ClinicalTrials.gg
RecruitingNCT07484009ReDS-SAFE HF 2Updated Mar 19, 2026

ReDS-guided Decongestion Strategy in Patients Hospitalized for Heart Failure

An interventional study of Remote Dielectric Sensing System and Blinded ReDS data in Acute Heart Failure (AHF), Heart Failure (for Example, Fluid Overload) and Heart Failure Hospitalization, sponsored by Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal. Recruiting at 25 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2026; still recruiting 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
1,014
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This clinical trial aims to determine whether a ReDS-guided treatment strategy is superior to the current standard of care for adults hospitalized with heart failure. Additionally, the study will evaluate the safety and cost-effectiveness of this approach.

The study seeks to answer the following key questions:

  1. Does the ReDS-guided strategy reduce the risk of cardiovascular events during the first month following hospital discharge?
  2. What is the safety profile of this treatment strategy?

Researchers will compare the ReDS-based strategy against the current standard of care. All participants will:

  • Undergo daily assessments using the ReDS device throughout their hospitalization.
  • Attend two follow-up visits post-discharge, scheduled at 2 weeks and 30 days.
02

Conditions studied

  • Acute Heart Failure (AHF)
  • Heart Failure (for Example, Fluid Overload)
  • Heart Failure Hospitalization

Keywords

  • Heart failure
  • Congestion
  • ReDS
  • Fluid Overload
  • Randomized Clinical Trial
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 1,014 is above the median of 76 across 4,049 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal is the lead sponsor of 83 studies on the registry; 22 are open to participants now.

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

  1. Hospitalized due to heart failure as the main reason, including the presence of symptoms and signs of congestion, regardless of the (LVEF).
  2. NT-proBNP greater than 1000 pg/L or BNP greater than 300 pg/L upon admission.

Exclusion criteria

Exclusion Criteria:

  1. Height less than 150 cm or greater than 190 cm or (BMI) less than 22 or greater than 39, conditions where the use of ReDS is not approved.
  2. Patients requiring inotropes (levosimendan is allowed) or vasopressors upon admission, with mechanical support, or heart transplant recipients.
  3. Any malformation or variant affecting the right lung anatomy (e.g., a pacemaker).
  4. Patients with any heart disease requiring a planned surgical intervention (CABG, valve disease, or other) or percutaneous (TAVR, STE-ACS, mitral or tricuspid valve repair, CRT) during the clinical trial.
  5. Chronic kidney disease with a \<20 or on hemodialysis.
  6. less than 12 months due to non-cardiological origin.
  7. Participation in another clinical trial with intervention.
Terms in these criteria, in plain language(4)

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
1,014 participants (estimated)

Study arms

  • Experimental
    ReDS-guided strategy

    Each day, the clinician responsible for the patient will have access to the ReDS value and will adjust the treatment according to the study's diuretic protocol. The responsible physician can discharge the patient if the clinical stability criteria are met, and the ReDS value is below 35% and a relative reduction of 10% or more from the admission ReDS value has been achieved (i.e. a patient admitted with a ReDS value of 36% should be discharged with a ReDS of 32% at least; or a patient admitted with a ReDS of 34% should be discharged with a ReDS of 31% at least). If the ReDS criteria are not met, the patient should remain hospitalized for another day until these conditions are met. Clinical stability is defined as the presence of at least 2 of the following 3 conditions: i) discharge weight lower than admission weight, ii) at least a 30% reduction in natriuretic peptide from admission, and iii) a score \<2 in the Orthoedema score

    Device: Remote Dielectric Sensing System

  • Sham comparator
    Usual clinical practice strategy

    The responsible physician will not have access to the ReDS values and will adjust the treatment according to their clinical judgment and local practices. Discharge can be given if the clinical stability criteria are met.

    Device: Blinded ReDS data

Interventions

  • DeviceRemote Dielectric Sensing System

    The ReDS system consists of 2 sensors that are placed (sitting or supine) on the front (infraclavicular) and back (below the scapula) of the patient's right hemithorax and in 45 seconds accurately quantifies the proportion of fluid in the lung. The sensors are connected via 1 cable to a touchscreen monitor that easily guides the measurement process and stores this information. The accuracy of this technology has been validated with high-resolution chest computed tomography and invasive hemodynamic measurements with a Swan-Ganz catheter. Normal ReDS values range between 20% and 35% (i.e., 20-35% of the lung would be fluid). Above 35% is considered congestive, whereas below 20% the lung would be "dry" or dehydrated.

  • DeviceBlinded ReDS data

    The responsible physician will not have access to the ReDS values and will adjust the treatment according to their clinical judgment and local practices. Discharge can be given if the clinical stability criteria are met.

06

What researchers measure

Primary outcomes

  1. Number of participants with an efficacy event at 1 month after discharge

    The primary outcome measure is the combined event rate of all-cause mortality, HF readmission, and/or unexpected HF visits requiring diuretic adjustment at 1 month after discharge

    Time frame: From randomization to the end of follow-up at 1 month after hospitalization discharge

  2. Number of participant with a safety event at 1 month after discharge

    The primary outcome measure is the combined event rate of symptomatic systolic hypotension (\<90 mmHg), electrolyte imbalances (potassium below 3 or above 5.5 meq/L), and/or worsening of renal function compared to the baseline visit at the first post-discharge outpatient visit (at least 50% reduction in glomerular filtration rate).

    Time frame: From randomization to the end of follow-up at 1 month after hospitalization discharge

Secondary outcomes

  1. Cost-efficacy outcome measure

    Length of stay and cost of ReDS device

    Time frame: Length of stay of index admission

07

Study locations

11 of 25 sites recruiting
08

References and documents

Publications

  • Lala A, Barghash MH, Giustino G, Alvarez-Garcia J, Konje S, Parikh A, Ullman J, Keith B, Donehey J, Mitter SS, Trivieri MG, Contreras JP, Burkhoff D, Moss N, Mancini DM, Pinney SP. Early use of remote dielectric sensing after hospitalization to reduce heart failure readmissions. ESC Heart Fail. 2021 Apr;8(2):1047-1054. doi: 10.1002/ehf2.13026. Epub 2020 Dec 18. PubMed 33336881 ↗
  • Alvarez-Garcia J, Lala A, Rivas-Lasarte M, De Rueda C, Brunjes D, Lozano-Jimenez S, Garcia-Sebastian C, Mitter S, Remior P, Jimenez-Blanco Bravo M, Del Prado S, Barghash M, Gonzalez-Ferrer E, Ullman J, Cobo M, Segovia-Cubero J, Zamorano JL, Pinney SP, Mancini D. Remote Dielectric Sensing Before and After Discharge in Patients With ADHF: The ReDS-SAFE HF Trial. JACC Heart Fail. 2024 Apr;12(4):695-706. doi: 10.1016/j.jchf.2024.01.002. Epub 2024 Feb 28. PubMed 38430084 ↗

Individual participant data

Plan to share: Undecided

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 Jan 2026 (actual). Primary completion is estimated for Jun 2027, 17 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 17 months is below 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
Mar 6, 2026
First posted
Mar 19, 2026
StartActual
Jan 29, 2026
Primary completionEst.
Jun 30, 2027
CompletionEst.
Aug 31, 2027
Last update
Mar 19, 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 Mar 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07484009
Lead sponsor
Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal
Collaborators
Hospital Universitario Ramon y Cajal, Hospital Universitario 12 de Octubre, Hospital San Carlos, Madrid, Hospital Universitario Fundación Jiménez Díaz, Hospital Universitario La Paz, Hospital General Universitario Gregorio Marañon, Hospital Clinic of Barcelona, Hospital Vall d'Hebron, Hospital Universitari de Bellvitge, Hospital del Mar, Hospital Sant Joan Despí Moisès Broggi, Hospital Arnau de Vilanova, Hospital Universitario Virgen de la Arrixaca, Complejo Hospitalario Universitario de Santiago, Salamanca University Hospital, Complejo Hospitalario Toledo, Hospital Universitario Virgen Macarena, Hospital Universitario Reina Sofia de Cordoba, Hospital Universitario Virgen de la Victoria, Hospital Universitario Marqués de Valdecilla, Hospital Clínico Universitario de Valencia, Fundación Centro Nacional de Investigaciones Cardiovasculares Carlos III, Puerta de Hierro University Hospital, La Princesa University Hospital Madrid, University Hospital of Girona Dr. Josep Trueta, Joan XXIII University Hospital
Responsible party
Jesus Alvarez-Garcia (Head of the Heart Failure Section, Hospital Universitario Ramon y Cajal) — Principal investigator
First posted
Mar 19, 2026
Start date
Jan 29, 2026
Primary completion
Jun 30, 2027 (estimated)
Completion
Aug 31, 2027 (estimated)
Last update
Mar 19, 2026

Study contacts

Jesús Álvarez-García, MD, PhD
Contact
jalvarezg82@gmail.com
34 667495661
Cristina Rey Iborra, BSN
Contact
creyi@salud.madrid.org
Jesús Álvarez-García, MD, PhD
principal investigator · Ramón y Cajal University Hospital, Madrid, Spain

Oversight

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

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