Dapagliflozin (DAPA) Effects in HFpEF

NCT ID: NCT04730947

Last Updated: 2023-10-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-24

Study Completion Date

2022-11-17

Brief Summary

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The purpose of this study is to determine whether treatment with Dapagliflozin (DAPA) for 6 months will improve pulmonary capillary wedge pressure (PCWP) during exercise in heart failure/preserved ejection fraction (HFpEF) and improve cardiac metabolism.

Detailed Description

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Conditions

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Heart Failure With Preserved Ejection Fraction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Dapagliflozin Group

Subjects with HFpEF will take the study drug dapagliflozin daily

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

10 mg orally once a day

Placebo Group

Subjects with HFpEF will take a placebo daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Taken orally once a day, the placebo looks identical to the study drug but it contains no active ingredient

Interventions

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Dapagliflozin

10 mg orally once a day

Intervention Type DRUG

Placebo

Taken orally once a day, the placebo looks identical to the study drug but it contains no active ingredient

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent prior to any study specific procedures.
* Male or female.
* Symptoms of dyspnea (NYHA II-III) with no non-cardiac or ischemia explanation.
* EF ≥ 50% + BMI ≥ 30 kg/m\^2
* Elevated pulmonary capillary wedge pressure (PCWP) during exercise (≥ 25 mmHg) ascertained at Visit 1. Patients that have consented to study procedures but do not meet this invasive criterion will be considered as screen failures and will not be randomized .

Exclusion Criteria

* Type I diabetes.
* Type II diabetes with poor control (HgbA1C ≥ 10%).
* Recent hospitalization (\< 30 days) or revascularization (\< 90 days).
* Primary cardiomyopathy (such as amyloid).
* Constrictive pericarditis.
* Dyspnea due to primary lung disease or myocardial ischemia in the opinion of the investigator.
* Severe anemia (hemoglobin \< 9gm/dl.
* Significant left-sided valvular heart disease (\> mild stenosis, \> moderate regurgitation),
* Severe kidney disease (estimated glomerular filtration rate (GFR) \< 30) or liver disease,
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Barry Borlaug

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Barry A Borlaug

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

References

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Tada A, Burkhoff D, Naser JA, Harada T, Pourmussa B, Reddy YNV, Jensen MD, Carter RE, Demmer RT, Testani JM, Chirinos JA, Borlaug BA. Dapagliflozin Enhances Arterial and Venous Compliance During Exercise in Heart Failure With Preserved Ejection Fraction: Insights From the CAMEO-DAPA Trial. Circulation. 2024 Sep 24;150(13):997-1009. doi: 10.1161/CIRCULATIONAHA.124.068788. Epub 2024 Aug 5.

Reference Type DERIVED
PMID: 39101201 (View on PubMed)

Reddy YNV, Carter RE, Sorimachi H, Omar M, Popovic D, Alogna A, Jensen MD, Borlaug BA. Dapagliflozin and Right Ventricular-Pulmonary Vascular Interaction in Heart Failure With Preserved Ejection Fraction: A Secondary Analysis of a Randomized Clinical Trial. JAMA Cardiol. 2024 Sep 1;9(9):843-851. doi: 10.1001/jamacardio.2024.1914.

Reference Type DERIVED
PMID: 39046727 (View on PubMed)

Borlaug BA, Reddy YNV, Braun A, Sorimachi H, Omar M, Popovic D, Alogna A, Jensen MD, Carter R. Cardiac and Metabolic Effects of Dapagliflozin in Heart Failure With Preserved Ejection Fraction: The CAMEO-DAPA Trial. Circulation. 2023 Sep 5;148(10):834-844. doi: 10.1161/CIRCULATIONAHA.123.065134. Epub 2023 Aug 3.

Reference Type DERIVED
PMID: 37534453 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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20-005646

Identifier Type: -

Identifier Source: org_study_id

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