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Aortic StenosisPhase 4DapaTAVINCT04696185

Dapagliflozin After Transcatheter Aortic Valve Implantation

A Phase 4 study testing Dapagliflozin 10 MG in people with Aortic Stenosis and Transcatether Aortic Valve Implantation, run by Spanish Society of Cardiology at 40 sites in Spain.

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

Pragmatic, controlled, prospective, randomized, open-label (open-label), evaluator-blind clinical trial (PROBE design) that will analyze the benefits of dapagliflozin treatment in patients with severe aortic stenosis discharged after implantation of an aortic valve prosthesis transcatheter (TAVI). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Dapagliflozin 10 MG
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,257 participants
Where
40 sitesSpain
Study dates
27 Jan 2021to 30 Dec 2024
Phase
Phase 4
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • SEVERE AORTIC STENOSIS UNDERWENT TAVI
  • PRIOR HEART FAILURE ADMISSION AND ONE OF THE FOLLOWING CRITERIA:
  • Left ventricular ejection fraction ≤ 40% or
  • Diabetes mellitus or
  • Estimated glomerular filtrate rate 25-75 ml/min/1.73 m2

Who cannot join

  • Known allergy or intolerance to SGLT2 inhibitors.
  • Concomitant therapy with sulfonylurea or SGLT2 inhibitors..
  • Systolic blood pressure < 100 mmHg or diastolic blood pressure < 50 mmHg.
  • An estimated glomerular filtration rate (GFR) below 25 ml per minute per 1.73 m2.
  • Chronic cystitis and/or recurrent urinary tract infections (2 or more in the last year)
  • Poor control of diabetes mellitus that requires SGLT-2 inhibitor prescription on discharge according to treating physician judge.
Show all 9Show fewer
  • Any medical condition that, in the investigator´s judgment, would seriously limit life expectancy (less than one year).
  • Pregnant or breast-feeding patients
  • Patients participating in other clinical trials.

Trial locations and contacts

40 sites in 1 country.

40 sites in 1 country

Spain40 sites
  • Hospital Juan Canalejo

    A Coruña

  • Hospital Universitario de Albacete

    Albacete

  • Hospital General Universitario de Alicante

    Alicante

  • Hospital Universitario de Cruces

    Barakaldo

  • Centro Médico TEKNON

    Barcelona

  • Hospital Clinic

    Barcelona

  • Hospital de Bellvitge

    Barcelona

  • Hospital German I Trias

    Barcelona

  • Hospital Universitario Sant Pau

    Barcelona

  • Hospital Universitario Vall D´Hebron

    Barcelona

  • Hospital Puerta Del Mar

    Cadiz

  • Hospital Reina Sofia

    Córdoba

  • Hospital San Cecilio

    Granada

  • Hospital Virgen de Las Nieves

    Granada

  • Hospital Juan Ramón Jiménez

    Huelva

  • Hospital Universitario de Jaen

    Jaén

  • Hospital Universitario de León

    León

  • Clinica La Luz

    Madrid

  • Clinica Nuestra Señora de América de Madrid

    Madrid

  • Fundación Jimenez Diaz

    Madrid

  • Hospital 12 de Octubre

    Madrid

  • Hospital Clínico San Carlos

    Madrid

  • Hospital La Princesa

    Madrid

  • Hospital Puerta de Hierro

    Madrid

  • Hospital Ramón Y Cajal

    Madrid

  • Hospital Universitario de Torrejón

    Madrid

  • Hospital Virgen de La Victoria

    Málaga

  • Hospital Universitario Central de Asturias

    Oviedo

  • Hospital Son Espases

    Palma de Mallorca

  • Hospital Universitario de Navarra

    Pamplona

  • Hospital Universitario de Salamanca

    Salamanca

  • Hospital Universitario de Canarias

    Santa Cruz de Tenerife

  • Hospital Marqués de Valdecilla

    Santander

  • Hospital Clínico de Santiago

    Santiago de Compostela

  • Hospital Virgen Del Rocio

    Seville

  • Hospital Clínico de Valencia

    Valencia

  • Hospital La Fe

    Valencia

  • Hospital Clinico Universitario de Valladolid

    Valladolid

  • Hospital Álvaro Cunqueiro

    Vigo

  • Hospital Miguel Servet

    Zaragoza

Other trials in Spain

About this study

Pragmatic, controlled, prospective, randomized, open-label (open-label), evaluator-blind clinical trial (PROBE design) that will analyze the benefits of dapagliflozin treatment in patients with severe aortic stenosis discharged after implantation of an aortic valve prosthesis transcatheter (TAVI).

Read the detailed description

Patients discharged after TAVI, with a history of heart failure (HF) plus depressed left ventricular ejection fraction (LVEF ≤ 40%) or diabetes mellitus (DM) or glomerular filtration rate (GFR) between 25 and 75 ml/min/1.73 m2, will be randomized (1:1) before hospital discharge to receive treatment with dapagliflozin 10 mg/day or no dapagliflozin (no placebo).

Only variables available during routine clinical practice will be collected and there will be no additional tests.

The incidence of clinical events and adherence to the dapagliflozin arm will be documented at 2 time-points (3 ± 1 months and 12 months) by phone calls and review of medical records.

Being tested
Dapagliflozin 10 MG
Keywords
Aortic Stenosis, TAVI, Dapagliflozin
Medical subject headings
Aortic Valve Stenosis

What participants receive

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

  • Dapagliflozin 10 MGDrug

    Dapagliflozin 10 mg (daily oral dose)

Study groups in NCT04696185
Study groupRoleWhat they receive
DapagliflozinActive comparatorSodium-glucose cotransporter-2 (SGLT-2) inhibitor therapy with daily oral dose of dapagliflozin 10 mg
Receives: Drug: Dapagliflozin 10 MG
Standard careNo interventionNo SGLT-2 inhibitor therapy with dapagliflozin

What is being measured

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

  1. Incidence rate of the composite of all-cause mortality or worsening heart failure (HF)

    All-cause mortality and worsening HF (including hospitalization for HF or an urgent visit resulting in intravenous therapy for HF).

    Measured: 1 year

Secondary outcomes (6)
  1. Incidence rate all-cause mortality

    All cause mortality

    Measured: 1 year

  2. Incidence rate of Cardiovascular death

    Mortality secondary to cardiovascular cause

    Measured: 1 year

  3. Incidence rate of Hospitalization for Heart Failure

    Heart Failure requiring hospital admission

    Measured: 1 year

  4. Incidence rate of Urgent Heart Failure visits

    Urgent Heart Failure visit requiring intravenous therapy

    Measured: 1 year

  5. Incidence rate of the composite of Heart Failure hospitalization or Cardiovascular death

    Composite of Heart Failure hospitalization or Cardiovascular death

    Measured: 1 year

  6. Total number of Heart Failure hospitalizations and Cardiovascular deaths

    Total number of (first and recurrent) Heart Failure hospitalizations and Cardiovascular deaths

    Measured: 1 year

Timeline

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

  1. First posted6 Jan 2021
  2. Study start27 Jan 2021
  3. Primary completion29 Dec 2024
  4. Study completion30 Dec 2024

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Dapa-TAVI is a pragmatic, controlled, prospective, randomized, open-label blinded endpoint (PROBE design) clinical trial. Patients being discharged after TAVI who meet all inclusion criteria, and none of the exclusion criteria, will be eligible for the enrollment. Patients will be 1:1 randomized to 1 of these 2 arms: * Intervention group: Sodium-glucose cotransporter-2 (SGLT-2) inhibitor therapy with daily oral dose of dapagliflozin 10 mg. * Control group: no SGLT-2 inhibitor therapy with dapagliflozin.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,257 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04696185
Sponsor's protocol ID
SEC-DAPATAVI-2020
Acronym
DapaTAVI
Status last verified
Jan 2025
First submitted
30 Dec 2020
Last updated
10 Jan 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All data will be available to other researchers after ending the trial, prior to a formal request to the Executive Committee

Publications

  • Amat-Santos IJ, Sanchez-Luna JP, Abu-Assi E, Melendo-Viu M, Cruz-Gonzalez I, Nombela-Franco L, Munoz-Garci AJ, Blas SG, de la Torre Hernandez JM, Romaguera R, Sanchez-Recalde A, Diez-Gil JL, Lopez-Otero D, Gheorge L, Ibanez B, Iniguez-Romo A, Raposeiras-Roubin S; Dapagliflozin after Transcatheter Aortic Valve Implantation (DapaTAVI) Investigators. Rationale and design of the Dapagliflozin after Transcatheter Aortic Valve Implantation (DapaTAVI) randomized trial. Eur J Heart Fail. 2022 Mar;24(3):581-588. doi: 10.1002/ejhf.2370. Epub 2021 Nov 9.

    PubMed 34693613
  • Bonanad-Lozano C, Garcia Blas S, Amat-Santos I, Gonzalez-Manzanares R, Sanchis J, Lopez Otero D, Nombela Franco L, Gheorge L, Sanz-Sanchez J, Baladron Zorita C, Iniguez Romo A, Munoz Garcia AJ, Vilalta V, Ojeda S, Veiga Fernandez G, Cordoba Soriano JG, Cepas P, Sandin Rollan M, Rios XF, Palma-Carbajal R, Martin Reyes R, Romaguera R, Avanzas P, Franco-Pelaez JA, Martin Moreiras J, Gonzalez Juanatey JR, Tirado G, Calle G, Diez JL, Santos-Martinez S, Dominguez Erquicia P, Garcia EM, Fernandez-Nofrerias E, Lopez Pais J, Gonzalo N, Barri AG, Asmarats L, Lopez Perez M, Dominguez Rodriguez LM, Cobo M, Gonzalez Bermudez I, Garcia Alvarez A, Garcia Pavia P, Fuster V, Ibanez B, Raposeiras-Roubin S. Effect of Dapagliflozin on Quality of Life of Patients With Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation. J Am Coll Cardiol. 2025 Oct 14;86(15):1128-1138. doi: 10.1016/j.jacc.2025.07.051.

    PubMed 41062227
  • Raposeiras-Roubin S, Amat-Santos IJ, Rossello X, Gonzalez Ferreiro R, Gonzalez Bermudez I, Lopez Otero D, Nombela-Franco L, Gheorghe L, Diez JL, Baladron Zorita C, Baz JA, Munoz Garcia AJ, Vilalta V, Ojeda-Pineda S, de la Torre Hernandez JM, Cordoba Soriano JG, Regueiro A, Bordes Siscar P, Salgado Fernandez J, Garcia Del Blanco B, Martin-Reyes R, Romaguera R, Moris C, Garcia Blas S, Franco-Pelaez JA, Cruz-Gonzalez I, Arzamendi D, Romero Rodriguez N, Diez-Del Hoyo F, Camacho Freire S, Bosa Ojeda F, Astorga Burgo JC, Molina Navarro E, Caballero Borrego J, Ruiz Quevedo V, Sanchez-Recalde A, Peral Disdier V, Alegria-Barrero E, Torres-Llergo J, Feltes G, Fernandez Diaz JA, Cuellas C, Jimenez Britez G, Sanchez-Rubio Lezcano J, Barreiro-Pardal C, Nunez-Gil I, Abu-Assi E, Iniguez-Romo A, Fuster V, Ibanez B; DapaTAVI Investigators. Dapagliflozin in Patients Undergoing Transcatheter Aortic-Valve Implantation. N Engl J Med. 2025 Apr 10;392(14):1396-1405. doi: 10.1056/NEJMoa2500366. Epub 2025 Mar 29.

    PubMed 40162639

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Dapagliflozin 10 MG in people with Aortic Stenosis and Transcatether Aortic Valve Implantation, run by Spanish Society of Cardiology at 40 sites in Spain.

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 5 inclusion and 9 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 10 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in Spain. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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?

Incidence rate of the composite of all-cause mortality or worsening heart failure (HF) (time frame: 1 year). 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 NCT04696185, which also lists 3 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 10 Jan 2025.

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