Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT05553938

Effects of Acute and Chronic Empagliflozin Heart Failure

Led by Yale University · Updated on 2024-12-18

60

Participants Needed

2

Research Sites

117 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a 60-patient randomized, double-blind, placebo-controlled mechanistic study to understand the utility of empagliflozin in worsening heart failure (HF) patients with or without diabetes. Participants will be randomized to empagliflozin or placebo for 6 weeks, followed by a crossover of placebo patients to active therapy at 6 weeks-12 weeks.

CONDITIONS

Official Title

Effects of Acute and Chronic Empagliflozin Heart Failure

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Clinical diagnosis of worsening heart failure with worsening congestive symptoms
  • Planned outpatient increase or addition of diuretic therapy for worsening heart failure
  • Estimated or reported weight gain of at least 5 pounds
  • Daily oral loop diuretic dose of 20 mg furosemide equivalent or higher for at least one month
  • Estimated glomerular filtration rate (eGFR) of 20 mL/min/1.73 m2 or greater
  • Age 18 years or older
  • Signed informed consent
  • English-speaking participants only
Not Eligible

You will not qualify if you...

  • Need for hospitalization for heart failure at the time of randomization
  • Current use or planned start of renal replacement therapy
  • Significant bladder problems or urinary incontinence
  • Unable to comply with required urine collection procedures
  • Chronic use of high-dose thiazide diuretics (50 mg hydrochlorothiazide or equivalent)
  • Critical valvular heart disease, complex congenital heart disease, or prior heart transplant
  • History of type 1 diabetes, diabetic ketoacidosis, brittle diabetes, or severe hypoglycemia requiring emergency care in the last 6 months
  • History or current urosepsis or frequent urinary tract infections
  • Anemia with hemoglobin below 8 g/dL or active bleeding
  • Pregnancy or breastfeeding
  • Unlikely or unable to participate due to psychiatric, addictive, or neurological conditions as assessed by study staff

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

Yale New Haven Hospital

New Haven, Connecticut, United States, 06520

Actively Recruiting

2

Yale University

New Haven, Connecticut, United States, 06520

Actively Recruiting

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Research Team

V

Veena Rao, PHD

CONTACT

K

Kara Otis

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

OTHER

Number of Arms

2

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