Status:

UNKNOWN

Effect of Dapagliflozin on Myocardial and Renal Function Following Aortic Valve Stenosis Intervention

Lead Sponsor:

University of Aarhus

Collaborating Sponsors:

Aarhus University Hospital

Conditions:

Aortic Stenosis

Left Ventricle Hypertrophied

Eligibility:

All Genders

18-85 years

Phase:

PHASE2

PHASE3

Brief Summary

Randomized, double-blinded, placebo-controlled study in AS patients with subclinical or clinical heart failure undergoing treatment with TAVR.

Detailed Description

This is a randomized, double-blinded, placebo-controlled study in AS patients with subclinical or clinical heart failure undergoing treatment with TAVR. It evaluates the effect of Dapagliflozin versus...

Eligibility Criteria

Inclusion

  • Signed informed consent
  • Scheduled TAVR for significant symptomatic AS according to current guidelines
  • Age ≥ 18 years and \< 85 years.
  • \*
  • LVEF ≥ 40% and ≤ 50 % or LVEF ≥ 50% with at least one of the following:
  • LV GLS ≤ 15% by TTE
  • LV septum or posterior wall thickness ≥ 12mm by TTE or LV mass index ≥108/131 g/m2 for females/males (mild LVH)
  • LVEF ≥ 50 % and Nt-proBNP \> 600/900 ng/l (sinus rhythm/atrial fibrillation)
  • eGFR \> 30 mL/min/1.73 m2

Exclusion

  • Medically treated type 1 or type 2 diabetes mellitus
  • Ongoing treatment with an SGLT2-inhibitor or intolerance to SGLT2-inhibitors
  • Life expectancy \< 12 months
  • Symptomatic hypotension or persistent SBP \< 100 mmHg
  • Contraindications to CMRI
  • HF due to restrictive or infiltrative cardiomyopathy, active myocarditis, constrictive pericarditis or hypertrophic obstructive cardiomyopathy
  • Additional other untreated severe valvular disease
  • Liver failure
  • Women who are pregnant or plan to be within the study period.
  • Allergy to any substance in the project medicine, both placebo and active medicine.
  • Previous renal transplantation.
  • Chronic dialysis treatment.

Key Trial Info

Start Date :

February 12 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 1 2024

Estimated Enrollment :

106 Patients enrolled

Trial Details

Trial ID

NCT05241431

Start Date

February 12 2022

End Date

April 1 2024

Last Update

February 15 2022

Active Locations (1)

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Aarhus University Hospital

Aarhus, Denmark, 8200