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NCT07756801Not yet recruitingPhase 4

Capital Offload-Shock

Optimal Timing of Renal Replacement Therapy in Hypervolemic Cardiogenic Shock

Source: ClinicalTrials.gov · Last updated 30 Oct 2026

Brief summary (registry, in English)

CAPITAL OFFLOAD-SHOCK will aim to answer if early use of renal replacement therapy, like dialysis, in patients with reduced body fluids causing the heart to be unable to pump enough blood through the body reduces in-hospital death when compared to the current standard of care. The current standard of care is to wait until renal replacement therapy is clinically necessary.

Status (registry)
Not yet recruiting
Phase (registry)
Phase 4
Study type
Interventional
Enrollment
456 (estimated)
First submitted
17 Jul 2026
Start date
1 Dec 2026
Primary completion date
Sept 2027
Lead sponsor
Ottawa Heart Institute Research Corporation
NCT number
NCT07756801

What you commit to

  • Study type: Interventional · Phase 4
  • Planned participants: 456
  • From 1 Dec 2026 to the primary completion date, Sept 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patients whose care plan, as determined by the treating clinical team, will not include renal replacement therapy
  • Decision has already been made by the treating clinical team to initiate renal replacement therapy
  • Acute intoxication necessitating use of renal replacement therapy
  • Recent renal replacement therapy (within 30 days)

Other illness

  • Known end-stage renal disease (defined as an estimated glomerular filtration rate \<15 ml/min/1.73m2
  • presentation with out-of-hospital cardiac arrest

Lab values

  • Hyperkalemia with serum potassium \>/= 6mmol/L at the time of screening
  • Severe metabolic acidosis with serum bicarbonate \</= 12 mmol/L at the time of screening
  • Severe azotemia with serum urea \>/= 40 mmol/L at the time of screening

Who the study is looking for

  • adult patients \>/= 18 years of age admitted to an intensive care unit
  • Diagnosed clinically with Society for Cardiovascular Angiography and Interventions (SCAI) Class C or D cardiogenic shock
  • Clinical or hemodynamic evidence of volume overload

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
University of Ottawa Heart Institute
Coordinator of this site? Confirm its status
OttawaCanadaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.