Effect of Dapagliflozin on LV Remodeling Post AMI

NCT ID: NCT04783870

Last Updated: 2021-03-05

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-03

Study Completion Date

2024-12-31

Brief Summary

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The overall hypothesis of the study is that Dapagliflozin will reduce left ventricular remodeling in patients who have had a myocardial infarction.

Detailed Description

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In patients with heart failure, with or without diabetes, SGLT2i have shown to decrease remodeling. However, this has not been tested in patients following an acute myocardial infarction.

Acute myocardial infarction is serious condition with increasing incidence across the world. Following treatment, a reasonable amount of patients develop remodeling of the left ventricle, which is associated with worse prognosis. This occurs despite patients are treated with GDMT.

Dapagliflozin is an SGLT2i with biological plausibility to decrease left ventricular remodeling following acute myocardial infarction. In the present study, researchers will test the hypothesis that Dapagliflozin will reduce left ventricular remodeling in patients who have had a myocardial infarction (less than 7 days). This will be a randomized, single-blind, placebo controlled trial. The primary endpoint will be the change in end-diastolic and end-systolic left ventricular volumes from baseline to the end of the intervention (6 months). We will include patients with acute myocardial infarction who have been treated with primary PCI.

Conditions

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Myocardial Infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants will receive either Dapagliflozin or Placebo. They will not know which arm they have been allocated to.

Study Groups

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Dapagliflozin

Dapagliflozin 10 mg PO QD

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

Dapagliflozin 10 mg PO QD

Control

Placebo PO QD

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

Interventions

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Dapagliflozin

Dapagliflozin 10 mg PO QD

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Acute myocardial infarction treated within the 24 hours of beginning of symptoms
* Signed informed consent
* SBP \> 90 mmHg
* Age \>= 18 years

Exclusion Criteria

* Glomerular Filtration Rate \< 30 ml/min/1.73 m2.
* Pregnant or lactating woman
* Cancer or life-threatening condition
* Use of continuous parental inotropic agents
* Psychiatric disease incompatible with being in study.
* Any contraindication to MRI procedures.
* Any other medical or physical condition considered to be inappropriate by a study physician
* Scheduled for a PCI or CABG within the next 6 months
* Hemodynamic unstability
* Currently on any SGLT2i
* One or more episodes of severe hypoglicemia
* Acute urinary or genital infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Instituto Mexicano del Seguro Social

OTHER_GOV

Sponsor Role lead

Responsible Party

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Eduardo Almeida Gutiérrez

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juan B Ivey-Miranda, MD

Role: PRINCIPAL_INVESTIGATOR

Instituto Mexicano del Seguro Social

Locations

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Hospital de Cardiología, Centro Médico Nacional Siglo XXI

Mexico City, , Mexico

Site Status RECRUITING

Countries

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Mexico

Central Contacts

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Eduardo Almeida-Gutierrez, MD

Role: CONTACT

+52 5556276900 ext. 22007

Facility Contacts

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Juan B Ivey-Miranda, MD

Role: primary

+52 5543683768

Other Identifiers

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F-2020-3604-035

Identifier Type: -

Identifier Source: org_study_id

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