Empagliflozin in Heart Failure Patients With Reduced Ejection Fraction

NCT ID: NCT03198585

Last Updated: 2020-02-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

190 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-29

Study Completion Date

2020-01-17

Brief Summary

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To assess the effect of Empagliflozin on cardiac biomarkers, cardiac function at rest and during stress, cardiac hemodynamics, renal function, metabolism, daily activity level and health-related quality of life in stable, symptomatic heart failure patients with reduced left ventricular ejection fraction.

The primary hypothesis is that 3 months' treatment with Empagliflozin 10 mg a day will reduce the plasma concentrations of N-terminal pro-brain natriuretic peptide (NT-proBNP).

Detailed Description

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Conditions

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Heart Failure With Reduced Ejection Fraction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Empagliflozin 10 mg

Group Type ACTIVE_COMPARATOR

Empagliflozin 10 MG

Intervention Type DRUG

Capsule, once a day for 90 days

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Capsule, once a day for 90 days

Interventions

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Empagliflozin 10 MG

Capsule, once a day for 90 days

Intervention Type DRUG

Placebo

Capsule, once a day for 90 days

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Optimal Heart Failure Therapy in accordance with European and National Guidelines
* LVEF ≤ 0.40
* eGFR \> 30 ml/min/1.73 m2
* BMI \< 45 kg/m2
* NYHA class I-III
* Age \> 18 years
* If T2D - optimal treatment in accordance with European and National Guidelines
* If T2D - stable doses of antiglycemic treatment for 30 days
* If T2D - HbA1C 6.5-10%

Exclusion Criteria

* CRT-D/-P implanted \< 90 days
* Uncorrected severe valvular disease
* Non-compliance
* Use of metalozone
* NYHA IV
* Age \> 85 years
* Dementia
* Admission for HF \< 30 days
* Admission for hypoglycemia \< 12 month
* Known sustained VT
* Symptomatic hypotension and systolic BP \< 95 mmHg
* Unable to perform an exercise test
* Immobilization
* Pregnancy
* Participation in other medical trials
* Previous intolerance of Empagliflozin or excipients
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Morten Schou

OTHER

Sponsor Role lead

Responsible Party

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Morten Schou

MD, PhD, Consultant Cardiologist, Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Morten Schou, MD

Role: PRINCIPAL_INVESTIGATOR

Herlev and Gentofte University Hospital

Jacob E Moller, MD

Role: PRINCIPAL_INVESTIGATOR

Odense University Hospital

Locations

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Herlev and Gentofte University Hospital

Copenhagen, , Denmark

Site Status

Odense University Hospital

Odense, , Denmark

Site Status

Countries

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Denmark

References

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Omar M, Jensen J, Frederiksen PH, Ali M, Kistorp C, Videbaek L, Poulsen MK, Tuxen CD, Borlaug BA, Moller S, Gustafsson F, Kober L, Schou M, Moller JE. Effects of Empagliflozin on Right Ventricular Function in Heart Failure with Reduced Ejection Fraction. medRxiv [Preprint]. 2025 Jun 2:2025.05.30.25328686. doi: 10.1101/2025.05.30.25328686.

Reference Type DERIVED
PMID: 40502611 (View on PubMed)

Jensen J, Omar M, Kistorp C, Tuxen C, Poulsen MK, Faber J, Kober L, Gustafsson F, Moller JE, Schou M. Effect of Empagliflozin on Multiple Biomarkers in Heart Failure: Insights From the Empire Heart Failure Trial. Circ Heart Fail. 2022 Aug;15(8):e009333. doi: 10.1161/CIRCHEARTFAILURE.121.009333. Epub 2022 Apr 21. No abstract available.

Reference Type DERIVED
PMID: 35973031 (View on PubMed)

Omar M, Jensen J, Kistorp C, Hojlund K, Videbaek L, Tuxen C, Larsen JH, Andersen CF, Gustafsson F, Kober L, Schou M, Moller JE. The effect of empagliflozin on growth differentiation factor 15 in patients with heart failure: a randomized controlled trial (Empire HF Biomarker). Cardiovasc Diabetol. 2022 Feb 27;21(1):34. doi: 10.1186/s12933-022-01463-2.

Reference Type DERIVED
PMID: 35219331 (View on PubMed)

Omar M, Jensen J, Burkhoff D, Frederiksen PH, Kistorp C, Videbaek L, Poulsen MK, Gustafsson F, Kober L, Borlaug BA, Schou M, Moller JE. Effect of Empagliflozin on Blood Volume Redistribution in Patients With Chronic Heart Failure and Reduced Ejection Fraction: An Analysis From the Empire HF Randomized Clinical Trial. Circ Heart Fail. 2022 Mar;15(3):e009156. doi: 10.1161/CIRCHEARTFAILURE.121.009156. Epub 2021 Nov 8.

Reference Type DERIVED
PMID: 34743533 (View on PubMed)

Omar M, Jensen J, Frederiksen PH, Videbaek L, Poulsen MK, Brond JC, Gustafsson F, Borlaug BA, Schou M, Moller JE. Hemodynamic Determinants of Activity Measured by Accelerometer in Patients With Stable Heart Failure. JACC Heart Fail. 2021 Nov;9(11):824-835. doi: 10.1016/j.jchf.2021.05.013. Epub 2021 Sep 8.

Reference Type DERIVED
PMID: 34509409 (View on PubMed)

Jensen J, Omar M, Kistorp C, Tuxen C, Gustafsson I, Kober L, Gustafsson F, Faber J, Forman JL, Moller JE, Schou M. Metabolic Effects of Empagliflozin in Heart Failure: A Randomized, Double-Blind, and Placebo-Controlled Trial (Empire HF Metabolic). Circulation. 2021 Jun;143(22):2208-2210. doi: 10.1161/CIRCULATIONAHA.120.053463. Epub 2021 Jun 1. No abstract available.

Reference Type DERIVED
PMID: 34061581 (View on PubMed)

Omar M, Jensen J, Ali M, Frederiksen PH, Kistorp C, Videbaek L, Poulsen MK, Tuxen CD, Moller S, Gustafsson F, Kober L, Schou M, Moller JE. Associations of Empagliflozin With Left Ventricular Volumes, Mass, and Function in Patients With Heart Failure and Reduced Ejection Fraction: A Substudy of the Empire HF Randomized Clinical Trial. JAMA Cardiol. 2021 Jul 1;6(7):836-840. doi: 10.1001/jamacardio.2020.6827.

Reference Type DERIVED
PMID: 33404637 (View on PubMed)

Jensen J, Omar M, Kistorp C, Tuxen C, Gustafsson I, Kober L, Gustafsson F, Faber J, Malik ME, Fosbol EL, Bruun NE, Forman JL, Jensen LT, Moller JE, Schou M. Effects of empagliflozin on estimated extracellular volume, estimated plasma volume, and measured glomerular filtration rate in patients with heart failure (Empire HF Renal): a prespecified substudy of a double-blind, randomised, placebo-controlled trial. Lancet Diabetes Endocrinol. 2021 Feb;9(2):106-116. doi: 10.1016/S2213-8587(20)30382-X. Epub 2020 Dec 22.

Reference Type DERIVED
PMID: 33357505 (View on PubMed)

Jensen J, Omar M, Kistorp C, Poulsen MK, Tuxen C, Gustafsson I, Kober L, Gustafsson F, Fosbol E, Bruun NE, Videbaek L, Frederiksen PH, Moller JE, Schou M. Empagliflozin in heart failure patients with reduced ejection fraction: a randomized clinical trial (Empire HF). Trials. 2019 Jun 21;20(1):374. doi: 10.1186/s13063-019-3474-5.

Reference Type DERIVED
PMID: 31227014 (View on PubMed)

Other Identifiers

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2017-001341-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

Empire HF

Identifier Type: -

Identifier Source: org_study_id

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