Heart failure & cardiomyopathies

Potassium Reduction with Sodium Zirconium Cyclosilicate in Patients with Heart Failure

ESC Heart FailPublished Randomised controlled trial

  • prematurely terminated
  • Prematurely terminated due to challenges in participant management related to the COVID-19 pandemic

Authors' conclusion

PRIORITIZE-HF was terminated prematurely due to COVID-19 and did not demonstrate a statistically significant increase in the intensity of RAAS inhibitor therapies with the potassium-reducing agent SZC compared with placebo.

Study context

Population
Patients with symptomatic heart failure and reduced ejection fraction (HFrEF)randomized
Participants
182 patients
Comparison
Sodium zirconium cyclosilicate (SZC) vs placebo to intensify renin-angiotensin-aldosterone system (RAAS) inhibitor therapy
Primary endpoint
Distribution of patients by RAAS inhibitor category: (i) any RAAS inhibitor < target dose, no MRA; (ii) any RAAS inhibitor at target dose, no MRA; (iii) MRA < target dose; (iv) MRA at target dose
Follow-up
12 weeks
Methodological detailsinternational, multicentre, parallel-group, double-blind, placebo-controlled
  • International
  • Multicentre
  • Parallel-group
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Distribution by RAAS inhibitor treatment category · 3 months
  • SZC vs Placebo: P = 0.43

Further findings

Patients at target MRA dose · numerically higher with SZC

Safety

Tolerability

SZC was well tolerated

Original publication

Potassium Reduction with Sodium Zirconium Cyclosilicate in Patients with Heart Failure. ESC Heart Fail. Published 23 December 2022. doi:10.1002/ehf2.14268

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.