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CompletedNCT04111185Updated Jun 28, 2023Results posted

Daxor - Blood Volume Analysis

An interventional study of Receive Blood Volume Analysis Guided Treatment in Heart Failure and Congestive Heart Failure, sponsored by Duke University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-06-28.

Sponsored by Duke University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to better understand blood volume status and whether knowledge of it can change and improve heart failure care.

Read the detailed description

The purpose of this study is to better understand measurements of various parameters of congestion, the most significant of which is blood volume analysis. Blood volume analysis (BVA) measures how much blood is in the investigator's arteries and veins and is performed by using an IV and injecting a small amount of a radioactive material (I 131-labeled albumin). The study also involves blood tests, urine tests, blood pressure monitoring, an ultrasound, and measurement of lung fluid volume (by way of a vest). There will also be a 30-day follow-up phone call to assess symptoms and discuss any changes in medication.

02

Conditions studied

  • Heart Failure
  • Congestive Heart Failure

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03

In context

Heart Failure

5,803 studies on the registry are indexed under Heart Failure; 1,222 are open to participants now.

This study's enrollment of 31 is below the median of 72 across 3,790 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Duke University is the lead sponsor of 2,058 studies on the registry; 274 are open to participants now.

Of its 204 completed or terminated interventional studies of FDA-regulated products, 165 (81%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

- Admission for acute decompensated heart failure to the cardiology service at Duke Hospital, Durham, North Carolina

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Ongoing pregnancy
  • Recent acute MI or hemodynamic instability: Acute MI (STEMI or Type I NSTEMI) within 7 days
  • Post heart transplantation or ongoing mechanical circulatory support
  • Progressive cardiogenic shock
  • Patients with Ventricular Assist Devices
  • End stage renal disease
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Receive Blood Volume Analysis Guided Treatment

    The health care team will be provided with BVA results and may use the information to make decisions regarding the participant's treatment.

    Device: Receive Blood Volume Analysis Guided Treatment

  • No intervention
    Receive Standard of Care Treatment

    The health care team will not be provided with the BVA results. The participant will receive the same treatment they would have received if they weren't in the study.

Interventions

  • DeviceReceive Blood Volume Analysis Guided Treatment

    The health care team will be given the results of the blood volume analysis along with guidance on how to provide treatment based on the analysis

    Also known as: Daxor BVA-100

06

What researchers measure

Primary outcomes

  1. Change in Whole Blood Volume

    Time frame: Baseline, and upon discharge (up to day 18)

Secondary outcomes

  1. Change in Congestion Metrics as Measured With a Clinical Congestion Score (Pulmonary Edema, Jugular Venous Pressure, Lower Extremity Edema and PND)

    Comparison of baseline to follow up times

    Time frame: Baseline, day 1, day 2, day 3 and discharge (up to day 18)

  2. Change in Mean NTpro-BNP Concentration (in pg/mL)

    Time frame: Baseline, day 1, day 2, day 3 and discharge (up to day 18); reported as change from baseline to discharge

  3. Change in Weight (in kg)

    Time frame: Baseline, day 1, day 2, day 3 and discharge (up to day 18); reported as change from baseline to discharge

  4. Change in Renal Function as Measured by Creatinine (mg/dL)

    Time frame: Baseline, day 1, day 2, day 3 and discharge (up to day 18); reported as change from baseline to discharge

  5. Change in Renal Function as Measured by Blood Urea Nitrogen (mg/dL)

    Comparison of baseline to follow up times

    Time frame: Baseline, day 1, day 2, day 3 and discharge (up to day 18)

  6. Change in Renal Function as Measured by an Estimated Glomerular Filtration Rate (mL/Min/ 1.73m2)

    Comparison of baseline to follow up times

    Time frame: Baseline, day 1, day 2, day 3 and discharge (up to day 18)

  7. Change in Pulmonary Congestion as Measured Using Non-invasive Diagnostic Technology Such as the ReDS Vest (Radiofrequency) or Bio-impedance Based Technologies (Unitless Values)

    Comparison of baseline to follow up times

    Time frame: Baseline, day 1, day 2, day 3 and discharge (up to day 18)

07

Results

Posted Sep 29, 2022

Participant flow

Participant flow — Overall Study
MilestoneReceive Blood Volume Analysis Guided TreatmentReceive Standard of Care Treatment
Started1714
Completed1714
Not completed00

Outcome measures

PrimaryChange in Whole Blood Volume
Time frame:
Baseline, and upon discharge (up to day 18)
Reported as:
Mean · mL
Change in Whole Blood Volume
mLReceive Blood Volume Analysis Guided TreatmentReceive Standard of Care Treatment
Change in Whole Blood Volume-1253 ± 2157-784 ± 981
Statistical analysis
  • Receive Blood Volume Analysis Guided Treatment vs Receive Standard of Care Treatment · t-test, 2 sided · p = >0.05
SecondaryChange in Congestion Metrics as Measured With a Clinical Congestion Score (Pulmonary Edema, Jugular Venous Pressure, Lower Extremity Edema and PND)

Comparison of baseline to follow up times

Time frame:
Baseline, day 1, day 2, day 3 and discharge (up to day 18)

No measurements were reported for this outcome.

SecondaryChange in Mean NTpro-BNP Concentration (in pg/mL)
Time frame:
Baseline, day 1, day 2, day 3 and discharge (up to day 18); reported as change from baseline to discharge
Reported as:
Mean · pg/mL
Change in Mean NTpro-BNP Concentration (in pg/mL)
pg/mLReceive Blood Volume Analysis Guided TreatmentReceive Standard of Care Treatment
Change in Mean NTpro-BNP Concentration (in pg/mL)-853 ± 3154-4849 ± 6770
SecondaryChange in Weight (in kg)
Time frame:
Baseline, day 1, day 2, day 3 and discharge (up to day 18); reported as change from baseline to discharge
Reported as:
Mean · kg
Change in Weight (in kg)
kgReceive Blood Volume Analysis Guided TreatmentReceive Standard of Care Treatment
Change in Weight (in kg)-6.4 ± 5.4-10.1 ± 10.6
SecondaryChange in Renal Function as Measured by Creatinine (mg/dL)
Time frame:
Baseline, day 1, day 2, day 3 and discharge (up to day 18); reported as change from baseline to discharge
Reported as:
Mean · mg/dL
Change in Renal Function as Measured by Creatinine (mg/dL)
mg/dLReceive Blood Volume Analysis Guided TreatmentReceive Standard of Care Treatment
Change in Renal Function as Measured by Creatinine (mg/dL)0.1 ± 0.30.2 ± 0.3
SecondaryChange in Renal Function as Measured by Blood Urea Nitrogen (mg/dL)

Comparison of baseline to follow up times

Time frame:
Baseline, day 1, day 2, day 3 and discharge (up to day 18)

No measurements were reported for this outcome.

SecondaryChange in Renal Function as Measured by an Estimated Glomerular Filtration Rate (mL/Min/ 1.73m2)

Comparison of baseline to follow up times

Time frame:
Baseline, day 1, day 2, day 3 and discharge (up to day 18)

No measurements were reported for this outcome.

SecondaryChange in Pulmonary Congestion as Measured Using Non-invasive Diagnostic Technology Such as the ReDS Vest (Radiofrequency) or Bio-impedance Based Technologies (Unitless Values)

Comparison of baseline to follow up times

Time frame:
Baseline, day 1, day 2, day 3 and discharge (up to day 18)

No measurements were reported for this outcome.

Adverse events

Collected over Up to 18 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Receive Blood Volume Analysis Guided Treatment0/17 (0%)0/17 (0%)0/17 (0%)
Receive Standard of Care Treatment0/14 (0%)0/14 (0%)0/14 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Receive Blood Volume Analysis Guided TreatmentReceive Standard of Care TreatmentTotal
Mean62 ± 3260 ± 3061 ± 31
Sex: Female, Male
Sex: Female, Male(Participants)Receive Blood Volume Analysis Guided TreatmentReceive Standard of Care TreatmentTotal
Female538
Male121123
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Receive Blood Volume Analysis Guided TreatmentReceive Standard of Care TreatmentTotal
Hispanic or Latino000
Not Hispanic or Latino171431
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Receive Blood Volume Analysis Guided TreatmentReceive Standard of Care TreatmentTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American9817
White8614
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)Receive Blood Volume Analysis Guided TreatmentReceive Standard of Care TreatmentTotal
United States171431
08

Study locations

1 site
  • Duke University
    Durham, North Carolina 27710, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Feb 24, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04111185
Lead sponsor
Duke University
Collaborators
Daxor Corporation
Responsible party
Sponsor
First posted
Oct 1, 2019
Start date
Jul 16, 2020
Primary completion
Jul 15, 2021
Completion
Sep 23, 2021
Results posted
Sep 29, 2022
Last update
Jun 28, 2023

Study contacts

G. Michael Felker, MD
principal investigator · Duke University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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