Screening for Early Heart Failure in Primary Care (SYMPHONY-HF)

This study is looking at a new way to find undiagnosed heart failure (HF) in people who are at high risk. You might be able to join if you are 40 or older and have at least two risk factors for heart failure, such as coronary artery disease. Participants will either receive their usual medical care or be in the "investigational arm." In this arm, you'll have a blood test for NT-proBNP (a biomarker that can indicate heart strain). If your NT-proBNP is elevated, you'll have an echocardiogram (an ultrasound of your heart) and a clinical assessment. The goal is to see if this screening strategy can lead to a heart failure diagnosis within 6 months. This study is currently recruiting participants.

Study design
This is an international, unblinded, randomized-controlled study involving about 3904 participants. You will be randomly assigned to either receive routine care or be part of the investigational arm.
What's involved
If you are in the investigational arm, you will have a blood test for NT-proBNP. If this is elevated, you will then have an echocardiogram, clinical exam, and ECG.
Compensation
Not stated in the trial record.
Follow-up
The primary goal is to diagnose heart failure within 6 months, so you will be followed up for at least this period.

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NCT05919342

Screening for earlY Heart Failure Diagnosis and Management in Primary Care or at HOme Using Natriuretic Peptides and echocardiographY "SYMPHONY-HF"

Recruiting
NAAges 40+InterventionalDiagnostic
NHS Greater Glasgow and Clyde
~3,904 participants
Updated 2023-08-04 on ClinicalTrials.gov
What's tested:NT-proBNP

At a glance

Recruiting sites
1 of 7 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Diagnosis of heart failure within 6 months
Measured over 6 months
Heart Failure
Cardiovascular Diseases

NCT05919342

Where you'd take part

This study runs at 7 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Cleveland Clinic

    Cleveland, Ohiostudy coordinator listed

    Not yet recruiting

  • Karolinska University Hospital

    Stockholm, Swedenstudy coordinator listed

    Not yet recruiting

  • Rigshospitalet, Copenhagen University Hospital

    Copenhagen, Denmarkstudy coordinator listed

    Not yet recruiting

  • University of British Columbia

    Vancouver, British Columbia, Canadastudy coordinator listed

    Not yet recruiting

  • University of Glasgow

    Glasgow, Scotland, United Kingdomstudy coordinator listed

    Recruiting

  • University of Montreal

    Montreal, Quebec, Canadastudy coordinator listed

    Not yet recruiting

  • Uppsala University

    Uppsala, Swedenstudy coordinator listed

    Not yet recruiting

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

  • Mark C Petrie, MbChB · PRINCIPAL_INVESTIGATOR · University of Glasgow
  • Carolyn SP Lam · PRINCIPAL_INVESTIGATOR · Duke-NUS Graduate Medical School

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Eligibility criteria

Inclusion

Male or female ≥40 years of age
Informed consent
Two or more of the following risk factors for heart failure:

Exclusion

Inability to give informed consent e.g., due to significant cognitive impairment
Previous documented diagnosis of heart failure
Current renal replacement therapy
Anyone who, in the investigators' opinion, is not suitable to participate in the trial for other reasons e.g., a diagnosis which may compromise survival over the study period
  • Diagnosis of heart failure within 6 months6 months