Status:

COMPLETED

ISGLT2 in Patients Without DM With Acute MI

Lead Sponsor:

Mohammed VI University Hospital

Conditions:

Acute Coronary Syndromes

Heart Failure

Eligibility:

All Genders

Brief Summary

This study will evaluate the effect of ISGLT2 (Dapagliflozin or Empalgliflozin), administered once daily in addition to standard of care treatments for non-diabetic patients with myocardial infarction...

Detailed Description

This is a single-center, prospective study in non-diabetic patients with acute coronary syndrome (ACS) (ST elevation (STEMI) or non-ST elevation (NSTEMI) with left ventricular systolic dysfunction (De...

Eligibility Criteria

Inclusion

  • Inclusion Criteria :
  • Participant must approved the informed consent.
  • Confirmed MI, either STEMI or NSTEMI, according to the fourth universal definition of MI (Thygesen et al 2019).
  • Evidence of impaired regional or global LV systolic function at any timepoint during current MI-related hospitalisation with Ejection Fraction\<50%(established with echocardiogram, radionuclide ventriculogram, contrast angiography or cardiac MRI) or Symptoms of Acute heart failure without cardiogenic Shock.
  • Hemodynamically stable (no episodes of symptomatic hypotension, or arrhythmia with haemodynamic compromise in the last 24 hours).
  • Exclusion Criteria:
  • Known type 1 diabetes mellitus (T1DM) or T2DM at the time for admission.
  • Chronic symptomatic HF with a prior HHF within the last year and known reduced ejection fraction (LVEF≤40 %), documented before the current MI hospitalization.
  • Patients with cardiogenic shock who received vasoactive drugs during index.
  • Hospitalization Severe (eGFR \<20 mL/min/1.73 m2 by local laboratory), unstable or rapidly progressing renal disease at the time of randomization
  • Severe hepatic impairment (Child-Pugh class C) at the time of inclusion into the trial.
  • Active malignancy requiring treatment at the time of screening.
  • Any non-CV condition, eg malignancy, with a life expectancy of less than one years based on the investigator´s clinical judgement.
  • Currently on treatment, or with an indication for treatment, with a sodium glucose co-transporter 2 inhibitor (SGLT2-inhibitor)

Exclusion

    Key Trial Info

    Start Date :

    October 1 2021

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ACTUAL

    End Date :

    December 31 2024

    Estimated Enrollment :

    450 Patients enrolled

    Trial Details

    Trial ID

    NCT06903754

    Start Date

    October 1 2021

    End Date

    December 31 2024

    Last Update

    September 15 2025

    Active Locations (1)

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    Mohammed VI university hospital oujda

    OUDA, Morocco