Improving heart failure medication use for patients with limited access in Denver
Official title: Optimizing Heart Failure Therapies Among Patients With Limited Access in Denver
Run by Denver Health and Hospital Authority · NCT07435662 · Data updated 2026-11-12
We will see if pharmacist-led medication visits plus simple education help adults with reduced-ejection-fraction heart failure who get care at Denver Health optimize their medications.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Denver Health and Hospital Authority Academic / other |
| Locations | 1 site (Denver, Colorado) |
| Status | Recruiting |
| Started | October 1, 2025 |
| Main results expected | November 1, 2026 |
| Study ends | January 1, 2027 |
| Registry record updated | August 26, 2026 |
| Trial ID | NCT07435662 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with HFrEF (EF ≤40%) who receive care within the Denver Health system and can consent in English or Spanish are the ideal candidates.
✕Probably not a fit
Patients with eGFR <25 mL/min/1.73 m² or on dialysis, those with cirrhosis, those who cannot consent, non-English/non-Spanish speakers, or patients not receiving care at Denver Health are unlikely to benefit from participating.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this randomized, prospective trial at Denver Health, adults with heart failure and reduced ejection fraction are assigned to either pharmacist-directed medication adjustment visits with simplified patient education materials or to standard care. The intervention arm uses scheduled pharmacy follow-up visits focused on titrating guideline-directed heart failure medications and providing patient-centered education. Primary feasibility outcomes include the number of intervention visits completed and the proportion of visits that result in medication adjustments, with additional clinical and process measures collected. Key exclusions include severe renal failure or dialysis, cirrhosis, inability to consent, and non-English/non-Spanish speakers, and all participants must receive care within the Denver Health system.
Why it matters
Potential benefit: If successful, the approach could increase use of guideline-directed heart failure medications among underserved patients and potentially reduce hospitalizations and deaths.
How similar studies have gone: Prior programs using pharmacist-led titration and simplified education have improved medication optimization in privately insured groups, but this model has been less tested in limited-access, safety-net populations.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years * Diagnosis of HFrEF (EF ≤ 40%) * Receiving care within DHHA system Exclusion Criteria: * Estimated glomerular filtration rate (eGFR) \< 25 mL/min/1.73 m² or receiving dialysis. * Cirrhosis * Inability to consent * Non-English or non-Spanish speaking
Where it's running
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Denver Health and Hospital Authority
Denver, Colorado, United States Recruiting
Study contacts
- Study coordinator: Ryan C Martin, MD, MPH
- Email: Ryan.Martin2@dhha.org
- Phone: 303-602-3899
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.