Understanding Diuretic Resistance in Heart Failure

This study aims to understand why some people with heart failure don't respond well to 'water pills' (diuretics). Researchers are testing different combinations of medicines: bendroflumethiazide, amiloride, and a placebo (an inactive substance), all added to bumetanide. You might be able to join if you have a heart failure diagnosis, are at least 18 years old, and your heart failure medications are stable. The study will look at how these drug combinations affect your body's ability to get rid of excess salt and water. The goal is to find better ways to treat heart failure. The current status of this study is unclear.

Study design
This is a randomized, placebo-controlled, double-blind, double-dummy, crossover study planning to enroll 50 participants.
What's involved
You will receive different drug combinations on Days 0, 7, 14, and 21. Your kidney function (FENa) and sodium reabsorption will be measured at 21 days.
Compensation
Not stated in the trial record.
Follow-up
The primary measurements for the study are taken at 21 days.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05753059

Mechanisms of Diuretic Resistance in Heart Failure, Aim 2

Recruiting
PHASE1Ages 18+Interventional
Yale University
~50 participants
Updated 2026-09-08 on ClinicalTrials.gov
What's tested:PlaceboAmilorideBendroflumethiazide

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in peak FENa from bumetanide monotherapy to bumetanide plus combination therapy
Measured over 21 days
+2 more outcomes measured
Heart Failure

NCT05753059

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Yale University

    New Haven, Connecticutno site contact published

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Jeffrey Testani · PRINCIPAL_INVESTIGATOR · Yale University

Opens a ready-to-send draft in your own email app — review before sending.

  • Change in peak FENa from bumetanide monotherapy to bumetanide plus combination therapy21 days

    Change in peak FENa from bumetanide monotherapy to bumetanide plus combination therapy

  • Change in distal sodium reabsorption21 days

    Change in distal sodium reabsorption (FELi minus FENa) from bumetanide monotherapy to bumetanide plus combination therapy

  • Correlation between distal sodium reabsorption and uEV pendrin/CD921 days

    Correlation between distal sodium reabsorption (FELi minus FENa) and uEV pendrin/CD9