ClinicalTrials.gg
RecruitingNCT06961929Updated May 26, 2026

IEEM-Heat and Heart Failure

An interventional study of Control Trial and Water-saturated T-shirt trial in Heart Failure and Hyperthermia, sponsored by University of Texas Southwestern Medical Center. Recruiting at 1 site in United States. Open to participants aged 45 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-26.

Sponsored by University of Texas Southwestern Medical Center · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
45 Years and older
Sex
All
01

Study summary

We will test the hypothesis that increasing skin wetness, and thus evaporative cooling, will attenuate the increase in core body temperature and accompanying cardiac stress during heat wave conditions in individuals with congestive heart failure. Secondly, we propose that wearing a water-saturated T-shirt will also be beneficial to attenuate the increase in core body temperature and accompanying cardiac stress during heat wave conditions in individuals with congestive heart failure. To accomplish these objectives, individuals with congestive heart failure and otherwise healthy control individuals will be exposed to the simulated heat wave condition (hot and dry) with the following cooling modalities: A) control trial (no limb immersion or skin wetting), B) skin wetting only trial, and C) water-saturated T-shirt trial in a randomized crossover fashion. Thermoregulatory and cardiovascular responses will be evaluated throughout these simulated heat wave exposures.

Primary outcomes variables will be skin and core temperatures, while secondary variables will include measures of cardiovascular stress, myocardial perfusion, heart rate, and echo-based measures of cardiac function.

02

Conditions studied

  • Heart Failure
  • Hyperthermia

Keywords

  • heat wave
  • cardiovascular
  • cooling strategies
  • myocardial perfusion
03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's planned enrollment of 88 is above the median of 76 across 4,049 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

University of Texas Southwestern Medical Center is the lead sponsor of 1,010 studies on the registry; 199 are open to participants now.

Of its 139 completed or terminated interventional studies of FDA-regulated products, 105 (76%) have results posted.

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

04

Who can participate

Ages eligible
45 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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 for healthy control participants:

  • Participants must be free of any significant underlying medical problems based upon a detailed medical history and physical exam, and normal resting . Participants must be 45+ years.

Exclusion Criteria for healthy control participants:

  • Known heart disease; other chronic medical conditions requiring regular medical therapy including cancer, diabetes, neurological diseases, and uncontrolled hypertension, lung disease, etc.; as well as serious abnormalities detected on routine screening. Current smokers, as well as individuals who regularly smoked within the past 12 months, will be excluded. Subjects who cannot be age and gender matched to an individual in the heart failure group will be excluded.

Inclusion criteria

Inclusion Criteria for Participants with CHF:

- The participant must have a diagnosis of congestive heart failure (e.g., heart failure with reduced ), with the severity categorized as (NYHA) class II or III. Participants must be 45+ years.

Exclusion criteria

Exclusion Criteria for Participants with CHF:

-Patients who do not have confirmed diagnosis of class II or III heart failure will be excluded from the clinical group. Potential participants with cancer, diabetes, neurological disease, lung disease, and/or uncontrolled hypertension will be excluded. Potential participants with a left bundle branch block on will be excluded. Patients on anticoagulant therapy will also be excluded. Current smokers, as well as individuals who regularly smoked within the past 12 months, will be excluded. Further exclusions will include severe valvular or congenital heart disease, acute myocarditis, NYHA Class IV heart failure, and/or manifest/provocable ischemic heart disease.

Terms in these criteria, in plain language(3)

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
88 participants (estimated)

Study arms

  • Active comparator
    Individuals with Congestive Heart Failure (CHF)

    Other: Control Trial · Other: Water-saturated T-shirt trial · Other: Skin-Wetting Trial

  • Active comparator
    Individuals without Congestive Heart Failure (Control)

    Other: Control Trial · Other: Water-saturated T-shirt trial · Other: Skin-Wetting Trial

Interventions

  • OtherControl Trial

    All participants will be exposed to a period of hyperthermia (hot and dry). In this condition, participants will not be given an experimental cooling modality.

  • OtherWater-saturated T-shirt trial

    All participants will be exposed to a period of hyperthermia (hot and dry). In this condition, participants will also wear a T-shirt that has been saturated with water.

  • OtherSkin-Wetting Trial

    All participants will be exposed to a period of hyperthermia (hot and dry). In this condition, participants will also be sprayed with water periodically.

06

What researchers measure

Primary outcomes

  1. Change in Core Body Temperature while wearing a water-saturated T-shirt

    Core body temperature will be measured from gastrointestinal temperature via an ingestible telemetric pill or rectal temperature via telemetric pill suppository or rectal thermistor. Core body temperature will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those temperatures will reflect the change in core body temperature.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

  2. Change in Core Body Temperature in Skin-Wetting Trial

    Core body temperature will be measured from gastrointestinal temperature via an ingestible telemetric pill or rectal temperature via telemetric pill suppository or rectal thermistor. Core body temperature will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those temperatures will reflect the change in core body temperature.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

  3. Change in Core Body Temperature in Control Trial

    Core body temperature will be measured from gastrointestinal temperature via an ingestible telemetric pill or rectal temperature via telemetric pill suppository or rectal thermistor. Core body temperature will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those temperatures will reflect the change in core body temperature.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

  4. Change in Skin Temperature in while wearing a water-saturated T-shirt

    Skin temperature will be measured from small temperature sensitive electrodes attached to the participant's skin. Skin temperature will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those temperatures will reflect the change in skin temperature.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

  5. Change in Skin Temperature in Skin-Wetting Trial

    Skin temperature will be measured from small temperature sensitive electrodes attached to the participant's skin. Skin temperature will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those temperatures will reflect the change in skin temperature.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

  6. Change in Skin Temperature in Control Trial

    Skin temperature will be measured from small temperature sensitive electrodes attached to the participant's skin. Skin temperature will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those temperatures will reflect the change in skin temperature.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

Secondary outcomes

  1. Change in Heart Rate while wearing a water-saturated T-shirt

    Heart rate will be measured from ECG electrodes attached to the participant. Heart rate will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those heart rates will reflect the change in heart rate.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

  2. Change in Heart Rate in Skin-Wetting Trial

    Heart rate will be measured from ECG electrodes attached to the participant. Heart rate will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those heart rates will reflect the change in heart rate.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210minutes.)

  3. Change in Heart Rate in Control Trial

    Heart rate will be measured from ECG electrodes attached to the participant. Heart rate will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those heart rates will reflect the change in heart rate.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210minutes.)

  4. Rate Pressure Product while wearing a water-saturated T-shirt

    Rate Pressure Product is calculated by multiplying Systolic Blood Pressure and Heart Rate.

    Time frame: At the end of each heat wave exposure. Approximately 210minutes after the start of the heat wave simulation.

  5. Rate Pressure Product in Skin-Wetting Trial

    Rate Pressure Product is calculated by multiplying Systolic Blood Pressure and Heart Rate.

    Time frame: At the end of each heat wave exposure. Approximately 210minutes after the start of the heat wave simulation.

  6. Rate Pressure Product in Control Trial

    Rate Pressure Product is calculated by multiplying Systolic Blood Pressure and Heart Rate.

    Time frame: At the end of each heat wave exposure. Approximately 210minutes after the start of the heat wave simulation.

  7. Change in Cardiac Output while wearing a water-saturated T-shirt

    Cardiac output (how much blood is ejected from the heart) will be measured using echocardiography. Cardiac output will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those heart rates will reflect the change in cardiac output.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

  8. Change in Cardiac Output in Skin-Wetting Trial

    Cardiac output (how much blood is ejected from the heart) will be measured using echocardiography. Cardiac output will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those heart rates will reflect the change in cardiac output.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

  9. Cardiac Output in Control Trial

    Cardiac output (how much blood is ejected from the heart) will be measured using echocardiography. Cardiac output will be measured at baseline as well as at the end of the hyperthermia simulation. The difference of those heart rates will reflect the change in cardiac output.

    Time frame: Prior to and after each simulated heat wave exposure (approximately 210 minutes.)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

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 Oct 2025 (actual). Primary completion is estimated for Jul 2030, 57 months after the start.

Of 1,118 non-industry interventional studies with no phase under Heart Failure, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 50. This study's planned 57 months is above that.

Counting every sponsor, half of 1,354 studies reached it within 31 months; a quarter within 16 and three quarters within 52.

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

Registered
Apr 29, 2025
First posted
May 8, 2025
StartActual
Oct 1, 2025
Primary completionEst.
Jul 1, 2030
CompletionEst.
Jul 1, 2030
Last update
May 26, 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 May 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06961929
Responsible party
Craig Crandall (Principal Investigator, University of Texas Southwestern Medical Center) — Principal investigator
First posted
May 8, 2025
Start date
Oct 1, 2025
Primary completion
Jul 1, 2030 (estimated)
Completion
Jul 1, 2030 (estimated)
Last update
May 26, 2026

Study contacts

Craig Crandall, PhD
Contact
craigcrandall@texashealth.org
214-345-4623
Rachel Cottle, PhD
Contact
rachelcottle@texashealth.org
214-345-4737

Oversight

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

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