Heart FailurePhase 3NCT03057977
EMPagliflozin outcomE tRial in Patients With chrOnic heaRt Failure With Reduced Ejection Fraction (EMPEROR-Reduced)
A Phase 3 study testing Empagliflozin in people with Heart Failure, run by Boehringer Ingelheim at 520 sites in 20 countries.
Trial summary
The aim of the study is to investigate the safety and efficacy of empagliflozin versus placebo on top of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Heart Failure
- What is being tested?
- Empagliflozin
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 3,730 participants
- Where
- 520 sitesin 20 countries
- Study dates
- 6 Mar 2017to 28 May 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female patient age >= 18 years at screening. For Japan only: Age >= 20 years at screening
- Patients with chronic HF (Chronic Heart Failure) NYHA (New York Heart Association Classification) class II-IV and reduced EF (Ejection Fraction) (LVEF (Left Ventricular Ejection Fraction) <=40%) and elevated NT-proBNP (N-terminal of the prohormone brain natriuretic peptide)
- If EF >= 36% to <= 40%: NT-proBNP >= 2500 pg/ml or patients without AF (atrial fibrillation/atrial flutter) and NT-proBNP >= 5000 pg/ml for patients with AF
- If EF >= 31% to <= 35%: NT-proBNP >= 1000 pg/ml for patients without AF and NT-proBNP >=2000 pg/ml for patients with AF
- If EF<= 30%: NT-proBNP >= 600 pg/ml for patients without AF and NT-proBNP >=1200 pg/ml for patients with AF
- EF ≤ 40% and hospitalization for heart failure in the past 12 months: NTproBNP ≥ 600 pg/ml for patients without AF and NT-proBNP >= 1200 pg/ml for patients with AF
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- Appropriate dose of medical therapy for HF consistent with prevailing local and international CV (Cardiovascular) guidelines, stable for at least 1 week prior to Visit 1
- Appropriate use of medical devices such as cardioverter defibrillator (ICD) or a cardiac resynchronization therapy (CRT) consistent with prevailing local or international CV guidelines
- Signed and dated written ICF (Informed Consent Form)
- Further inclusion criteria apply
Who cannot join
- Myocardial infarction, coronary artery bypass graft surgery, or other major cardiovascular surgery, stroke or TIA (Transient Ischaemic Attack) in past 90 days prior to Visit 1
- Heart transplant recipient, or listed for heart transplant
- Acute decompensated HF
- Systolic blood pressure (SBP) >= 180 mmHg at Visit 2.
- Symptomatic hypotension and/or a SBP < 100 mmHg
- Indication of liver disease
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- Impaired renal function, defined as eGFR (Estimated Glomerular Filtration Rate) < 20 mL/min/1.73 m2 (CKD-EPI (Chronic Kidney Disease - Epidemiology Collaboration Equation)) or requiring dialysis
- History of ketoacidosis
- Current use or prior use of a SGLT (Sodium-glucose co-transporter)-2 inhibitor or combined SGLT-1 and 2 inhibitor
- Currently enrolled in another investigational device or drug study
- Known allergy or hypersensitivity to empagliflozin or other SGLT-2 inhibitors
- Women who are pregnant, nursing, or who plan to become pregnant while in the trial
- Further exclusion criteria apply
Trial locations and contacts
520 sites in 20 countries.
520 sites in 20 countries
United States92 sites
Cambridge Medical Trials
Alexandria, Louisiana, 71301
Alpena General Hospital
Alpena, Michigan, 49707
AnMed Health Clinical Research
Anderson, South Carolina, 29621
Anne Arundel Medical Center
Annapolis, Maryland, 21401
Northwest Heart Clinical Research, LLC
Arlington Heights, Illinois, 60005
Asheville Cardiology Associates
Asheville, North Carolina, 28803
Grady Clinical Research Center
Atlanta, Georgia, 30303
Augusta University
Augusta, Georgia, 30912
Johns Hopkins University Hospital School of Medicine
Baltimore, Maryland, 21205
MedStar Health Research Institute
Baltimore, Maryland, 21237
Metropolitan Cardiovascular Consultants
Beltsville, Maryland, 20705
Integrated Heart Care
Boca Raton, Florida, 33434
Tufts Medical Center
Boston, Massachusetts, 02111
Advanced Heart Care, LLC
Bridgewater, New Jersey, 08807
Kernodle Clinic West
Burlington, North Carolina, 27215
The University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599-5021
Ralph H. Johnson VA Medical Center
Charleston, South Carolina, 29401
Novant Health Heart and Vascular Institute
Charlotte, North Carolina, 28204
Trinity Medical WNY, PC
Cheektowaga, New York, 14227
Cardiac Health Management Network, P.C.
Chester, Virginia, 23836
University of Chicago
Chicago, Illinois, 60637
Morton Plant Mease Health Care
Clearwater, Florida, 33756
Palmetto Health
Columbia, South Carolina, 29203
William Jennings Bryan Dorn VA Medical Center
Columbia, South Carolina, 29209
Columbus Regional Research Institute
Columbus, Georgia, 31904
Louisiana Heart Center
Covington, Louisiana, 70433
Nature Coast Clinical Research
Crystal River, Florida, 34429
Baylor Heart and Vascular Hospital
Dallas, Texas, 75226
Soltero Cardiovascular Research Center
Dallas, Texas, 75226
University of Texas Southwestern Medical Center
Dallas, Texas, 75390-8837
Avail Clinical Research, LLC
DeLand, Florida, 32720
Doylestown Health Cardiology
Doylestown, Pennsylvania, 18901
Duke University Medical Center
Durham, North Carolina, 27609
Midwest Cardiovascular Research and Education Foundation
Elkhart, Indiana, 46514
Alpine Research Organization
Farmington, Utah, 84025
Holy Cross Hospital
Fort Lauderdale, Florida, 33308
Integrative Research Associates
Fort Lauderdale, Florida, 33312
University of North Texas Health Science Center
Fort Worth, Texas, 76107
Clinical Research of Gastonia
Gastonia, North Carolina, 28054
East Mountain Medical Associates, PC
Great Barrington, Massachusetts, 01230
Northwell Health
Great Neck, New York, 11021
The Methodist Hospital
Houston, Texas, 77030
St. Francis Medical Group-Indiana Heart Physicians, Inc
Indianapolis, Indiana, 46237
Nature Coast Clinical Research
Inverness, Florida, 34452
East Coast Institute for Research, LLC
Jacksonville, Florida, 32216
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
La Mesa Cardiac Center
La Mesa, California, 91942
Mount Sinai School of Medicine
Lake Success, New York, 11041
Palm Research Center
Las Vegas, Nevada, 89148
Cardiovascular Group PC
Lawrenceville, Georgia, 30046
Clinical Trials of America, Inc
Lenoir, North Carolina, 28645
South Denver Cardiology Associates, PC
Littleton, Colorado, 80120
Long Beach Center for Clinical Research
Long Beach, California, 90807
VA Greater Los Angeles Healthcare System
Los Angeles, California, 90073
Rama Research LLC
Marion, Ohio, 43302
Marshfield Clinic
Marshfield, Wisconsin, 54449
Methodist University Hospital
Memphis, Tennessee, 38104
Merced Vein and Vascular Center
Merced, California, 95340
Cardiovascular Research Center of South Florida
Miami, Florida, 33173
Clinical Trials of America, LLC
Monroe, Louisiana, 71201
Tulane University Hospital and Clinic
New Orleans, Louisiana, 70112
St. Luke's Roosevelt Hospital
New York, New York, 10025
Harlem Cardiology
New York, New York, 10035
Captain James A. Lovell Federal Health Care Center
North Chicago, Illinois, 60064
South Oklahoma Heart Research Group
Oklahoma City, Oklahoma, 73135
University of California Irvine
Orange, California, 92865
Peninsula Research, Inc.
Ormond Beach, Florida, 32174
Research Integrity, LLC
Owensboro, Kentucky, 42303
Cardiology Consultants, Inc
Pensacola, Florida, 32501
The Heart Hospital
Plano, Texas, 75093
Reid Hospital
Richmond, Indiana, 47374
Hunter Holmes McGuire VA Medical Center
Richmond, Virginia, 23249
Covigilant Research, LLC
Riverside, California, 92506
Roanoke Heart Institute PLC
Roanoke, Virginia, 24014
Clinical Research of Rock Hill
Rock Hill, South Carolina, 29732
Rockford Cardiovascular Associates
Rockford, Illinois, 61107
Regions Hospital
Saint Paul, Minnesota, 55101
Salem VA Medical Center
Salem, Virginia, 24153
Sarasota Memorial Hospital
Sarasota, Florida, 34239
Meridian Clinical Research, LLC
Savannah, Georgia, 31406
Beacon Medical Group Clinical Research
South Bend, Indiana, 46601
Palmetto Research Center, LLC
Spartanburg, South Carolina, 29302
Saint Louis University
St Louis, Missouri, 63110
SLHV
St Louis, Missouri, 63136
Stony Brook University Medical Center
Stony Brook, New York, 11794
Cardiac Care and Vascular Medicine, PLLC
The Bronx, New York, 10469
University of Toledo
Toledo, Ohio, 43614
University of California
Torrance, California, 90502
Spectrum Clinical Research
Towson, Maryland, 21204
Orange County Research Center
Tustin, California, 92780
Blue Coast Cardiology
Vista, California, 92083
York Hospital, WellSpan Health
York, Pennsylvania, 17403
Japan66 sites
Kasugai Municipal Hospital
Aichi, Kasugai, 486-8510
Nagoya Kyoritsu Hospital
Aichi, Nagoya, 454-0933
Japanese Red Cross Nagoya Daini Hospital
Aichi, Nagoya, 466-8650
Toyota Memorial Hospital
Aichi, Toyota, 471-8513
Chiba Heart Clinic
Chiba, Chiba, 263-0043
Kimitsu Chuo Hospital
Chiba, Kisarazu, 292-8535
Seikeikai New Tokyo Heart Clinic
Chiba, Matsudo, 271-0077
Ehime Prefectural Central Hospital
Ehime, Matsuyama, 790-0024
Matsuyama Shimin Hospital
Ehime, Matsuyama, 790-0067
Uwajima City Hospital
Ehime, Uwajima, 798-8510
Fukuiken Saiseikai Hospital
Fukui, Fukui, 918-8503
Fukuoka University Chikushi Hospital
Fukuoka, Chikushino, 818-8502
Fukuokaken Saiseikai Futsukaichi Hospital
Fukuoka, Chikushino, 818-8516
Saiseikai Fukuoka General Hospital
Fukuoka, Fukuoka, 810-0001
National Hospital Organization Kyushu Medical Center
Fukuoka, Fukuoka, 810-8563
Kyushu University Hospital
Fukuoka, Fukuoka, 812-8582
Aso Co.,Ltd Iizuka Hospital
Fukuoka, Iizuka, 820-8505
Steel Memorial Yawata Hospital
Fukuoka, Kitakyushu, 805-8508
Japan Community Health Care Organization Kyushu Hospital
Fukuoka, Kitakyushu, 806-8501
Ogaki Municipal Hospital
Gifu, Ogaki, 503-8502
Chuno Kosei Hospital
Gifu, Seki, 501-3802
Fukuyama City Hospital
Hiroshima, Fukuyama, 721-8511
JA Hiroshima General Hospital
Hiroshima, Hatsukaichi, 738-8503
Shobara Red Cross Hospital
Hiroshima, Shobara, 727-0013
National Hospital Organization Hakodate Hospital
Hokkaido, Hakodate, 041-8512
Teine Keijinkai Clinic
Hokkaido, Sapporo, 006-0811
Tomakomai City Hospital
Hokkaido, Tomakomai, 053-8567
Hyogo Prefectural Amagasaki General Medical Center
Hyogo, Amagasaki, 660-8550
Hyogo Brain and Heart Center
Hyogo, Himeji, 670-0981
National Hospital Organization Kobe Medical Center
Hyogo, Kobe, 654-0155
Mito Medical Center
Ibaraki, Higashiibaraki-gun, 311-3193
National Hospital Organization Kanazawa Medical Center
Ishikawa, Kanazawa, 920-8650
Mitoyo General Hospital
Kagawa, Kanonji, 769-1695
Kagawa Prefectural Central Hospital
Kagawa, Takamatsu, 760-8557
Yamamoto Clinic
Kanagawa, Sagamihara, 252-0311
Kanagawa Cardiovascular and Respiratory Center
Kanagawa, Yokohama, 236-0051
Japanese Red Cross Kumamoto Hospital
Kumamoto, Kumamoto, 861-8520
Seiwakai Suizenji Touya Hospital
Kumamoto, Kumamoto, 862-0950
Kumamoto Rosai Hospital
Kumamoto, Yatsushiro, 866-8533
Uji-Tokushukai Medical Center
Kyoto, Uji, 611-0041
Sendai Kousei Hospital
Miyagi, Sendai, 980-0873
Sendai Tokushukai Hospital
Miyagi, Sendai, 981-3131
The Cardiovascular Center of Sendai
Miyagi, Sendai, 981-3133
National Hospital Organization Sendai Medical Center
Miyagi, Sendai, 983-8520
Miyazaki Medical Association Hospital
Miyazaki, Miyazaki, 880-0834
Hokushin General Hospital
Nagano, Nakano, 383-8505
Nagasaki Medical Center
Nagasaki, Omura, 856-8562
Okayama City General Medical Center
Okayama, Okayama, 700-8557
Naha City Hospital
Okinawa, Naha, 902-8511
Nanbu Tokushukai Hospital
Okinawa, Shimajiri-gun, 901-0493
Urasoe General Hospital
Okinawa, Urasoe, 901-2132
Higashiosaka City Medical Center
Osaka, Higashiosaka, 578-8588
Kitano Hospital
Osaka, Osaka, 530-8480
Yodogawa Christian Hospital
Osaka, Osaka, 533-0024
Seichokai Bell Land General Hospital
Osaka, Sakai, 599-8247
Hokusetsu General Hospital
Osaka, Takatsuki, 569-8585
San-Ai Hospital
Saitama, Saitama, 338-0837
Kosekai Iwatsuki-minami Hospital
Saitama, Saitama, 339-0033
Kusatsu General Hospital
Shiga, Kusatsu, 525-8585
Tokushima Prefectural Central Hospital
Tokushima, Tokushima, 770-8539
National Hospital Organization Tokyo Medical Center
Tokyo, Meguro-ku, 152-8902
Ome Municipal General Hospital
Tokyo, Ome, 198-0042
Tokyo Rosai Hospital
Tokyo, Ota-ku, 143-0013
Sekino Hospital
Tokyo, Toshima-ku, 171-0014
Minami Wakayama Medical Center
Wakayama, Tanabe, 646-8558
Kanmon Medical Center
Yamaguchi, Shimonoseki, 752-8510
Argentina40 sites
Hospital Interzonal General de Agudos Dr Jose Penna
Bahía Blanca, B8001DDU
Hospital Italiano Regional del Sur, Bahia Blanca
Bahía Blanca, B8001HXM
CIPREC
CABA, C1119ACN
Hospital Italiano de Buenos Aires
CABA, C1199ABB
Consultorios Asociados de Endocrinología e Invest Clínica
Ciudad Autonoma Buenos Aires, C1425AGC
Instituto Cardiovascular de Buenos Aires
Ciudad Autonoma Buenos Aires, C1428ART
CCBR - Buenos Aires - AR
Ciudad Autonoma Buenos Aires, C1430CKE
Centro Médico Viamonte
Ciudad Autonoma de Bs As, C1120AAC
Sanatorio Güemes
Ciudad Autónoma de Bs As, C1180AAX
Instituto Medico Elsa Perez SRL (IMEP)
Ciudadela, 1702
Sanatorio Mayo Privado SA
Córdoba, 5000
Centro de Investigaciones Clinicas Instituto del Corazon
Córdoba, X5000EVQ
Sanatorio Allende S.A.
Córdoba, X5000JHQ
Clínica Colombo
Córdoba, X5002AOQ
Instituto Médico DAMIC S.R.L.
Córdoba, X5003DCE
Hospital Privado
Córdoba, X5016KEH
Clinica Coronel Suarez SA
Coronel Suárez, B7540DOL
Instituto de Cardiología de Corrientes
Corrientes, W3400AMZ
Hospital Italiano de La Plata
La Plata, B1900AXI
Centro de Investigaciones Médicas
Mar del Plata, B7600FYK
Hospital Privado de Comunidad
Mar del Plata, B7602CBM
Clínica Olivos
Olivos, 1602
CER Instituto Médico
Quilmes, B1878DVB
Instituto de Investigaciones Clínicas de Quilmes
Quilmes, B1878GEG
Instituto de Investigaciones Clinicas de Rosario
Rosario, 2000
Instituto Medico Fundación Grupo Colaborativo Rosario
Rosario, 2000
Sanatorio Británico
Rosario, 2000
Sanatorio Plaza
Rosario, 2000
Sanatorio Parque
Rosario, S2000DSV
Instituto CAICI
Rosario, S2000PBJ
CORDIS S.A., Salta
Salta, A4400ANW
Centro Cardiovascular Salta
Salta, A4406BFP
Corporacion Medica de Gral. San Martin S.A.
San Martin, B1650CSQ
Investigaciones Clinicas Tucuman
San Miguel de Tucumán, T4000ICL
Instituto de Cardiología
San Miguel de Tucumán, T4000JCU
CCBR Tucuman
San Miguel de Tucumán, T4000
Centro Medico Luquez
San Vicente, X5006CBI
Hospital "Dr. José Maria Cullen "
Santa Fe, S3000EOZ
Centro de Investigaciones Clínicas del Litoral
Santa Fe, S3000FWO
CEMEDIC - Centro de Especialidades Medicas
Villa Luro, C1440CFD
Brazil38 sites
Hospital Felicio Rocho
Belo Horizonte, 30110-060
Hospital Vera Cruz
Belo Horizonte, 30140-062
Cardresearch Cardiologia Assistencial e de Pesquisas Ltda
Belo Horizonte, 30150-240
CCBR - Brasília
Brasília, 70200-730
ICDF - Instituto de Cardiologia do Distrito Federal
Brasília, 70673-900
CECAP - Centro de Cardiologia Clínica
Brasília, 70710-100
Hospital Angelina Caron
Campina Grande do Sul, 83430-000
Centro Especializado em Cardiol Loema Instituto de Pesq Clin
Campinas, 13010-001
IPECC - Instituto de Pesquisa Clínica de Campinas
Campinas, 13060-080
CAEP - Centro Avançado de Estudos e Pesquisas Ltda.,Campinas
Campinas, 13087-567
Hospital Universitário
Canoas, 92425-900
IPCEM - Instituto de Pesquisa Clínica para Estudos Multicêntricos - Universidade de Caxias do Sul
Caxias do Sul, 95070-560
Irmandade da Santa Casa de Misericórdia de Curitiba
Curitiba, 80230-130
Hospital de Messejana Dr. Carlos Alberto Studart Gomes
Fortaleza, 60846-190
Barroso e Sebba Ltda
Goiânia, 74223-130
HC-UFG - Hospital das Clínicas da Universidade Federal de Goiás
Goiânia, 74605-020
ICM - Instituto do Coracao de Marilia
Marília, 17515-000
Hospital São Vicente de Paulo
Passo Fundo, 99010-080
Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, 90035-074
Centro de Pesquisas em Diabetes
Porto Alegre, 90035-170
Hospital de Clínicas de Porto Alegre
Porto Alegre, 90035-903
Instituto de Cardiologia Rio Grande do Sul
Porto Alegre, 90620-001
Hospital Agamenon Magalhaes
Recife, 52051-380
H.C.da Fac. de Medicina de Ribeirao Preto
Ribeirão Preto, 14048-900
CCBR - Rio de Janeiro - BR
Rio de Janeiro, 22271-100
Hospital Universitário Pedro Ernesto UERJ
Rio de Janeiro - RJ, CEP 20551
Pesquisare
Santo André, 09080-110
Praxis Pesquisa Médica
Santo André, 09090-790
CEMEC - Centro Multidisciplinar de Estudos Clínicos
São Bernardo do Campo, 09780-000
Fundacao Faculdade Regional de Medicina, Sao Jose
São José do Rio Preto, 15090-000
Centro de Pesquisa Clinica - CPCLIN
São Paulo, 01244-030
FGM - Clínica Paulista de Doenças Cardiovasculares
São Paulo, 01323-000
CDEC BRASIL - Centro de Desenvolvimento em Estudos Clínicos Brasil
São Paulo, 04020-060
Dr. Consulta
São Paulo, 04208-002
CEPIC - Centro Paulista de Investigacao Clinica
São Paulo, 04266-010
INCOR e Hospital das Clínicas da Universidade de São Paulo
São Paulo, 05403-000
CEDOES - Diagnóstico e Pesquisa,Vitória
Vitória, 29055-450
Santa Casa de Votuporanga
Votuporanga, 15500-003
Poland33 sites
KLIMED Marek Klimkiewicz
Bialystok, 15-765
Univ. Clinic Hosp, Bialystok
Bialystok, 15276
American Heart of Poland Sp. z o.o.
Bielsko-Biala, 43-316
NZOZ Centrum Medyczne KERmed
Bydgoszcz, 85231
Polsko-Amerykanskie Kliniki Serca
Chorzów, 32-500
American Heart of Poland Sp. z o.o.
Dąbrowa Górnicza, 41-300
Poradnia Kardiologiczna Jaroslaw Jurowiecki
Gdansk, 80-286
University Clinical Center, Gdansk
Gdansk, 80952
Indywidualna Specjalistyczna Praktyka Lekarska
Gdynia, 81-157
Saint Wincenty a Paulo Hosp., Cardiology Dept., Gdynia
Gdynia, 81348
Szpital Zakonu Bonifratow Sp. z o.o.
Katowice, 40-211
Specialistic Cardiology&Hypertension Out-patient Clin,Kielce
Kielce, 25525
Leszek Bryniarski Specialized Medical Cabinet
Krakow, 30-082
Krakow Specialistic Hospital of John Paul II
Krakow, 31-202
SANTA FAMILIA Centrum Badan, Profilaktyki i Leczenia
Lodz, 90-302
Nzoz Salus
Lodz, 91-302
Individual Specialized Practice
Lodz, 94-255
Lowickie Cardiology Center
Lowicz, 99-400
American Heart of Poland Sp. z o.o.
Nysa, 48-300
Medicome Sp. z o.o.
Oświęcim, 32-600
Specialized Practice Dr. Janusz Spyra
Ruda Śląska, 41-709
Centrum Medyczne Medyk
Rzeszów, 35-055
Lukmed Lukasz Wozniak
Siedlce, 08-110
Clinmedica Research Omc sp. z o.o. sp.k., Skierniewice
Skierniewice, 96-100
KO-MED Centra Kliniczne Staszow
Staszów, 28-200
The Provincial Polyclinical Hospital in Torun
Torun, 87-100
American Heart of Poland Sp. z o.o.
Tychy, 43-100
American Heart of Poland Sp. z o.o.
Ustroń, 43-450
Central Hospital of Medical Academy, Warsaw
Warsaw, 02-097
McM Polimedica
Warsaw, 02-777
4. Military Clinical Hospital with Polyclinic SP ZOZ
Wroclaw, 50-981
Zgierskie Center of Cardiology MED-PRO
Zgierz, 95-100
Specialist Hospital J. Dietla NZOZ Specialized Clinic "Gemini"
Żychlin, 62-571
Germany32 sites
Universitätsklinikum Aachen, AöR
Aachen, 52074
Praxis Dr. Rieker, Berlin
Berlin, 10789
Charité - Universitätsmedizin Berlin
Berlin, 12200
Vivantes Netzwerk für Gesundheit GmbH
Berlin, 12351
Charité - Universitätsmedizin Berlin
Berlin, 13353
Klinikum Bielefeld gGmbH
Bielefeld, 33604
Praxis Dr. Menzel
Dessau, 06846
St. Johannes Hospital Dortmund
Dortmund, 44137
Städtisches Klinikum Dresden
Dresden, 01067
GWT-TUD GmbH
Dresden, 01307
Helios Klinikum Erfurt
Erfurt, 99089
Studienzentrum Bocholderstraße
Essen, 45355
ClinPhenomics GmbH & Co KG, Frankfurt
Frankfurt, 60594
Universitätsmedizin Göttingen, Georg-August-Universität
Göttingen, 37075
Asklepios Klinik St. Georg
Hamburg, 20099
Medizinische Hochschule Hannover
Hanover, 30625
Universitätsklinikum Heidelberg
Heidelberg, 69120
Universitätsklinikum des Saarlandes
Homburg, 66421
Universitätsklinikum Jena
Jena, 07740
Universitätsklinikum Schleswig-Holstein, Campus Kiel
Kiel, 24105
Asklepios Klinik Langen-Seligenstadt GmbH
Langen, 63225
Märkische Gesundheitsholding GmbH & Co. KG, Klinikum Lüdenscheid
Lüdenscheid, 58515
Praxis Dr. Sarnighausen, Lüneburg
Lüneburg, 21339
Katholisches Klinikum St. Hildegardiskrankenhaus, Mainz
Mainz, 55131
Deutsches Herzzentrum München
München, 80636
Kardiologische Gemeinschaftspraxis Nienburg
Nienburg, 31582
Kardiologische Praxis Papenburg
Papenburg, 26871
Universitätsklinikum Regensburg
Regensburg, 93053
Praxis Dr. Stenzel, Riesa
Riesa, 01587
Zentrum für Klinische Forschung
Wangen, 88239
Josephs-Hospital Warendorf
Warendorf, 48231
Petrus-Krankenhaus
Wuppertal, 42283
Canada30 sites
Brampton Cardio Pulmonary Clinic
Brampton, Ontario, L6W 2X7
JBN Medical Diagnostic Services Inc.
Burlington, Ontario, L7M 4Y1
Cambridge Cardiac Care Inc.
Cambridge, Ontario, N1R 6V6
Royal Alexandra Hospital
Edmonton, Alberta, T5H 3V9
Health Sciences North
Greater Sudbury, Ontario, P3E 5J1
ViaCar Recherche Clinique Inc
Greenfield Park, Quebec, J4V 2G8
QEII Health Sciences Centre
Halifax, Nova Scotia, B3H 2Y9
Curnew Medicine Professional Corporation
Hamilton, Ontario, L8L 0A9
Hamilton General Hospital
Hamilton, Ontario, L8L 2X2
Centre de Dépistage et Recherche Cardiovasculaire Rive-Sud
Longeuil, Quebec, J4M 2X1
G.A. Research Associates Ltd
Moncton, New Brunswick, E1G 1A7
Clinique Santé Cardio MC
Montreal, Quebec, H1T 3Y7
Montreal General Hospital - McGill University Health Centre
Montreal, Quebec, H3G 1A4
McGill University Health Centre (MUHC)
Montreal, Quebec, H4A 3J1
Southlake Regional Health Centre
Newmarket, Ontario, L3Y 2P6
M Heffernan Medicine Professional Corp.
Oakville, Ontario, L6K 3W7
Kawartha Cardiology Clinical Trials
Peterborough, Ontario, K9J 0B2
IUCPQ (Laval University)
Québec, G1V 4G5
Centre de sante et de services sociaux de Beauce
Saint George-de-Beauce, Quebec, G5Y 4T8
Heart Health Institute
Scarborough Village, Ontario, M1B 4Z8
Scarborough Cardiology Research
Scarborough Village, Ontario, M1E 5E9
Canadian Phase Onward Inc.
Toronto, Ontario, M3J 2C5
North York Diagnostic and Cardiac Centre
Toronto, Ontario, M6B 1N6
Diabetes Heart Research Centre
Toronto, Ontario, M6G 1M2
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9
St. Paul's Hospital
Vancouver, British Columbia, V6Z 1Y6
Victoria Heart Institute Foundation
Victoria, British Columbia, V8R 4R2
Mohan Babapulle Medicine Professional Medicine
Waterloo, Ontario, N2T 0C1
St. Boniface General Hospital
Winnipeg, Manitoba, R2H 2A6
Dr. Louis C.H. Yao
York, Ontario, M9N 1W4
China27 sites
Cardiovascular Institute and Fu Wai Hospital
Beijing, 100037
Beijing Friendship Hospital
Beijing, 100050
First Hospital of Jilin University
Changchun, 130021
Hunan Provincial People's Hospital
Changsha, 410005
2nd Xiangya Hospital of Central South University
Changsha, 410011
The Third Hospital of Changsha
Changsha, 410015
Dongguan People's Hospital
Dongguan, 523059
The First Affiliated Hospital of Fujian Medical University
Fuzhou, 350005
The First Afiliated Hospital, Sun Yet-sen University
Guangzhou, 510080
Guangzhou First Municipal People's Hospital
Guangzhou, 510180
Haikou People's Hospital
Haikou, 570208
HaiNan Provincial People's Hospital
Haikou, 570311
The First Affiliated Hospital of Lanzhou University
Lanzhou, 730000
The Second Affiliated Hospital of Lanzhou Medical University
Lanzhou, 730030
The Affiliated Hospital of Southwest Medical University
Luzhou, 646099
Nanchang University Affiliated 3rd Hospital
Nanchang, 330008
First Hospital Affiliated with Nanjing Medical University
Nanjing, 210029
Huashan Hospital, Fudan University
Shanghai, 200040
General Hospital of Shenyang Military Region
Shenyang, 110015
Shengjing Hospital of China Medical University
Shenyang, 110072
Tianjin Union Medical Center Nankai University Affiliated Hospital
Tianjin, 300121
Tongji Hospital, Tongji University
Wuhan, 430030
Renmin Hospital of Wuhan University
Wuhan, 430060
First Affiliated Hospital of Xi'an JiaoTong University
Xi'an, 710061
Yanbian University Hospital
Yanji, 133000
the first people hospital of Yue Yang
Yueyang, 414000
Affiliated Hospital of Jiangsu University
Zhenjiang, 212013
Netherlands23 sites
Ziekenhuisgroep Twente locatie Almelo
Almelo, 7609 PP
BovenIJ Ziekenhuis
Amsterdam, 1034 CS
Onze Lieve Vrouwe Gasthuis, Locatie West
Amsterdam, 1061 AE
Amsterdam UMC Locatie VUMC
Amsterdam, 1081HV
Onze Lieve Vrouwe Gasthuis
Amsterdam, 1091AC
Amsterdam UMC, Locatie AMC
Amsterdam, 1105 AZ
Rode Kruis Ziekenhuis Beverwijk
Beverwijk, 1942 LE
Tergooiziekenhuizen locatie Blaricum
Blaricum, 1261 AN
Amphia Ziekenhuis
Breda, 4818 CK
Ziekenhuis Gelderse Vallei
Ede, 6716 RP
Catharina Ziekenhuis
Eindhoven, 5623 EJ
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
Zuyderland Medisch Centrum
Heerlen, 6419 PC
Vasculair Onderzoek Centrum
Hoorn, 1624 NP
Maastricht Universitair Medisch Centrum
Maastricht, 6229 HX
Diaconessenhuis Meppel
Meppel, 7943 KA
St. Antonius ziekenhuis, locatie Nieuwegein
Nieuwegein, 3435 CM
Radboud Universitair Medisch Centrum
Nijmegen, 6525 GL
HMC Bronovo
The Hague, 2597 AX
Ziekenhuis Bernhoven Uden
Uden, 5406 PT
Vie Curi Medisch Centrum
Venlo, 5912 BL
De Heel - Zaans Medisch Centrum
Zaandam, 1502 DV
Gelre Ziekenhuis Zutphen
Zutphen, 7207 AE
Czechia21 sites
Poliklinika Humanitas
Bílovec, 74301
Medicus Services Ltd.
Brandys Nad, 250 01
Internal and Cardiology Practice, MUDr. Karel Kamenik, Brno
Brno, 603 00
MUDr. Alexandra Ludkova
Brno, 615 00
Vojenska nemocnice Brno
Brno, 63600
Nemocnice Milosrdnych bratri
Brno, 63900
Edumed s.r.o
Broumov, 55001
MUDr. Jan Hubac, s.r.o. Kardiologicka ambulance
Chrudim, 53702
Nemocnice ve Frydku-Mistku, prispevkova organizace
Frýdek-Místek, 73818
MUDr. Ladislav Busak
Louny, 440 01
Zdenek Vomacka
Olomouc, 779 00
PV-Kardiologie s.r.o.
Pardubice, 53002
General Faculty Hospital, Prague
Prague, 128 08
University Hospital Motol
Prague, 15006
Thomayer Hospital
Praha 4 - Krc, 140 59
Kardio Vaclavik s.r.o.
Přerov, 75000
Clinic of Cardiology, Pribram
Příbram, 261 01
Hospital Trebic, p.o.
Třebíč, 67401
Masaryk Hospital, Usti nad Labem
Ústí nad Labem, 40113
Angiocor s.r.o
Zlín, 76001
KIGE s.r.o
Znojmo, 66902
Hungary17 sites
Lausmed Kft. Outpatient Unit of Internal Medicine
Baja, 6500
Belgyogyaszati es Kardiologiai Maganrendelo
Békéscsaba, 5600
Clinexpert Kft.
Budapest, 1033
Gottsegen Gyorgy Hungarian Instit.of Cardiology,Budapest
Budapest, 1096
Bajcsy-Zsilinszky Hospital and Clinic
Budapest, 1106
Semmelweis University
Budapest, 1122
Milit.Hosp.-State Health Cent.
Budapest, 1134
Uzsoki Street Hospital, Budapest
Budapest, 1145
Nehezlegzes Ambulancia
Debrecen, 4027
Bugat Pal Hospital, Gyongyos
Gyöngyös, 3200
Selye Janos Hospital Komarom
Komárom, 2900
Dorottya Kanizsai Hospital
Nagykanizsa, 8800
Dr. Nagy Laszlo Kardiologiai Maganrendeles
Orosháza, 5900
Pecsi Tudomanyegyetem
Pécs, 7623
Da Vinci Maganklinika
Pécs, 7635
Fejer County Saint George University Teaching Hospital
Székesfehérvár, 8000
Veszpremi Sziv es Egeszseg Centrum
Veszprém, 8200
Mexico15 sites
Hospital Cardiologica Aguascalientes
Aguascalientes, 20230
Centro de Investigacion Biomedica y Farmaceutica, S.C.
Distrito Federal, 03100
Unidad de Investigacion Clinica Cardiometabolica de Occident
Guadalajara, 44150
Diseño y Planeación en Investigación Médica SC
Guadalajara, 44656
Cardiologia Clinica e Intervencionista
Guadalajara, 44670
Centro de Investigación Clinica Acelerada, S.C.
México, 07020
CEDOPEC-Ctro Esp en Diab, Obesidad y Prev de Enf Cardiovasc
México, 11650
Instituto Nacional de Cardiologia Ignacio Chavez
Mexico City, 14080
Instituto Cardiovascular de Monclova, S de RL de CV
Monclova, 25750
Hospital Universitario Dr Jose Eleuterio Gonzalez
Nuevo León, 64460
Centro Integral Medico SJR S.C.
San Juan del Río, 76800
Cardioarritmias e Investigación S.C
San Luis Potosí City, 78213
Centro de Investigacion Cardiovascular y Metabolica
Tijuana, 22500
Centro de Investigacion Medica Alberto Bazzoni S.A. de C.V.
Torreón, 27000
Hospital Dr Angel Leano
Zapopan, 45200
India14 sites
Doctor Jivraj Mehta Smarak Health Foundation
Ahmedabad, 380007
Narayana Institute of Cardiac Sciences
Bangalore, 560099
Rajarajeswari Medical College
Bengaluru, 560074
Madras Medical Mission,
Chennai, 600 037
Apollo Speciality Hospital
Chennai, 600035
Kamalnayan Bajaj Hospital
Chhatrapati Sambhajinagar, 431 005
Medanta-The Medicity
Gūrgaon, 122001
B.M. Birla Heart research Centre
Kolkata, 700027
Vijan Cardiac and Critical Care Centre
Nashik, 422005
Siddhi Hospital
Nashik, 422007
Batra Hospital and Medical Research Centre
New Delhi, 110 062
GB Pant Hospital
New Delhi, 110002
Fortis Escorts Heart Institute
New Delhi, 110025
Sir Gangaram Hospital
New Delhi, 110060
South Korea12 sites
Dong-A University Hospital
Busan, 602-715
Inje University Busan Paik Hospital
Busan, 614-735
Chungbuk National University Hospital
Cheongju-si, 361-771
Chungnam National University Hospital
Daejeon, 35015
Gachon University Gil Medical Center
Incheon, 21565
Seoul National University Hospital
Seoul, 03080
Severance Hospital
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Korea University Guro Hospital
Seoul, 08308
Seoul National University Bundang Hospital
Sungnam, 463-707
Wonju Severance Christian Hosp
Wŏnju, 26426
Spain12 sites
Hospital Quiron. I.C.U.
Barcelona, 08023
Hospital Santa Creu i Sant Pau
Barcelona, 08026
Hospital Universitario Virgen de la Arrixaca
El Palmar, 30120
Hospital de Bellvitge
L'Hospitalet de Llobregat, 08907
Hospital Ramón y Cajal
Madrid, 28034
Hospital Clínico San Carlos
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital La Paz
Madrid, 28046
Hospital Virgen de la Victoria
Málaga, 29010
Complejo Hospitalario Universitario de Orense
Ourense, 32005
Hospital Clínico de Santiago
Santiago de Compostela, 15706
Hospital Clínico Universitario de Valladolid
Valladolid, 47003
Belgium10 sites
AZ Sint-Jan Brugge
Bruges, 3000
C.H.U. de Charleroi
Charleroi, 6000
AZ Sint-Blasius
Dendermonde, 9200
Ziekenhuis Oost-Limburg - Campus Sint-Jan
Genk, 3600
AZ Sint-Lucas - Campus Sint Lucas
Ghent, 9000
Grand Hôpital de Charleroi
Gilly, 6060
Jessa Ziekenhuis - Campus Virga Jesse
Hasselt, 3500
La Louvière - UNIV CHU Tivoli
La Louvière, 7100
UZ Leuven
Leuven, 3000
AZ Sint-Maarten
Mechelen, 2800
France10 sites
HOP de Bayonne
Bayonne, 64100
HOP Jean Minjoz
Besançon, 25030
HOP Louis Pradel
Bron, 69500
HOP Côte de Nacre
Caen, 14033
HOP Arnaud de Villeneuve
Montpellier, 34295
HOP La Pitié Salpêtrière
Paris, 75651
Centre Hospitalier de Pau
Pau, 64046
HOP Haut-Lévêque
Pessac, 33600
HOP Rangueil
Toulouse, 31059
INS Louis Mathieu
Vandœuvre-lès-Nancy, 54511
Italy10 sites
Azienda Ospedaliera G. Rummo
Benevento, 82100
ASST Papa Giovanni XXIII - A.O. Papa Giovanni XXIII
Bergamo, 24127
Azienda Ospedaliera Universitaria Arcispedale Sant'Anna
Cona (FE), 44124
Ospedale della Val di Chiana Santa Margherita
Cortona (AR), 52040
Centro Cardiologico Monzino-IRCCS
Milan, 20138
Azienda Ospedaliera Universitaria "Federico II"
Naples, 80131
Azienda Ospedaliera Universitaria Pisana
Pisa, 56126
Umberto I Pol. di Roma-Università di Roma La Sapienza
Roma, 00161
Azienda Ospedaliera Sant'Andrea-Università di Roma La Sapienza
Roma, 00189
Azienda Servizi Sanitari 1 Triestina
Trieste, 34128
Australia9 sites
SA-Heart Ashford Specialist Centre
Ashford, South Australia, 5035
The Northern Hospital
Epping, Victoria, 3076
St Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065
Heart and Vascular Research
Fullarton, South Australia, 5063
University Hospital Geelong
Geelong, Victoria, 3220
CORE Research Group
Milton, Queensland, 4064
John Hunter Hospital
New Lambton Heights, New South Wales, 2305
Royal Melbourne Hospital
Parkville, Victoria, 3050
Mater Hospital Brisbane
South Brisbane, Queensland, 4101
United Kingdom9 sites
Barnet General Hospital
Barnet, EN5 3DJ
University Hospital of Wales
Cardiff, CF14 4XW
Park & St Francis Surgery
Eastleigh, SO53 4ST
Wycombe General Hospital
High Wycombe, HP11 2TT
Glenfield Hospital
Leicester, LE3 9QP
St Bartholomew's Hospital
London, EC1A 7BE
Luton and Dunstable University Hospital
Luton, LU4 0DZ
St Mary's Hospital
Newport, PO30 5TG
Morriston Hospital
Swansea, SA6 6NL
About this study
Official title: A Phase III Randomised, Double-blind Trial to Evaluate Efficacy and Safety of Once Daily Empagliflozin 10 mg Compared to Placebo, in Patients With Chronic Heart Failure With Reduced Ejection Fraction (HFrEF)
The aim of the study is to investigate the safety and efficacy of empagliflozin versus placebo on top of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction.
- Conditions
- Heart Failure
- Being tested
- Empagliflozin, Placebo
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EmpagliflozinDrug
Also called JARDIANCE, JARDIANZ, GIBTULIO
once daily
PlaceboDrug
once daily
| Study group | Role | What they receive |
|---|---|---|
| Empagliflozin | Experimental | Not described Receives: Drug: Empagliflozin |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to the First Event of Adjudicated Cardiovascular (CV) Death or Adjudicated Hospitalisation for Heart Failure (HHF)
Time to the first event of adjudicated cardiovascular (CV) death or adjudicated hospitalisation for heart failure (HHF). The incidence rate per 100 patient years (100 * number of patients with event /time at risk [years]) is presented. With time at risk [year] calculated as: Sum of time at risk [days] over all patients in a treatment group / 365.25.
Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier.
Unit of Measure: Patients with events per 100 patient-years (pt-yrs) at risk.
Measured: From randomisation until completion of the planned treatment period, up to 1040 days.
Secondary outcomes (9)
Occurrence of Adjudicated Hospitalisation for Heart Failure (HHF) (First and Recurrent)
Reported is the total number of HHF events (first and recurrent) which occurred.
All data up to the end of the planned treatment period (including the data after the end of treatment for patients not completing the treatment period as planned) from all randomised patients was used.
Measured: From randomisation until completion of the planned treatment phase, up to 1040 days.
eGFR (CKD-EPI) cr Slope of Change From Baseline
Glomerular filtration rate estimated by the chronic kidney disease epidemiology collaboration formula with serum creatinine measurement (eGFR (CKD-EPI)cr) [mL/min/1.73m2] slope of change from baseline.
Available on-treatment change-from-baseline data were to be used. Patients without on-treatment data after randomisation were not to be included in this analysis. Slope represents the long term effect on eGFR.
Timepoints after baseline were included in calculation of slope of change from baseline. Descriptive statistic (mean(standard error)) is reported.
Measured: Assessed at baseline, week 4, 12, 32, 52, 76, 100, 124, 148 and at end of treatment (EOT), up to 1040 days.
Time to First Event in Composite Renal Endpoint: Chronic Dialysis, Renal Transplant or Sustained Reduction of eGFR(CKD-EPI)cr
Time to the first event in the composite renal endpoint: chronic dialysis (with a frequency of twice per week or more for at least 90 days), renal transplant, or sustained reduction in Glomerular filtration rate estimated by the chronic kidney disease epidemiology collaboration formula with serum creatinine measurement (eGFR (CKD-EPI)cr).
The incidence rate per 100 patient years (100 * number of patients with event /time at risk [years]) is presented. With time at risk [year] calculated as: Sum of time at risk [days] over all patients in a treatment group / 365.25.
Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier.
Unit of Measure: Patients with events per 100 patient-years (pt-yrs) at risk.
Measured: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to First Adjudicated Hospitalisation for Heart Failure (HHF)
Time to first adjudicated Hospitalisation for Heart Failure (HHF). The incidence rate per 100 patient years (100 * number of patients with event /time at risk [years]) is presented. With time at risk [year] calculated as: Sum of time at risk [days] over all patients in a treatment group / 365.25. Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier.
Unit of Measure: Patients with events per 100 patient-years (pt-yrs) at risk.
Measured: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to Adjudicated Cardiovascular (CV) Death
Time to adjudicated CV (Cardiovascular) death. The incidence rate (patients with events per 100 person years at risk) is reported.
The incidence rate per 100 patient years (100 * number of patients with event /time at risk [years]) is presented. With time at risk [year] calculated as: Sum of time at risk [days] over all patients in a treatment group / 365.25.
Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier.
Unit of Measure: Patients with events per 100 patient-years (pt-yrs) at risk.
Measured: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to All-cause Mortality
Time to all-cause mortality. The incidence rate (patients with events per 100 person years at risk) is reported.
The incidence rate per 100 patient years (100 * number of patients with event /time at risk [years]) is presented. With time at risk [year] calculated as: Sum of time at risk [days] over all patients in a treatment group / 365.25.
Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier.
Unit of Measure: Patients with events per 100 patient-years (pt-yrs) at risk.
Measured: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to Onset of Diabetes Mellitus (DM)
Time to onset of DM (Glycated haemoglobin (HbA1c) ≥6.5% or as diagnosed by the investigator) in patients with pre-DM (no history of DM and no HbA1c ≥6.5% before treatment, and a pre-treatment HbA1c value of 5.7 to <6.5%). The incidence rate (patients with events per 100 person years at risk) is reported.
The incidence rate per 100 patient years (100 * number of patients with event /time at risk [years]) is presented. With time at risk [year] calculated as: Sum of time at risk [days] over all patients in a treatment group / 365.25.
Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier.
Unit of Measure: Patients with events per 100 patient-years (pt-yrs) at risk.
Measured: From randomisation until completion of the planned treatment period, up to 1040 days.
Change From Baseline in KCCQ (Kansas City Cardiomyopathy Questionnaire) Clinical Summary Score at Week 52
Change from baseline in KCCQ (Kansas City cardiomyopathy questionnaire) clinical summary score at Week 52. The KCCQ is a 23-item self-administered questionnaire designed to evaluate physical limitations, symptoms (frequency, severity, and changes over time), social limitations, selfefficacy, and quality of life in patients with Heart Failure. The KCCQ-clinical summary score comprises the following domains: Symptom frequency, symptom burden and physical limitation. The score is calculated by summing domain responses and then transforming scores to a 0-100 unit scale with higher scores indicating better health status.
For patients who died, a worst score (score of 0) is imputed at all subsequent scheduled visits after the date of death.
Standard error is adjusted standard error. Change from baseline in KCCQ-score at week 52 was modeled using a MMRM with visit (week 12, 32 and 52) as repeated measures, adjusted mean (standard error) at week 52 is reported.
Measured: Assessed at baseline, week 12, week 32 and week 52.
Number of All-cause Hospitalizations (First and Recurrent)
Number of all-cause hospitalizations (first and recurrent).
Measured: From randomisation until completion of the planned treatment phase, up to 1040 days.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Feb 2017
- Study start6 Mar 2017
- Primary completion1 May 2020
- Study completion28 May 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (31)Papers the sponsor has linked to this study.
- Other trials for Heart FailureStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 3,730 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Responsible party
- Sponsor
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03057977
- Sponsor's protocol ID
- 1245.121
- Other IDs
- 2016-002280-34, 2016
- Status last verified
- Apr 2021
- First submitted
- 16 Feb 2017
- Last updated
- 18 May 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Packer M, Ferreira JP, Butler J, Filippatos G, Januzzi JL Jr, Gonzalez Maldonado S, Panova-Noeva M, Pocock SJ, Prochaska JH, Saadati M, Sattar N, Sumin M, Anker SD, Zannad F. Reaffirmation of Mechanistic Proteomic Signatures Accompanying SGLT2 Inhibition in Patients With Heart Failure: A Validation Cohort of the EMPEROR Program. J Am Coll Cardiol. 2024 Nov 12;84(20):1979-1994. doi: 10.1016/j.jacc.2024.07.013. Epub 2024 Aug 31.
PubMed 39217550Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.
PubMed 38770818Talha KM, Green J, Filippatos G, Pocock S, Zannad F, Brueckmann M, Schueler E, Ofstad AP, Ferreira JP, Anker SD, Butler J, Rosenstock J, Packer M. Impact of empagliflozin on insulin needs in patients with heart failure and diabetes: An EMPEROR-Pooled analysis. Diabetes Obes Metab. 2024 Jul;26(7):2578-2587. doi: 10.1111/dom.15572. Epub 2024 Apr 1.
PubMed 38558314Ferreira JP, Packer M, Sattar N, Butler J, Pocock SJ, Anker SD, Maldonado SG, Panova-Noeva M, Sumin M, Masson S, Zannad F, Januzzi JL. Carbohydrate antigen 125 concentrations across the ejection fraction spectrum in chronic heart failure: The EMPEROR programme. Eur J Heart Fail. 2024 Apr;26(4):788-802. doi: 10.1002/ejhf.3166. Epub 2024 Mar 4.
PubMed 38439582Ferreira JP, Butler J, Anker SD, Januzzi JL, Panova-Noeva M, Reese-Petersen AL, Sattar N, Schueler E, Pocock SJ, Filippatos G, Packer M, Sumin M, Zannad F; EMPEROR Committees and Investigators. Effects of empagliflozin on collagen biomarkers in patients with heart failure: Findings from the EMPEROR trials. Eur J Heart Fail. 2024 Feb;26(2):274-284. doi: 10.1002/ejhf.3101. Epub 2023 Dec 28.
PubMed 38037709Zannad F, Macari S. Drug treatment with empagliflozin lowered risk for hospitalization in people with heart failure with reduced ejection fraction: plain language summary of the EMPEROR-Reduced study. Future Cardiol. 2023 Oct;19(13):625-630. doi: 10.2217/fca-2023-0090. Epub 2023 Nov 9.
PubMed 37942680Dhingra NK, Verma S, Butler J, Anker SD, Ferreira JP, Filippatos G, Januzzi JL, Lam CSP, Sattar N, Zaremba-Pechmann L, Bohm M, Nordaby M, Brueckmann M, Pocock SJ, Zannad F, Packer M; EMPEROR-Reduced Trial Committees and Investigators. Efficacy and Safety of Empagliflozin According to Background Diuretic Use in HFrEF: Post-Hoc Analysis of EMPEROR-Reduced. JACC Heart Fail. 2024 Jan;12(1):35-46. doi: 10.1016/j.jchf.2023.06.036. Epub 2023 Sep 13.
PubMed 37715769Packer M, Butler J, Zeller C, Pocock SJ, Brueckmann M, Ferreira JP, Filippatos G, Usman MS, Zannad F, Anker SD. Blinded Withdrawal of Long-Term Randomized Treatment With Empagliflozin or Placebo in Patients With Heart Failure. Circulation. 2023 Sep 26;148(13):1011-1022. doi: 10.1161/CIRCULATIONAHA.123.065748. Epub 2023 Aug 24.
PubMed 37621153Carson P, Teerlink JR, Komajda M, Anand I, Anker SD, Butler J, Doehner W, Ferreira JP, Filippatos G, Haass M, Miller A, Pehrson S, Pocock SJ, Schnaidt S, Schnee JM, Zannad F, Packer M. Comparison of Investigator-Reported and Centrally Adjudicated Heart Failure Outcomes in the EMPEROR-Reduced Trial. JACC Heart Fail. 2023 Apr;11(4):407-417. doi: 10.1016/j.jchf.2022.11.017. Epub 2023 Feb 1.
PubMed 36881400Khan MS, Butler J, Anker SD, Filippatos G, Ferreira JP, Pocock SJ, Januzzi JL, Pina IL, Bohm M, Ponikowski P, Verma S, Brueckmann M, Vedin O, Zeller C, Zannad F, Packer M. Impact of Empagliflozin in Heart Failure With Reduced Ejection Fraction in Patients With Ischemic Versus Nonischemic Cause. J Am Heart Assoc. 2023 Jan 3;12(1):e027652. doi: 10.1161/JAHA.122.027652. Epub 2022 Dec 24.
PubMed 36565199Ferreira JP, Zannad F, Butler J, Filippatos G, Pocock SJ, Brueckmann M, Steubl D, Schueler E, Anker SD, Packer M. Association of Empagliflozin Treatment With Albuminuria Levels in Patients With Heart Failure: A Secondary Analysis of EMPEROR-Pooled. JAMA Cardiol. 2022 Nov 1;7(11):1148-1159. doi: 10.1001/jamacardio.2022.2924.
PubMed 36129693Zannad F, Ferreira JP, Butler J, Filippatos G, Januzzi JL, Sumin M, Zwick M, Saadati M, Pocock SJ, Sattar N, Anker SD, Packer M. Effect of empagliflozin on circulating proteomics in heart failure: mechanistic insights into the EMPEROR programme. Eur Heart J. 2022 Dec 21;43(48):4991-5002. doi: 10.1093/eurheartj/ehac495.
PubMed 36017745Zannad F, Ferreira JP, Gregson J, Kraus BJ, Mattheus M, Hauske SJ, Butler J, Filippatos G, Wanner C, Anker SD, Pocock SJ, Packer M; EMPEROR-Reduced Trial Committees and Investigators. Early changes in estimated glomerular filtration rate post-initiation of empagliflozin in EMPEROR-Reduced. Eur J Heart Fail. 2022 Oct;24(10):1829-1839. doi: 10.1002/ejhf.2578. Epub 2022 Jul 7.
PubMed 35711093Ferreira JP, Zannad F, Butler J, Filipattos G, Ritter I, Schuler E, Kraus BJ, Pocock SJ, Anker SD, Packer M. Empagliflozin and serum potassium in heart failure: an analysis from EMPEROR-Pooled. Eur Heart J. 2022 Aug 14;43(31):2984-2993. doi: 10.1093/eurheartj/ehac306.
PubMed 35687107Ferreira JP, Butler J, Zannad F, Filippatos G, Schueler E, Steubl D, Zeller C, Januzzi JL, Pocock S, Packer M, Anker SD. Mineralocorticoid Receptor Antagonists and Empagliflozin in Patients With Heart Failure and Preserved Ejection Fraction. J Am Coll Cardiol. 2022 Mar 29;79(12):1129-1137. doi: 10.1016/j.jacc.2022.01.029.
PubMed 35331406
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Randomised, Double-blind Trial to Evaluate Efficacy and Safety of Once Daily Empagliflozin 10 mg Compared to Placebo, in Patients With Chronic Heart Failure With Reduced Ejection Fraction (HFrEF)
- ClinicalTrials.gov ID
- NCT03057977
- Acronym / sponsor ID
- 1245.121
- Conditions
- Heart Failure
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 3,730 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Study start
- 6 Mar 2017 (actual)
- Primary completion
- 1 May 2020 (actual)
- Study completion
- 28 May 2020 (actual)
- First posted
- 20 Feb 2017 (actual)
- Results
- Posted 18 May 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of the study is to investigate the safety and efficacy of empagliflozin versus placebo on top of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Empagliflozin | Experimental | Drug: Empagliflozin |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Male or female patient age >= 18 years at screening. For Japan only: Age >= 20 years at screening
- Patients with chronic HF (Chronic Heart Failure) NYHA (New York Heart Association Classification) class II-IV and reduced EF (Ejection Fraction) (LVEF (Left Ventricular Ejection Fraction) <=40%) and elevated NT-proBNP (N-terminal of the prohormone brain natriuretic peptide)
- Appropriate dose of medical therapy for HF consistent with prevailing local and international CV (Cardiovascular) guidelines, stable for at least 1 week prior to Visit 1
- Appropriate use of medical devices such as cardioverter defibrillator (ICD) or a cardiac resynchronization therapy (CRT) consistent with prevailing local or international CV guidelines
- Signed and dated written ICF (Informed Consent Form)
Key exclusion criteria (13 listed)
- Myocardial infarction, coronary artery bypass graft surgery, or other major cardiovascular surgery, stroke or TIA (Transient Ischaemic Attack) in past 90 days prior to Visit 1
- Heart transplant recipient, or listed for heart transplant
- Acute decompensated HF
- Systolic blood pressure (SBP) >= 180 mmHg at Visit 2.
- Symptomatic hypotension and/or a SBP < 100 mmHg
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EmpagliflozinAlso: JARDIANCE, JARDIANZ, GIBTULIOonce daily | Drug | Empagliflozin |
| Placeboonce daily | Drug | Placebo |
Primary outcome
Time to the First Event of Adjudicated Cardiovascular (CV) Death or Adjudicated Hospitalisation for Heart Failure (HHF)
Time frame: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to the first event of adjudicated cardiovascular (CV) death or adjudicated hospitalisation for heart failure (HHF). The incidence rate per 100 patient years (100 * number of patients with event /time at risk [years]) is presented. With time at risk [year] calculated as: Sum of time at risk [days] over all patients in a treatment group / 365.25. Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier. Unit of Measure: Patients with events per 100 patient-years (pt-yrs) at risk.
9 secondary outcomes
Occurrence of Adjudicated Hospitalisation for Heart Failure (HHF) (First and Recurrent)
Time frame: From randomisation until completion of the planned treatment phase, up to 1040 days.
eGFR (CKD-EPI) cr Slope of Change From Baseline
Time frame: Assessed at baseline, week 4, 12, 32, 52, 76, 100, 124, 148 and at end of treatment (EOT), up to 1040 days.
Time to First Event in Composite Renal Endpoint: Chronic Dialysis, Renal Transplant or Sustained Reduction of eGFR(CKD-EPI)cr
Time frame: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to First Adjudicated Hospitalisation for Heart Failure (HHF)
Time frame: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to Adjudicated Cardiovascular (CV) Death
Time frame: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to All-cause Mortality
Time frame: From randomisation until completion of the planned treatment period, up to 1040 days.
Time to Onset of Diabetes Mellitus (DM)
Time frame: From randomisation until completion of the planned treatment period, up to 1040 days.
Change From Baseline in KCCQ (Kansas City Cardiomyopathy Questionnaire) Clinical Summary Score at Week 52
Time frame: Assessed at baseline, week 12, week 32 and week 52.
Number of All-cause Hospitalizations (First and Recurrent)
Time frame: From randomisation until completion of the planned treatment phase, up to 1040 days.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 May 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39217550Packer M, Ferreira JP, Butler J, Filippatos G, Januzzi JL Jr, Gonzalez Maldonado S, Panova-Noeva M, Pocock SJ, Prochaska JH, Saadati M, Sattar N, Sumin M, Anker SD, Zannad F. Reaffirmation of Mechanistic Proteomic Signatures Accompanying SGLT2 Inhibition in Patients With Heart Failure: A Validation Cohort of the EMPEROR Program. J Am Coll Cardiol. 2024 Nov 12;84(20):1979-1994. doi: 10.1016/j.jacc.2024.07.013. Epub 2024 Aug 31.
- Derived from this study: PubMed 38770818Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.
- Derived from this study: PubMed 38558314Talha KM, Green J, Filippatos G, Pocock S, Zannad F, Brueckmann M, Schueler E, Ofstad AP, Ferreira JP, Anker SD, Butler J, Rosenstock J, Packer M. Impact of empagliflozin on insulin needs in patients with heart failure and diabetes: An EMPEROR-Pooled analysis. Diabetes Obes Metab. 2024 Jul;26(7):2578-2587. doi: 10.1111/dom.15572. Epub 2024 Apr 1.
- Derived from this study: PubMed 38439582Ferreira JP, Packer M, Sattar N, Butler J, Pocock SJ, Anker SD, Maldonado SG, Panova-Noeva M, Sumin M, Masson S, Zannad F, Januzzi JL. Carbohydrate antigen 125 concentrations across the ejection fraction spectrum in chronic heart failure: The EMPEROR programme. Eur J Heart Fail. 2024 Apr;26(4):788-802. doi: 10.1002/ejhf.3166. Epub 2024 Mar 4.
- Derived from this study: PubMed 38037709Ferreira JP, Butler J, Anker SD, Januzzi JL, Panova-Noeva M, Reese-Petersen AL, Sattar N, Schueler E, Pocock SJ, Filippatos G, Packer M, Sumin M, Zannad F; EMPEROR Committees and Investigators. Effects of empagliflozin on collagen biomarkers in patients with heart failure: Findings from the EMPEROR trials. Eur J Heart Fail. 2024 Feb;26(2):274-284. doi: 10.1002/ejhf.3101. Epub 2023 Dec 28.
- Derived from this study: PubMed 37942680Zannad F, Macari S. Drug treatment with empagliflozin lowered risk for hospitalization in people with heart failure with reduced ejection fraction: plain language summary of the EMPEROR-Reduced study. Future Cardiol. 2023 Oct;19(13):625-630. doi: 10.2217/fca-2023-0090. Epub 2023 Nov 9.
- Derived from this study: PubMed 37715769Dhingra NK, Verma S, Butler J, Anker SD, Ferreira JP, Filippatos G, Januzzi JL, Lam CSP, Sattar N, Zaremba-Pechmann L, Bohm M, Nordaby M, Brueckmann M, Pocock SJ, Zannad F, Packer M; EMPEROR-Reduced Trial Committees and Investigators. Efficacy and Safety of Empagliflozin According to Background Diuretic Use in HFrEF: Post-Hoc Analysis of EMPEROR-Reduced. JACC Heart Fail. 2024 Jan;12(1):35-46. doi: 10.1016/j.jchf.2023.06.036. Epub 2023 Sep 13.
- Derived from this study: PubMed 37621153Packer M, Butler J, Zeller C, Pocock SJ, Brueckmann M, Ferreira JP, Filippatos G, Usman MS, Zannad F, Anker SD. Blinded Withdrawal of Long-Term Randomized Treatment With Empagliflozin or Placebo in Patients With Heart Failure. Circulation. 2023 Sep 26;148(13):1011-1022. doi: 10.1161/CIRCULATIONAHA.123.065748. Epub 2023 Aug 24.
- Derived from this study: PubMed 36881400Carson P, Teerlink JR, Komajda M, Anand I, Anker SD, Butler J, Doehner W, Ferreira JP, Filippatos G, Haass M, Miller A, Pehrson S, Pocock SJ, Schnaidt S, Schnee JM, Zannad F, Packer M. Comparison of Investigator-Reported and Centrally Adjudicated Heart Failure Outcomes in the EMPEROR-Reduced Trial. JACC Heart Fail. 2023 Apr;11(4):407-417. doi: 10.1016/j.jchf.2022.11.017. Epub 2023 Feb 1.
- Derived from this study: PubMed 36565199Khan MS, Butler J, Anker SD, Filippatos G, Ferreira JP, Pocock SJ, Januzzi JL, Pina IL, Bohm M, Ponikowski P, Verma S, Brueckmann M, Vedin O, Zeller C, Zannad F, Packer M. Impact of Empagliflozin in Heart Failure With Reduced Ejection Fraction in Patients With Ischemic Versus Nonischemic Cause. J Am Heart Assoc. 2023 Jan 3;12(1):e027652. doi: 10.1161/JAHA.122.027652. Epub 2022 Dec 24.
- Derived from this study: PubMed 36129693Ferreira JP, Zannad F, Butler J, Filippatos G, Pocock SJ, Brueckmann M, Steubl D, Schueler E, Anker SD, Packer M. Association of Empagliflozin Treatment With Albuminuria Levels in Patients With Heart Failure: A Secondary Analysis of EMPEROR-Pooled. JAMA Cardiol. 2022 Nov 1;7(11):1148-1159. doi: 10.1001/jamacardio.2022.2924.
- Derived from this study: PubMed 36017745Zannad F, Ferreira JP, Butler J, Filippatos G, Januzzi JL, Sumin M, Zwick M, Saadati M, Pocock SJ, Sattar N, Anker SD, Packer M. Effect of empagliflozin on circulating proteomics in heart failure: mechanistic insights into the EMPEROR programme. Eur Heart J. 2022 Dec 21;43(48):4991-5002. doi: 10.1093/eurheartj/ehac495.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Boehringer Ingelheim study chair
Boehringer Ingelheim
520 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Empagliflozin in people with Heart Failure, run by Boehringer Ingelheim at 520 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 520 sites in United States, Japan, Argentina, Brazil, Poland and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 May 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to the First Event of Adjudicated Cardiovascular (CV) Death or Adjudicated Hospitalisation for Heart Failure (HHF) (time frame: From randomisation until completion of the planned treatment period, up to 1040 days.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03057977, which also lists 31 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2021.