Heart failure & cardiomyopathies

A novel, small-volume subcutaneous furosemide formulation delivered by an abdominal patch infusor device in patients with heart failure: results of two phase I studies

Eur Heart J Cardiovasc PharmacotherPublished Phase I pharmacokinetic/pharmacodynamic studies

Authors' conclusion

The novel preparation of SC furosemide had similar bioavailability to IV furosemide. Administration via a patch pump was feasible and well tolerated.

Study context

Population
Ambulatory patients with heart failure (HF) (pharmacokinetic (PK)/pharmacodynamic (PD) study) and patients hospitalized with HF (patch infusor study)
Comparison
Subcutaneous (SC) furosemide vs intravenous (IV) furosemide
Outcome
Absolute bioavailability of SC vs IV furosemide (PK/PD study); treatment-emergent adverse events, infusion site pain, device performance and PK measurements (patch infusor study)
Methodological detailstwo studies
  • Two studies

Main finding

As reported in the abstract

Absolute bioavailability of SC vs IV furosemide

Absolute bioavailability of SC furosemide vs IV furosemide

112%

Safety

Treatment-emergent adverse events and infusion site discomfort with SC furosemide via patch pump (hospitalized HF)

Treatment-emergent adverse events
0
Participants reporting no/minor discomfort at infusion site
95%

Original publication

A novel, small-volume subcutaneous furosemide formulation delivered by an abdominal patch infusor device in patients with heart failure: results of two phase I studies. Eur Heart J Cardiovasc Pharmacother. Published 6 October 2023. doi:10.1093/ehjcvp/pvad073

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