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Heart Failure With Reduced Ejection FractionPhase 2Empire HFNCT03198585

Empagliflozin in Heart Failure Patients With Reduced Ejection Fraction

A Phase 2 study testing Empagliflozin 10 MG in people with Heart Failure With Reduced Ejection Fraction, run by Morten Schou at 2 sites in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To assess the effect of Empagliflozin on cardiac biomarkers, cardiac function at rest and during stress, cardiac hemodynamics, renal function, metabolism, daily activity level and health-related quality of life in stable, symptomatic heart failure patients with reduced left ventricular ejection fraction. Read more about this study

Who is it for?
Ages 18 to 85 years
What is being tested?
Empagliflozin 10 MG
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
190 participants
Where
2 sitesDenmark
Study dates
29 Jun 2017to 17 Jan 2020
Phase
Phase 2
Are there results?
None posted in the registry

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 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Optimal Heart Failure Therapy in accordance with European and National Guidelines
  • LVEF ≤ 0.40
  • eGFR > 30 ml/min/1.73 m2
  • BMI < 45 kg/m2
  • NYHA class I-III
  • Age > 18 years
Show all 9Show fewer
  • If T2D - optimal treatment in accordance with European and National Guidelines
  • If T2D - stable doses of antiglycemic treatment for 30 days
  • If T2D - HbA1C 6.5-10%

Who cannot join

  • CRT-D/-P implanted < 90 days
  • Uncorrected severe valvular disease
  • Non-compliance
  • Use of metalozone
  • NYHA IV
  • Age > 85 years
Show all 16Show fewer
  • Dementia
  • Admission for HF < 30 days
  • Admission for hypoglycemia < 12 month
  • Known sustained VT
  • Symptomatic hypotension and systolic BP < 95 mmHg
  • Unable to perform an exercise test
  • Immobilization
  • Pregnancy
  • Participation in other medical trials
  • Previous intolerance of Empagliflozin or excipients

Trial locations and contacts

2 sites in 1 country.

Denmark2 sites
  • Herlev and Gentofte University Hospital

    Copenhagen, 2730

  • Odense University Hospital

    Odense, 5000

Other trials in Denmark

About this study

Official title: Empagliflozin in Heart Failure Patients With Reduced Ejection Fraction: A Randomized Clinical Trial (Empire HF)

To assess the effect of Empagliflozin on cardiac biomarkers, cardiac function at rest and during stress, cardiac hemodynamics, renal function, metabolism, daily activity level and health-related quality of life in stable, symptomatic heart failure patients with reduced left ventricular ejection fraction.

The primary hypothesis is that 3 months' treatment with Empagliflozin 10 mg a day will reduce the plasma concentrations of N-terminal pro-brain natriuretic peptide (NT-proBNP).

Being tested
Empagliflozin 10 MG, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Empagliflozin 10 MGDrug

    Capsule, once a day for 90 days

  • PlaceboOther

    Capsule, once a day for 90 days

Study groups in NCT03198585
Study groupRoleWhat they receive
Empagliflozin 10 mgActive comparatorNot described
Receives: Drug: Empagliflozin 10 MG
PlaceboPlacebo comparatorNot described
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Between-group difference in the change of plasma concentrations of NT-proBNP

    Measured: 90 days

Secondary outcomes (15)
  1. Between-group difference in the change in daily activity level measured by patient-worn accelerometers as change in the amount of daily average accelerometer units

    Measured: 90 days

  2. Between-group difference in the change in body composition assessed by DXA scan

    Measured: 90 days

  3. Between-group difference in the change of estimated extracellular volume assessed by Cr-51 EDTA clearance

    Measured: 90 days

  4. Between-group difference in the change of estimated plasma volume assessed by hematocrit and hemoglobin

    Measured: 90 days

  5. Between-group difference in the change of glucose metabolism assessed by oral glucose tolerance test

    Measured: 90 days

  6. Between-group difference in the change of ketone supply to the heart assessed by blood ketones

    Measured: 90 days

  7. Between-group difference in the change of renal function assessed by Cr-51 EDTA clearance

    Measured: 90 days

  8. Between-group difference in the change of uric acid

    Measured: 90 days

  9. Between-group difference in the change of urine albumin/creatinine ratio

    Measured: 90 days

  10. Between-group difference in the change of cardiac biomarkers assessed by plasma concentrations of MR-proADM and hs-cTnI

    Measured: 90 days

  11. Between-group difference in the change of cardiac systolic and diastolic function including left ventricular global longitudinal strain and left ventricular ejection fraction assessed by transthoracic echocardiography at rest and during stress

    Measured: 90 days

  12. Between-group difference in the change of cardiac hemodynamics during rest and sub-maximal exercise assessed by right heart catheterization including pulmonary capillary wedge pressure to cardiac index ratio

    Measured: 90 days

  13. Between-group difference in the change of cardiac hemodynamics during rest and sub-maximal exercise assessed by right heart catheterization including left ventricular contractile reserve

    Measured: 90 days

  14. Between-group difference in the change of health-related quality of life assessed by the questionnaire KCCQ

    Measured: 90 days

  15. Between-group difference in the change of health-related quality of life assessed by the questionnaire EQ-5D-5L

    Measured: 90 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jun 2017
  2. Study start29 Jun 2017
  3. Primary completion20 Dec 2019
  4. Study completion17 Jan 2020

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
190 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03198585
Sponsor's protocol ID
Empire HF
Other IDs
2017-001341-27, 2017
Acronym
Empire HF
Status last verified
Jan 2020
First submitted
21 Jun 2017
Last updated
5 Feb 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Omar M, Jensen J, Ali M, Frederiksen PH, Kistorp C, Videbaek L, Poulsen MK, Tuxen CD, Borlaug BA, Moller S, Gustafsson F, Kober L, Schou M, Moller JE. Effects of empagliflozin on right ventricular free-wall strain in patients with heart failure and reduced ejection fraction: results from the Empire HF Trial. ESC Heart Fail. 2026 May 5;13(3):xvaf031. doi: 10.1093/eschf/xvaf031.

    PubMed 41711194
  • Omar M, Jensen J, Frederiksen PH, Ali M, Kistorp C, Videbaek L, Poulsen MK, Tuxen CD, Borlaug BA, Moller S, Gustafsson F, Kober L, Schou M, Moller JE. Effects of Empagliflozin on Right Ventricular Function in Heart Failure with Reduced Ejection Fraction. medRxiv [Preprint]. 2025 Jun 2:2025.05.30.25328686. doi: 10.1101/2025.05.30.25328686.

    PubMed 40502611
  • Emanuelsson F, Jensen J, Omar M, Jurgens M, Kistorp C, Brandt-Jacobsen NH, Moller JE, Schou M, Bechmann LE, Larsen EL, Nordestgaard BG, Benn M. Effect of empagliflozin on plasma lipids and lipoproteins in type 2 diabetes and heart failure - Empire HF and SIMPLE. J Clin Lipidol. 2025 Mar-Apr;19(2):276-285. doi: 10.1016/j.jacl.2024.12.015. Epub 2024 Dec 21.

    PubMed 39843293
  • Jensen J, Omar M, Kistorp C, Tuxen C, Poulsen MK, Faber J, Kober L, Gustafsson F, Moller JE, Schou M. Effect of Empagliflozin on Multiple Biomarkers in Heart Failure: Insights From the Empire Heart Failure Trial. Circ Heart Fail. 2022 Aug;15(8):e009333. doi: 10.1161/CIRCHEARTFAILURE.121.009333. Epub 2022 Apr 21. No abstract available.

    PubMed 35973031
  • Omar M, Jensen J, Kistorp C, Hojlund K, Videbaek L, Tuxen C, Larsen JH, Andersen CF, Gustafsson F, Kober L, Schou M, Moller JE. The effect of empagliflozin on growth differentiation factor 15 in patients with heart failure: a randomized controlled trial (Empire HF Biomarker). Cardiovasc Diabetol. 2022 Feb 27;21(1):34. doi: 10.1186/s12933-022-01463-2.

    PubMed 35219331
  • Omar M, Jensen J, Burkhoff D, Frederiksen PH, Kistorp C, Videbaek L, Poulsen MK, Gustafsson F, Kober L, Borlaug BA, Schou M, Moller JE. Effect of Empagliflozin on Blood Volume Redistribution in Patients With Chronic Heart Failure and Reduced Ejection Fraction: An Analysis From the Empire HF Randomized Clinical Trial. Circ Heart Fail. 2022 Mar;15(3):e009156. doi: 10.1161/CIRCHEARTFAILURE.121.009156. Epub 2021 Nov 8.

    PubMed 34743533
  • Omar M, Jensen J, Frederiksen PH, Videbaek L, Poulsen MK, Brond JC, Gustafsson F, Borlaug BA, Schou M, Moller JE. Hemodynamic Determinants of Activity Measured by Accelerometer in Patients With Stable Heart Failure. JACC Heart Fail. 2021 Nov;9(11):824-835. doi: 10.1016/j.jchf.2021.05.013. Epub 2021 Sep 8.

    PubMed 34509409
  • Jensen J, Omar M, Kistorp C, Tuxen C, Gustafsson I, Kober L, Gustafsson F, Faber J, Forman JL, Moller JE, Schou M. Metabolic Effects of Empagliflozin in Heart Failure: A Randomized, Double-Blind, and Placebo-Controlled Trial (Empire HF Metabolic). Circulation. 2021 Jun;143(22):2208-2210. doi: 10.1161/CIRCULATIONAHA.120.053463. Epub 2021 Jun 1. No abstract available.

    PubMed 34061581
  • Omar M, Jensen J, Ali M, Frederiksen PH, Kistorp C, Videbaek L, Poulsen MK, Tuxen CD, Moller S, Gustafsson F, Kober L, Schou M, Moller JE. Associations of Empagliflozin With Left Ventricular Volumes, Mass, and Function in Patients With Heart Failure and Reduced Ejection Fraction: A Substudy of the Empire HF Randomized Clinical Trial. JAMA Cardiol. 2021 Jul 1;6(7):836-840. doi: 10.1001/jamacardio.2020.6827.

    PubMed 33404637
  • Jensen J, Omar M, Kistorp C, Tuxen C, Gustafsson I, Kober L, Gustafsson F, Faber J, Malik ME, Fosbol EL, Bruun NE, Forman JL, Jensen LT, Moller JE, Schou M. Effects of empagliflozin on estimated extracellular volume, estimated plasma volume, and measured glomerular filtration rate in patients with heart failure (Empire HF Renal): a prespecified substudy of a double-blind, randomised, placebo-controlled trial. Lancet Diabetes Endocrinol. 2021 Feb;9(2):106-116. doi: 10.1016/S2213-8587(20)30382-X. Epub 2020 Dec 22.

    PubMed 33357505
  • Jensen J, Omar M, Kistorp C, Poulsen MK, Tuxen C, Gustafsson I, Kober L, Gustafsson F, Fosbol E, Bruun NE, Videbaek L, Frederiksen PH, Moller JE, Schou M. Empagliflozin in heart failure patients with reduced ejection fraction: a randomized clinical trial (Empire HF). Trials. 2019 Jun 21;20(1):374. doi: 10.1186/s13063-019-3474-5.

    PubMed 31227014

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Empagliflozin 10 MG in people with Heart Failure With Reduced Ejection Fraction, run by Morten Schou at 2 sites in Denmark.

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 9 inclusion and 16 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 5 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Denmark. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Between-group difference in the change of plasma concentrations of NT-proBNP (time frame: 90 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 NCT03198585, which also lists 11 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 5 Feb 2020.

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