Actively Recruiting

Phase 4
Age: 20Years +
All Genders
NCT06249945

EMPAgliflozin in Heart Failure With PReserved Ejection Fraction and End Stage Renal Disease

Led by National Taiwan University Hospital · Updated on 2024-12-16

150

Participants Needed

2

Research Sites

356 weeks

Total Duration

On this page

Sponsors

N

National Taiwan University Hospital

Lead Sponsor

S

Shin Kong Wu Ho-Su Memorial Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

The presence of CKD has been linked to the development of HFpEF. Currently, the treatment for HFpEF is limited. SGLT2i are one of the few drug classes that have proven efficacy in HFpEF in randomized controlled trials. The results of mechanistic studies suggest that the benefits of SGLT2i on diastolic heart failure are independent of their glycosuric actions and may still be present in anuric subjects. Despite the significance of HFpEF in patients with CKD, patients with advanced kidney disease have been excluded from studies investigating anti-heart failure drugs. The effects of SGLT2i in patients under maintenance dialysis are largely unknown. Past pharmacokinetics and pharmacodynamics studies on empagliflozin in patients with end-stage renal disease (ESRD) demonstrated that the use of empagliflozin in patients with ESRD seemed safe, yet its efficacy remains to be explored.

CONDITIONS

Official Title

EMPAgliflozin in Heart Failure With PReserved Ejection Fraction and End Stage Renal Disease

Who Can Participate

Age: 20Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age �3E�3D 20 years old
  • ESRD under chronic, maintenance dialysis with stable dry weight for the past 6 months
  • Prior diagnosis of HFpEF, as defined by a score of �3E�3D5 on the HFA-PEFF diagnostic algorithm.
Not Eligible

You will not qualify if you...

  • Age <20 years old
  • Ongoing pregnancy
  • NYHA class IV heart failure
  • Any hospitalization for heart failure within the past month
  • Ongoing acute urinary tract infection at the time of screening
  • Known acute genital infection
  • Severe peripheral artery disease (Rutherford category 4-6)
  • Acute coronary syndrome, stroke or transient ischemic attack within the past month
  • Recent initiation of chronic maintenance hemodialysis within 6 months
  • Adjustment of dry weight with changes greater than 5% of body weight within the past month
  • Documented left ventricular ejection fraction �3C=40% by any imaging modality within 1 month of screening
  • Refused informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

National Taiwan University Hospital Hsinchu Branch

Hsinchu, Taiwan, 300

Actively Recruiting

2

Shin Kong Wu Ho-Su Memorial Hospital

Taipei, Taiwan, 111

Actively Recruiting

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Research Team

D

Donna SH Lin, MD

CONTACT

H

Hao-Yun Lo, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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EMPAgliflozin in Heart Failure With PReserved Ejection Fraction and End Stage Renal Disease | DecenTrialz