigators. Prognostic effect of carbohydrate antigen 125-guided therapy in patients recently discharged for acute heart failure (CHANCE-HF). Study design. Rev Esp Cardiol (Engl Ed). 2015 Feb;68(2):121-8. doi: 10.1016/j.rec.2014.03.018. Epub 2014 Aug 10. PubMed 25623430 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02008110
Lead sponsor
Fundación para la Investigación del Hospital Clínico de Valencia
Collaborators
Ministerio de Sanidad, Servicios Sociales e Igualdad
Responsible party
Julio Nuñez (MD, PhD, Fundación para la Investigación del Hospital Clínico de Valencia) — Principal investigator
First posted
Dec 11, 2013
Start date
Dec 2011
Primary completion
Jul 2014
Completion
May 2015
Last update
Feb 4, 2016

Study contacts

Julio Núñez, MD, PhD
principal investigator · Fundación para la Investigación del Hospital Clínico de Valencia

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.

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