Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Peripheral factors that drive heart failure progression (PEDAL-HF)

Official title: Peripheral Drivers of Heart Failure Progression - The Prospective PEDAL-HF Study

Run by University of Leipzig · NCT06656832 · Data updated 2026-11-12

This trial will test whether heart-failure network care helps people recently hospitalized with acute decompensated heart failure (NYHA II–IV) improve biomarker levels and clinical outcomes compared with usual care.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1000 (estimated)
SponsorUniversity of Leipzig
Academic / other
Locations1 site (Leipzig)
StatusRecruiting
StartedNovember 28, 2024
Main results expectedOctober 1, 2028
Study endsDecember 31, 2028
Registry record updatedMay 6, 2026
Trial IDNCT06656832 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults (18 years or older) recently admitted with acute decompensated heart failure (NYHA II–IV) with objective structural cardiac abnormalities who can provide informed consent and are not pregnant.

Probably not a fit

Patients under 18, pregnant individuals, those unable to consent, people institutionalized by court order, or those with stable non-decompensated heart failure are unlikely to receive benefit from the network intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

PEDAL-HF is a registry-based, randomized, prospective multicenter trial planning to enroll about 1,000 patients hospitalized with acute decompensated heart failure at five tertiary heart clinics in Germany. In the randomized component, 750 participants will be assigned to either care within a structured heart-failure network or to usual care, with the primary randomized endpoint being change in NT-proBNP from baseline to six months. All enrolled patients, randomized or not, will be followed for two years to capture longer-term outcomes and healthcare use. The design combines registry enrollment with randomized assignment to test whether coordinated networked care changes biomarker trajectories and the clinical course of heart failure.

Why it matters

Potential benefit: If successful, networked heart-failure care could lower NT-proBNP, reduce rehospitalizations, and improve symptom control by coordinating specialized follow-up.

How similar studies have gone: Previous disease-management and heart-failure network programs have demonstrated improvements in readmission rates and quality of care, and this trial builds on that evidence using a registry-based randomized format.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients admitted to the participating study centres with acute decompensated heart failure (ADHF), defined as clinical signs and/or symptoms of heart failure
* objective structural cardiac abnormalitites according to the ESC criteria.

Exclusion Criteria:

* Age \<18 years
* pregnancy
* any condition interfering with the informed consent process
* patients placed in an institution by official or court order

Where it's running

  • University Hospital Leipzig
    Leipzig, Germany
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.