Heart Failure With Reduced Ejection FractionPhase 4NCT05778084
Effect of Empagliflozin on NT-Pro Brain Natriuretic Peptide in Heart Failure Patients With Reduced Ejection Fraction
A Phase 4 study testing Empagliflozin 10 MG in people with Heart Failure With Reduced Ejection Fraction, run by Alexandria University at 1 site in Egypt.
Trial summary
This study aims to evaluate the relationship between NT-proBNP and empagliflozin effects in patients with chronic heart failure with mildly reduced ejection fraction (HFmrEF 41-49%) and reduced ejection fraction (HFrEF ≤40%) whether diabetic or non-diabetic patients. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Heart Failure With Reduced Ejection Fraction
- What is being tested?
- Empagliflozin 10 MG
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteEgypt
- Study dates
- 15 Dec 2022to 15 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 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Chronic heart failure with mildly reduced ejection fraction (41-49%) and reduced ejection fraction (≤40%)
- 18-70 years
- Not receiving empagliflozin or any SGLT2 inhibitor
- Elevated plasma NT-proBNP (≥125 pg/ml)
- eGFR ≥ 20 ml/min/1.73m2
Who cannot join
- Acute Coronary Syndrome (ACS)
- Pulmonary embolism
- Myocarditis
- Valvular heart disease
- Hypertrophic or restrictive cardiomyopathy
- Congenital heart disease
Show all 22Show fewer
- Pulmonary hypertension
- Surgical procedures involving the heart
- Heart contusion
- Cardioversion, Implantable Cardioverter Defibrillator (ICD) shock
- Patients receiving digoxin
- Advanced age (>70years)
- Ischemic stroke
- Chronic Obstructive Pulmonary Disease
- Subarachnoid haemorrhage
- Severe infection (including pneumonia and sepsis)
- Anemia
- Renal dysfunction (eGFR <20ml/min/1.73m2)
- Liver dysfunction (mainly liver cirrhosis with ascites- Child Pugh B \& C)
- Severe burns
- Paraneoplastic syndrome
- Severe metabolic and hormone abnormalities (e.g thyrotoxicosis, diabetic ketosis)
Trial locations and contacts
1 site in 1 country.
Egypt1 site, 1 recruiting
- Recruiting
Alexandria University
Alexandria, 21521
Noha A Hamdy, PHD, 01005182151 ext. +2, Noha.alaaeldine@alexu.edu.eg
Hisham A Nematalla, PHD, 01220512020 ext. +2, hisham.nematalla@pharm.dmu.edu.eg
About this study
This study aims to evaluate the relationship between NT-proBNP and empagliflozin effects in patients with chronic heart failure with mildly reduced ejection fraction (HFmrEF 41-49%) and reduced ejection fraction (HFrEF ≤40%) whether diabetic or non-diabetic patients.
Read the detailed description
- Ethical Committee approval has been obtained from ethics committee of Faculty of Medicine, Alexandria University.
- Assigning an informed consent for agreement of participation should be taken by all participants in this clinical study.
- Heart failure patients with reduced and mildly reduced ejection fraction will be recruited from Alexandria Main University Hospital (AMUH), private hospitals and clinics.
- A Blood sample will be collected from 60 patients as baseline to test for N-terminal Pro-B-type Natriuretic Peptide.
- The same 60 patients will take Empagliflozin for 6 months.
- Another blood sample will be taken from the same 60 patients to test the effect on N-terminal Pro-B-type Natriuretic Peptide after Empagliflozin administration.
- The appropriate statistical test will be hold according to study design and parameters to evaluate the significant results.
- Results conclusion discussion and recommendations will be given.
- Being tested
- Empagliflozin 10 MG
- Keywords
- Empagliflozin, Heart failure with reduced ejection fraction, Nt-proBNP
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Empagliflozin 10 MGDrug
Blood samples will be collected as a baseline to test for N-terminal Pro-B-type Natriuretic Peptide, followed by administration of empagliflozin for 6 months, and then another blood samples will be collected after 6 months.
| Study group | Role | What they receive |
|---|---|---|
| Heart failure patients with reduced and mildly reduced ejection fraction | Other | * One paired test group described as Heart Failure patients with reduced and mildly reduced ejection fraction are indicated for Empagliflozin.
* Blood samples will be collected as a baseline before Empagliflozin administration to test for N-terminal Pro-B-type Natriuretic Peptide,
* Followed by administration of empagliflozin for 6 months.
* Then retest the N-terminal Pro-B-type Natriuretic Peptide after 6 months. Receives: Drug: Empagliflozin 10 MG |
What is being measured
The primary outcome is the main question the study is designed to answer.
NT-ProBNP
Measuring of serum N-terminal Pro-B-type Natriuretic Peptide at baseline and after 6 months
Measured: 6 months
Secondary outcomes (6)
Hemoglobin level g/dl
Measuring hemoglobin level at baseline and after 6 months
Measured: 6 months
Leukocytes count
Measuring Leukocytes count at baseline and after 6 months
Measured: 6 months
Sodium level mg/dl
Measuring serum sodium level at baseline and after 6 months
Measured: 6 months
Potassium level mg/dl
Measuring serum potassium level at baseline and after 6 months
Measured: 6 months
Serum Creatinine
Measuring serum creatinine level at baseline and after 6 months
Measured: 6 months
Ejection Fraction
Measuring Ejection Fraction at baseline and after 6 months
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Mar 2023
- Study start15 Dec 2022
- Primary completion15 Jun 2024 (estimated)
- Study completion15 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Heart Failure With Reduced Ejection FractionStudies of the same condition, open and under way.
- More trials run by Alexandria UniversityThe 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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Open labelled interventional study
- Masking
- None (open label)
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Alexandria University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05778084
- Sponsor's protocol ID
- 0107427
- Status last verified
- Oct 2022
- First submitted
- 9 Mar 2023
- Last updated
- 21 Mar 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Empagliflozin on NT-Pro Brain Natriuretic Peptide in Heart Failure Patients With Reduced Ejection Fraction
- ClinicalTrials.gov ID
- NCT05778084
- Acronym / sponsor ID
- 0107427
- Keywords
- Empagliflozin, Heart failure with reduced ejection fraction, Nt-proBNP
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Alexandria UniversityUniversity, hospital or other
- Study start
- 15 Dec 2022 (actual)
- Primary completion
- 15 Jun 2024 (estimated)
- Study completion
- 15 Dec 2024 (estimated)
- First posted
- 21 Mar 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the relationship between NT-proBNP and empagliflozin effects in patients with chronic heart failure with mildly reduced ejection fraction (HFmrEF 41-49%) and reduced ejection fraction (HFrEF ≤40%) whether diabetic or non-diabetic patients.
Detailed description
- Ethical Committee approval has been obtained from ethics committee of Faculty of Medicine, Alexandria University.
- Assigning an informed consent for agreement of participation should be taken by all participants in this clinical study.
- Heart failure patients with reduced and mildly reduced ejection fraction will be recruited from Alexandria Main University Hospital (AMUH), private hospitals and clinics.
- A Blood sample will be collected from 60 patients as baseline to test for N-terminal Pro-B-type Natriuretic Peptide.
- The same 60 patients will take Empagliflozin for 6 months.
- Another blood sample will be taken from the same 60 patients to test the effect on N-terminal Pro-B-type Natriuretic Peptide after Empagliflozin administration.
- The appropriate statistical test will be hold according to study design and parameters to evaluate the significant results.
- Results conclusion discussion and recommendations will be given.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Open labelled interventional study
| Arm | Type | Receives |
|---|---|---|
| Heart failure patients with reduced and mildly reduced ejection fraction | Other | Drug: Empagliflozin 10 MG* One paired test group described as Heart Failure patients with reduced and mildly reduced ejection fraction are indicated for Empagliflozin. * Blood samples will be collected as a baseline before Empagliflozin administration to test for N-terminal Pro-B-type Natriuretic Peptide, * Followed by administration of empagliflozin for 6 months. * Then retest the N-terminal Pro-B-type Natriuretic Peptide after 6 months. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Chronic heart failure with mildly reduced ejection fraction (41-49%) and reduced ejection fraction (≤40%)
- 18-70 years
- Not receiving empagliflozin or any SGLT2 inhibitor
- Elevated plasma NT-proBNP (≥125 pg/ml)
- eGFR ≥ 20 ml/min/1.73m2
Key exclusion criteria (22 listed)
- Acute Coronary Syndrome (ACS)
- Pulmonary embolism
- Myocarditis
- Valvular heart disease
- Hypertrophic or restrictive cardiomyopathy
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 |
|---|---|---|
| Empagliflozin 10 MGBlood samples will be collected as a baseline to test for N-terminal Pro-B-type Natriuretic Peptide, followed by administration of empagliflozin for 6 months, and then another blood samples will be collected after 6 months. | Drug | Heart failure patients with reduced and mildly reduced ejection fraction |
Primary outcome
NT-ProBNP
Time frame: 6 months
Measuring of serum N-terminal Pro-B-type Natriuretic Peptide at baseline and after 6 months
6 secondary outcomes
Hemoglobin level g/dl
Time frame: 6 months
Leukocytes count
Time frame: 6 months
Sodium level mg/dl
Time frame: 6 months
Potassium level mg/dl
Time frame: 6 months
Serum Creatinine
Time frame: 6 months
Ejection Fraction
Time frame: 6 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Mar 2023.
- Individual participant dataSharing planned: No
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Empagliflozin 10 MG in people with Heart Failure With Reduced Ejection Fraction, run by Alexandria University at 1 site in Egypt.
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 22 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: status not confirmed, as of the sponsor's last update on 21 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Rabab Y Kosba, PharmD (01227609096 ext. +2, gs-rabab.kosba@alexu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
NT-ProBNP (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 21 Mar 2023.