Optimizing NT-proBNP Inclusion Cut-offs for Randomized Clinical Trials in Heart Failure: Data from the Swedish Heart Failure Registry

Higher NT-proBNP cut-offs were associated with increased event enrichment but also higher screening failure. These findings support the use of higher cut-offs currently used in HF RCTs and suggest that future trials should tailor NT-proBNP cut-offs to trial aims, balancing enrichment with enrolment feasibility and considering obesity and CKD in addition to EF and AF.

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Publication Details

Journal
ESC Heart Failure
Published
2026-03-26
DOI
https://doi.org/10.1093/eschf/xvag089
Primary Topic
Heart Failure Treatment and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Optimizing NT-proBNP Inclusion Cut-offs for Randomized Clinical Trials in Heart Failure: Data from the Swedish Heart Failure Registry

Megan Schroeder, Gianluigi Savarese, Christoph Gerlinger, Yvonne Mei Fong Lim et al.
ESC Heart Failure
Heart Failure Treatment and Management
article

Optimizing NT-proBNP Inclusion Cut-offs for Randomized Clinical Trials in Heart Failure: Data from the Swedish Heart Failure Registry

Megan Schroeder, Gianluigi Savarese, Christoph Gerlinger, Yvonne Mei Fong Lim, Ulf Dahlström, Stefan Koudstaal, L H Lund
article en

Abstract

Higher NT-proBNP cut-offs were associated with increased event enrichment but also higher screening failure. These findings support the use of higher cut-offs currently used in HF RCTs and suggest that future trials should tailor NT-proBNP cut-offs to trial aims, balancing enrichment with enrolment feasibility and considering obesity and CKD in addition to EF and AF.

ESC Heart Failure
Linköping University (SE), Ministry of Health (MY), Karolinska University Hospital (SE), Zimmer Biomet (Netherlands) (NL), Utrecht University (NL), Karolinska Institutet (SE), University Medical Center Utrecht (NL), Stockholm South General Hospital (SE), Bayer (Germany) (DE), Ludwig-Maximilians-Universität München (DE), Erasmus University Rotterdam (NL), Saarland University (DE)
Good health and well-being
Openalex Percentile: Top 12%
Heart Failure Treatment and Management
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Optimizing NT-proBNP Inclusion Cut-offs for Randomized Clinical Trials in Heart Failure: Data from the Swedish Heart Failure Registry — Megan Schroeder, Gianluigi Savarese, et al. · ESC Heart Failure (2026) | TGRS Research Map | TGRS