ClinicalTrials.gg
RecruitingNCT06941415BUFFUpdated Jun 16, 2026

Bumetanide vs. Furosemide in Cirrhosis

A Phase 3 interventional study of Bumetanide and Furosemide in Cirrhosis, sponsored by Stacy Johnson. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-16.

Primary conditionFibrosis(the registry's first term)UnverifiedIs this wrong?Fibrosis is a broad heading, used only when no more specific condition is named. No better condition is named, so the registry's term is kept.

Sponsored by Stacy Johnson · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2026; still recruiting 5 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Patients with cirrhosis are frequently hospitalized due to an acute decompensation of their liver disease including bleeding, jaundice, encephalopathy, and volume overload. Volume overload is associated with increased mortality from acute hypoxic respiratory failure, hemorrhage from esophageal varices, and spontaneous bacterial peritonitis.

Clinical practice guidelines describe sodium restriction and diuretics as first-line treatment, combined with regular body weight monitoring to assess response. In patients with suboptimal response to furosemide, alternative loop diuretics like torsemide or bumetanide may improve natriuresis. Bumetanide has a theoretic advantage over furosemide due to its more rapid and complete intestinal absorption, combined with a prolonged half-life in patients with hepatic dysfunction. In this pragmatic study, the aim is to compare the efficacy of diuresis with bumetanide versus furosemide among hospitalized patients with cirrhosis.

02

Conditions studied

  • Cirrhosis

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Keywords

  • cirrhosis
  • volume overload
  • diuresis
  • furosemide
  • bumetanide
03

In context

Fibrosis Unverified

1,270 studies on the registry are indexed under Fibrosis; 276 are open to participants now.

This study's planned enrollment of 500 is above the median of 63 across 840 interventional studies indexed under Fibrosis.

Browse Fibrosis studies →

Lead sponsor

This is the only study on the registry with Stacy Johnson as lead sponsor.

Compared within Fibrosis, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

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

  • History of liver cirrhosis
  • Clinician placed an order for bumetanide or furosemide in electronic health record within 24 hours of presentation to the hospital

Exclusion criteria

Exclusion Criteria:

  • Allergy to bumetanide or furosemide
  • to diuretic administration (e.g. active bleeding, clinical suspicion of hepatorenal syndrome, hypotension)
  • Incarcerated or in custody of law enforcement
  • Diuretic ordered for purpose other than volume overload (e.g. hyperkalemia, continuation of home medication without clinical signs of volume overload)
  • Inpatient admission not anticipated
  • Not admitted to an inpatient hospital bed following initial evaluation in the emergency department
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    Bumetanide

    Drug: Bumetanide

  • Experimental
    Furosemide

    Drug: Furosemide

Interventions

  • Standard of care treatment with bumetanide (intravenous or oral administration) per treating clinician's orders

  • Standard of care treatment with furosemide (intravenous or oral administration) per treating clinician's orders

06

What researchers measure

Primary outcomes

  1. Percent change in weight

    Percent change in weight measured in kilograms from date of emergency department presentation (Day 0) to Day 7 of hospitalization, or date of discharge, whichever is earlier

    Time frame: 7 days

Secondary outcomes

  1. Development of acute kidney injury

    Stage 2 or higher acute kidney injury developing within 14 days of presentation to emergency department in accordance with KDIGO criteria

    Time frame: 14 days

  2. Need for replacement therapy

    New initiation of intermittent or continuous hemodialysis within 14 days of presentation to the emergency department

    Time frame: 14 days

  3. Severe electrolyte derangement

    New decrease in serum potassium to less than 2.5 mEq/L within 14 days of presentation to the emergency department

    Time frame: 14 days

  4. Hospital length of stay

    Time from initial presentation to the emergency department to the time of discharge from the hospital or time of death, if a subject dies within the hospital

    Time frame: 30 days

  5. Unplanned hospital readmission

    Readmission to the hospital for an unexpected reason within 30 days of a prior hospital admission

    Time frame: 30 days

  6. 30-day mortality

    Death occurring within the 30 days following presentation to the emergency department and subsequent hospital admission

    Time frame: 30 days

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Findings from the study will be presented at one or more scientific conferences. Results will be submitted for publication to a peer-reviewed journal. Data will be made available to other researchers after publication upon request and local institutional approval.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report, Analytic code

Time frame: Following publication of manuscript

Access criteria: Written request and local institutional approval

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2026 (actual). Primary completion is estimated for Mar 2029, 32 months after the start.

Of 52 phase 3 interventional studies under Fibrosis, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 70. This study's planned 32 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 15, 2025
First posted
Apr 23, 2025
StartActual
Jun 3, 2026
Primary completionEst.
Mar 1, 2029
CompletionEst.
Mar 31, 2029
Last update
Jun 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06941415
Lead sponsor
Stacy Johnson
Responsible party
Stacy Johnson (Professor of Medicine, University of Utah) — Sponsor-investigator
First posted
Apr 23, 2025
Start date
Jun 3, 2026
Primary completion
Mar 1, 2029 (estimated)
Completion
Mar 31, 2029 (estimated)
Last update
Jun 16, 2026

Study contacts

Andrea T White, PhD
Contact
andrea.white@hsc.utah.edu
8015817818
Stacy A Johnson, MD
principal investigator · University of Utah

Oversight

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

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Studies of the drugs tested here: Bumetanide · Furosemide

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