Effect of Empagliflozin on Inflammation

NCT ID: NCT07292909

Last Updated: 2025-12-18

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-01

Study Completion Date

2027-09-30

Brief Summary

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Empagliflozin is a drug given to lower glucose. It is used in the treatment of diabetes. However, it was shown to improve symptoms and survival of patients who are suffering from heart failure. The exact mechanism of this effect is currently not clearly understood.

He hypothesize that empagliflozin has other properties than glucose lowering, that can explain its efficacy. One of these properties, is an anti-inflammatory effect.

To document this, we are using a model of inflammation following percutaneous coronary scenting. We know that patients who get a stent will develop inflammation following stenting. This is documenting by a higher level of C-Reactive Protein 24 hours after the procedure.

Patients who will participate in the study, will receive empagliflozin or a placebo tablet for 3 days prior to the revascularisation procedure. CRP and other inflammatory markers will be measured before intervention and 24 hours later. The goal is to demonstrate a lower rise in CRP following intervention in patients treated with empagliflozin vs. those who have received a placebo.

Detailed Description

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Conditions

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CAD - Coronary Artery Disease Inflamation PCI SGLT 2 Inhibitors

Keywords

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CAD inflammation SGLT2 inhibitors

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

Patients who will receive empagliflozin

Group Type ACTIVE_COMPARATOR

Empagliflozin (SGLT2i)

Intervention Type DRUG

Patient will receive 10 mg of empagliflozin PO per day, starting at least 2 days before planned PCI and on the day of PCI. Patient will thus receive at least 3 doses of empagliflozin prior to intervention

Placebo

Placebo control

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Patient will receive a matching placebo PO 1 tab per day, starting at least 2 days before planned PCI and on the day of PCI. Patient will thus receive at least 3 doses of empagliflozin prior to intervention

Interventions

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Empagliflozin (SGLT2i)

Patient will receive 10 mg of empagliflozin PO per day, starting at least 2 days before planned PCI and on the day of PCI. Patient will thus receive at least 3 doses of empagliflozin prior to intervention

Intervention Type DRUG

Placebo

Patient will receive a matching placebo PO 1 tab per day, starting at least 2 days before planned PCI and on the day of PCI. Patient will thus receive at least 3 doses of empagliflozin prior to intervention

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* • Patients with stable CAD who are electively scheduled for PCI on a de novo lesion in a native coronary artery

Exclusion Criteria

* • Patients who have been taking an SGLT-2 inhibitor during the last month

* Patients who are receiving any anti-inflammatory medication: immunosuppressor, steroids, NSAID…
* Patients who have underlying inflammatory conditions such as rheumatic arthritis, infection, active malignancy
* Patients with an acute coronary syndrome within the last month
* Intervention on a restenotic lesion or lesion in a saphenous vein graft
* Creatinine clearance less than 30 mL/min
* Patients who are treated with devices other than balloons and stents (lithotripsy, rotational atherectomy…)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hotel Dieu de France Hospital

OTHER

Sponsor Role lead

Responsible Party

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Rabih Azar

Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rabih R Azar, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Hotel Dieu de Frace

Locations

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Hotel Dieu de France

Beirut, Beyrouth, Lebanon

Site Status RECRUITING

Countries

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Lebanon

Central Contacts

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Rabih R Azar, MD, MPH

Role: CONTACT

Phone: +9613590999

Email: [email protected]

Georges G Hage, MD

Role: CONTACT

Phone: +9613284724

Email: [email protected]

Facility Contacts

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Georges Dabar, MD

Role: primary

Louisette Joubran

Role: backup

Other Identifiers

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CEHDF 2511

Identifier Type: -

Identifier Source: org_study_id