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Pharmacist-Assisted Titration of Rx to Implement Optimal Medical Therapy for Heart Failure

Pharmacist-Assisted Titration of Rx to Implement Optimal Medical Therapy for Heart Failure (PATRIOT-HF) (QUE 25-018)

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years and older
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests whether pharmacists and heart doctors working online can help Veterans get the recommended heart failure medicines at the right doses. It is for Veterans recently hospitalized for heart failure who get care at one of 6 VA medical centers in the study. The team reviews health records and suggests medicine changes to the Veterans’ care providers.

Many Veterans who are hospitalized with heart failure do not receive all the recommended heart medications at the right doses before they leave the hospital or in the weeks following discharge. This study tests whether a team of clinical pharmacists and cardiologists, working virtually, can improve heart failure medication prescribing for Veterans at VA medical centers. The pharmacist and cardiologist team reviews patient records and provides recommendations to the treating doctors and primary care providers caring for Veterans with heart failure. The goal is to increase use of guideline-recommended medications, which have been shown to improve survival, reduce hospitalizations, and improve quality of life.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Hospitalized mainly for heart failure within the past 3 months at a VA medical center or a community hospital paid for by the VA.
  • The heart’s main pumping chamber pumps out 40% or less of its blood with each beat.
  • Health records show that heart failure medicines or doses are not yet at the recommended levels.
  • Receiving care at one of the 6 VA medical centers in the study.

Who can't join

  • Unstable blood pressure or blood flow.
  • Receiving only care to keep you comfortable, or enrolled in hospice care.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: * Admission to a VA medical center or VA-paid community hospital within the preceding 3 months with a primary diagnosis of heart failure * The primary study cohort will consist of those admitted to a VA medical center, while the secondary study cohort will consist of patients admitted to VA-paid community hospitals * Left ventricular ejection fraction ≤ 40% * Not on optimal guideline-directed heart failure medication classes or doses, as assessed in the electronic health record * Receiving care within one of the 6 participating VA medical centers Exclusion Criteria: * Hemodynamic instability * Receiving comfort care measures alone or enrolled in hospice

Study sites (1)

CO