Acute Decompensated Heart FailureNCT05206422
DORAYA-HF Early Feasibility Study
A study testing Doraya Catheter in people with Acute Decompensated Heart Failure, run by Revamp Medical Inc. at 14 sites in United States.
Trial summary
The study objective is to evaluate the feasibility of the Doraya Catheter and measure clinical performance and safety endpoints, in ADHF patients deemed to have insufficient diuretic response. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Decompensated Heart Failure
- What is being tested?
- Doraya Catheter
- Type of treatment
- Injection or infusion, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 21 participants
- Where
- 14 sitesUnited States
- Study dates
- 5 Oct 2022to 31 Jan 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subject is >18 years of age.
- Subject is hospitalized with primary diagnosis of ADHF.
- N-terminal-pro-brain natriuretic peptide (NT-proBNP) ≥1,000 pg/m or BNP≥250 pg/mL for body-mass index (BMI) ≤25.
- Evidence of fluid overload as indicated by 2 or more of the following criteria:
- peripheral edema ≥ 2+
- radiographic pulmonary edema or pleural effusion
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- enlarged liver or ascites
- pulmonary rales or paroxysmal nocturnal dyspnea, or orthopnea
- Jugular venous distention > 7 cmH2O
- IVCCI < 50% by cardiac ultrasonography or elevated CVP (or RAP) ≥12 mmHg (Invasively measured).
- Subject insufficiently responds to IV diuretic therapy defined as average hourly urine output <125ml/hour over 6 hours OR cumulative urine output < 3L over 24 hours OR a Net Fluid Loss <375mL in a 12-hour timeframe following ≥2 diuretic challenges with a minimum of:
- 1st diuretic dose: ≥2X chronic oral daily dose (IV) or 80 mg IV Lasix or equivalent.
- 2nd diuretic dose: ≥ 80 mg IV Lasix or equivalent.
- Females who are not pregnant or lactating and not planning to become pregnant for the duration of the study. Females of child-bearing potential must have a negative pregnancy test.
- Procedural Inclusion Criterion
- CVP (or RAP) ≥12 mmHg and PCWP ≥ 18 mmHg confirmed in the Cath Lab, via femoral line, pigtail, Swan Ganz, or other indwelling catheter.
Who cannot join
- Systolic blood pressure <90 mmHg at the time of screening.
- Acute myocardial infarction or acute coronary syndrome or cardiogenic shock or pleurocentesis within past 14 days or cardiovascular intervention within past 14 days.
- Known LVEF < 10% by echocardiography within 1 year prior to enrollment.
- Complex congenital heart disease (e.g., Tetralogy of Fallot subjects, single ventricle physiology).
- Known active myocarditis, hypertrophic obstructive cardiomyopathy, infiltrative cardiomyopathy (e.g., amyloidosis), constrictive pericarditis or cardiac tamponade.
- Severe Aortic valvular disorder (i.e., hemodynamically relevant valvular diseases such as severe stenosis \severe regurgitation) or Severe mitral disease with planned intervention.
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- Subject has severe renal dysfunction, defined as either eGFR <25 ml/min/1.73 m2 BSA on admission or on renal replacement therapy.
- Subject with advanced liver disease: either Total Bilirubin > 4 mg/dL or Serum sodium (corrected for glucose) < 125 mmol/L.
- Treatment with high dose IV inotropes within 2 days prior to enrollment. High dose is defined as > 1 unit of inotrope (excluding Digoxin) as follows: 5 µg/kg/min dopamine = 1 unit, 5 µg/kg/min dobutamine= 1 unit, 0.375 µg/kg/min milrinone = 1 unit.
- Subject with a history of:
- Deep vein thrombosis that occurred < 6 months prior to enrollment, and/or;
- Pulmonary embolism episode that occurred < 6 months prior to enrollment.
- Evidence of active systemic infection documented by either one of the following: fever >38°C/100°F, or ongoing uncontrolled infection (i.e. inflammatory parameters not decreasing despite > 48 hrs of antibiotic treatment).
- Subjects with a known infra-renal IVC diameter of <16mm.
- Moribund subject or subject with severe or deteriorating damage in more than 3 critical body systems, based on investigator's clinical judgement.
Trial locations and contacts
14 sites in 1 country.
14 sites in 1 country
United States14 sites
Piedmont Hospital
Augusta, Georgia, 30901
The Christ Hospital
Cincinnati, Ohio, 45219
The MetroHealth System
Cleveland, Ohio, 44109
Prisma Health
Columbia, South Carolina, 29203
The Ohio State University
Columbus, Ohio, 43210
Baylor University Medical Center
Dallas, Texas, 75246
Northeast Georgia Medical Center
Gainesville, Georgia, 30501
CHI St. Luke's Health-Baylor St. Luke's Medical Center
Houston, Texas, 77030
Oklahoma Heart
Oklahoma City, Oklahoma, 73135
Zuckerberg San Francisco General
San Francisco, California, 94110
San Francisco VA
San Francisco, California, 94121
UCSF
San Francisco, California, 94143
Christian Hospital
St Louis, Missouri, 63136
Cleveland Clinic
Weston, Florida, 33331
About this study
Official title: DORAYA-HF: Assessment of the Doraya Catheter for the Treatment of Volume Overload in Acute Heart Failure Patients With Insufficient Response to Diuretics
The study objective is to evaluate the feasibility of the Doraya Catheter and measure clinical performance and safety endpoints, in ADHF patients deemed to have insufficient diuretic response.
- Conditions
- Acute Decompensated Heart Failure
- Being tested
- Doraya Catheter
- Keywords
- ADHF
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Doraya CatheterDevice
The Doraya Catheter is a temporary intravenous flow regulator, positioned in the inferior vena cava below the level of the renal veins
| Study group | Role | What they receive |
|---|---|---|
| Control Arm | No intervention | Diuretics only |
| Doraya Catheter | Experimental | Doraya Catheter with diuretics Receives: Device: Doraya Catheter |
What is being measured
The primary outcome is the main question the study is designed to answer.
Serious Adverse Events
Device or procedure related SAEs rate (including MACE) based on CEC adjudication.
Measured: 30 days
Urine Output
Change in rate of urine output
Measured: baseline [pre intervention] and accumulated through 24 hours [T=0-24 hours]
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jan 2022
- Study start5 Oct 2022
- Primary completion31 Jan 2026
- Study completion31 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acute Decompensated Heart FailureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 21 participants (actual)
Sponsor and investigators
- Lead sponsor
- Revamp Medical Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Mike Favet, Study director, CEO
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05206422
- Sponsor's protocol ID
- CIS-D-03
- Status last verified
- Oct 2025
- First submitted
- 28 Dec 2021
- Last updated
- 13 Aug 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 13 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- DORAYA-HF: Assessment of the Doraya Catheter for the Treatment of Volume Overload in Acute Heart Failure Patients With Insufficient Response to Diuretics
- ClinicalTrials.gov ID
- NCT05206422
- Acronym / sponsor ID
- CIS-D-03
- Conditions
- Acute Decompensated Heart Failure
- Keywords
- ADHF
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 21 participants (actual)
- Lead sponsor
- Revamp Medical Inc.Industry (pharma, biotech, devices)
- Study start
- 5 Oct 2022 (actual)
- Primary completion
- 31 Jan 2026 (actual)
- Study completion
- 31 Jan 2026 (actual)
- First posted
- 25 Jan 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study objective is to evaluate the feasibility of the Doraya Catheter and measure clinical performance and safety endpoints, in ADHF patients deemed to have insufficient diuretic response.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control Arm | No intervention | –Diuretics only |
| Doraya Catheter | Experimental | Device: Doraya CatheterDoraya Catheter with diuretics |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Subject is >18 years of age.
- Subject is hospitalized with primary diagnosis of ADHF.
- N-terminal-pro-brain natriuretic peptide (NT-proBNP) ≥1,000 pg/m or BNP≥250 pg/mL for body-mass index (BMI) ≤25.
- Evidence of fluid overload as indicated by 2 or more of the following criteria:
- IVCCI < 50% by cardiac ultrasonography or elevated CVP (or RAP) ≥12 mmHg (Invasively measured).
Key exclusion criteria (15 listed)
- Systolic blood pressure <90 mmHg at the time of screening.
- Acute myocardial infarction or acute coronary syndrome or cardiogenic shock or pleurocentesis within past 14 days or cardiovascular intervention within past 14 days.
- Known LVEF < 10% by echocardiography within 1 year prior to enrollment.
- Complex congenital heart disease (e.g., Tetralogy of Fallot subjects, single ventricle physiology).
- Known active myocarditis, hypertrophic obstructive cardiomyopathy, infiltrative cardiomyopathy (e.g., amyloidosis), constrictive pericarditis or cardiac tamponade.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Doraya CatheterThe Doraya Catheter is a temporary intravenous flow regulator, positioned in the inferior vena cava below the level of the renal veins | Device | Doraya Catheter |
Primary outcome
Serious Adverse Events
Time frame: 30 days
Device or procedure related SAEs rate (including MACE) based on CEC adjudication.
Urine Output
Time frame: baseline [pre intervention] and accumulated through 24 hours [T=0-24 hours]
Change in rate of urine output
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Aug 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mike Favet study director
CEO
14 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Doraya Catheter in people with Acute Decompensated Heart Failure, run by Revamp Medical Inc. at 14 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 14 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Serious Adverse Events (time frame: 30 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Aug 2026.