Association Between Dapagliflozin-induced Improvement and Anemia in Heart Failure Patients (ADIDAS)

NCT ID: NCT04707261

Last Updated: 2024-07-01

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

1990 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-06

Study Completion Date

2026-01-01

Brief Summary

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The primary objective of this study is to investigate the hemoglobin change and association between hemoglobin change and readmissions due to heart failure, and all-cause death in patients with heart failure treated with dapagliflozin or placebo.

Detailed Description

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Study Description Brief Summary: The primary objective of this study is to investigate the hemoglobin change and association between hemoglobin change and readmissions due to heart failure, and all-cause death in patients with heart failure treated with dapagliflozin or placebo.

Detailed Description: Heart failure is one of the most serious health concerns in the world, and it also remains the most common reason for hospitalization in older individuals. In patients with heart failure, anemia is associated with an increased risk of hospitalization and all-cause mortality. The DAPA-HF trial demonstrated that dapagliflozin was able to reduce the risk of worsening heart failure (HF) events and cardiovascular death comparing to placebo in patients with reduced ejection fraction on top of standard of care.

This is an investigator-initiated, interventional, prospective, double-blind study. The primary objective is to investigate whether anemia correction is one of the prerequisites and determinants related to the beneficial effects of dapagliflozin in patients with heart failure. Impact of dapagliflozin treatment on hemoglobin level, heart failure-related readmission and all-cause death will be observed in comparison with placebo in heart failure patients receiving guideline recommended standard therapy during the 3months, 6 months and 1 year follow up.

Conditions

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Anemia Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Dapagliflozin

Dapagliflozin with standard-of-care therapies for heart failure, including sacubitril/valsartan or ACEI/ARB, beta-blocker, MRA, ICD and CRT

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

Participants will receive dapagliflozin 10 mg once daily

Placebo

Standard-of-care therapies for heart failure, including sacubitril/valsartan or ACEI/ARB, beta-blocker, MRA, ICD and CRT

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive placebo 10 mg once daily

Interventions

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Dapagliflozin

Participants will receive dapagliflozin 10 mg once daily

Intervention Type DRUG

Placebo

Participants will receive placebo 10 mg once daily

Intervention Type DRUG

Other Intervention Names

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FORXIGA

Eligibility Criteria

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Inclusion Criteria

1. Male or female between the ages of 18 and 100 years.
2. Elevated NT-proBNP or BNP levels on admission.
3. Ejection fraction of 50% or less, and New York Heart Association (NYHA) class II, III, or IV symptoms.

Exclusion Criteria

1. Treatment with SGLT2-i during the past 3 months of admission,or previous intolerance of an SGLT2 inhibitor.
2. Severe (eGFR \<30 mL/min/1.73 m\^2 by CKD-EPI), unstable or rapidly progressing renal disease at the time of randomization.
3. Pregnant or breast feeding female patients.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Xiangya Hospital of Central South University

OTHER

Sponsor Role collaborator

ZhuZhou Central Hospital

OTHER

Sponsor Role collaborator

Xiangtan Central Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jianping Zeng

President of Xiangtan Centeral Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jianping Zeng, Ph.D.

Role: STUDY_CHAIR

Xiangtan Central Hospital

Shenghua Zhou, Ph.D.

Role: STUDY_DIRECTOR

Second Xiangya Hospital of Central South University

Chengming Wang, Ph.D.

Role: STUDY_DIRECTOR

ZhuZhou Central Hospital

Fanghua Xu, M.D.

Role: STUDY_DIRECTOR

The First People's Hospital of Xiangtan City

Zhiqiang Cai, M.D.

Role: STUDY_DIRECTOR

Xiangtan People's Hospital

Chonglun Zhou, M.D.

Role: STUDY_DIRECTOR

Xiangxiang People's Hospital

Locations

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Xiangtan Central Hospital

Xiangtan, Hunan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jianping Zeng, Ph.D.

Role: CONTACT

+86 15292271982

Facility Contacts

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Jianping Zeng, Ph.D.

Role: primary

+8615292271982

References

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Zeng J, Zhu Y, Zhao W, Wu M, Huang H, Huang H, Wu C, Zhou X, Zhou S, Wang C, Yin K, Xu F, Cai Z, Li X, Cheng H, Xie Y, Tan Z, Hu X, Liao D, Wang Y. Rationale and Design of the ADIDAS Study: Association Between Dapagliflozin-Induced Improvement and Anemia in Heart Failure Patients. Cardiovasc Drugs Ther. 2022 Jun;36(3):505-509. doi: 10.1007/s10557-021-07176-0. Epub 2021 Mar 29.

Reference Type DERIVED
PMID: 33779938 (View on PubMed)

Other Identifiers

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2020/12/01

Identifier Type: -

Identifier Source: org_study_id

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