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Heart FailureARCADIA-HFNCT06868797

Acute Reno-Cardiac Action of Dapagliflozin In Advanced Heart Failure Patients on Heart Transplant Waiting List

A study testing Biological sample for the measurement of suPAR levels. in people with Heart Failure, run by Central Hospital, Nancy, France at 11 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Heart failure affects 1 to 2% of the adult population in developed countries, representing about 55 million people worldwide. Advanced heart failure is a condition where the heart can no longer provide sufficient cardiac output or equilibrate pressures within its chambers, leading to symptoms such as shortness of… 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?
Biological sample for the measurement of suPAR levels.
Could I receive a placebo?
No, everyone receives an active treatment
How many people
103 participants
Where
11 sitesFrance
Study dates
29 Aug 2025to 12 Sep 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • Age ≥ 18 years and ≤ 85 years
  • NYHA class ≥3
  • LVEF ≤ 35%
  • On GDMT (including dapagliflozin) based on current heart failure practice guidelines at maximal tolerated dose
  • On waiting list (or on the registration pathway) for heart transplantation after multidisciplinary Heart Team decision, with anticipated access to heart transplant ≥ 6 months or in a pre-transplant pathway.
  • Person affiliated to a social security scheme or beneficiary of such a scheme.
  • A person who has received full information about the organization of the clinical research and has signed an informed consent form.

Who cannot join

  • Priority patient on waiting list for heart transplantation.
  • Etiology of heart failure due to or associated with uncorrected thyroid disease, obstructive cardiomyopathy, pericardial disease, amyloidosis or restrictive cardiomyopathy.
  • Inotrope dependent, existence of ongoing mechanical circulatory support
  • Current acute decompensated HF or hospitalization due to decompensated HF <30 days prior to the enrolment.
  • History of any organ transplant or prior implantation of a ventricular assistance device (VAD) or similar device, or implantation expected after inclusion.
  • Any recent interventional procedure likely to improve symptoms and heart failure status (coronary revascularization, percutaneous mitral valve intervention, cardiac resynchronization therapy) < 60 days.
Show all 13Show fewer
  • Glomerular filtration rate <25 ml/min/1.73 m2, according to CKD-EPI formula
  • Unstable or rapidly progressing renal disease (autosomal dominant or autosomal recessive polycystic kidney disease, lupus nephritis or ANCA-associated vasculitis).
  • Type 1 diabetes mellitus.
  • Participation in another clinical interventional trial.
  • Any condition other than heart failure that could limit survival to less than 12 months.
  • Pregnant women or breastfeeding mothers
  • vulnerable persons (guardianship, curatorship, safeguard of justice)

Trial locations and contacts

11 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Guillaume BAUDRY, MD contact

+33 (0) 383157322

g.baudry@chru-nancy.fr

11 sites in 1 country

France11 sites, 11 recruiting
  • Hospice Civil de Lyon - Hôpital Louis PRADEL

    Bron, 69500

    Nathan MEWTON, MD-PhD, +33 (0)4 72 11 80 88, nathan.mewton@chu-lyon.fr

    Nathan MEWTON, MD-PhD

    Not yet recruiting
  • CHU Grenoble

    La Tronche, 38700

    Aude BOIGNARD, MD, +33(0) 476 76 75 75, ABoignard@chu-grenoble.fr

    Aude Boignard, MD

    Not yet recruiting
  • CHU Montpellier

    Montpellier, 34295

    Valentin DUPASQUIER, MD-PhD, +33(0)4 67 33 67 33, valentin.dupasquier@chu-montpellier.fr

    VALENTIN DUPASQUIER, MD-PhD

    Not yet recruiting
  • Chu Nantes

    Nantes, 44093

    Sabine PATTIER, MD-PhD, +33 (0)2 40 08 33 33, sabine.pattier@chu-nantes.fr

    Sabine PATTIER, MD-PhD

    Not yet recruiting
  • Aphp Hegp

    Paris, 75015

    Anne Céline MARTIN, MD-PhD, +33(0)1 56 09 20 00, anne-celine.martin@aphp.fr

    Anne Céline MARTIN, MD-PhD

    Not yet recruiting
  • CHU Bordeaux

    Pessac, 33600

    Maxime FAURE, MD-PhD, +33(0)5 56 79 56 79, maxime.faure@chu-bordeaux.fr

    Maxime FAURE, MD-PhD

    Not yet recruiting
  • CHU Rennes

    Rennes, 35033

    Céline CHABANNES, MD-PhD, +33(0)2 99 28 43 21, Celine.CHABANNE@chu-rennes.fr

    Céline CHABANNES, MD-PhD

    Not yet recruiting
  • Chu Rouen

    Rouen, 76031

    Charles FAUVEL, MD-PhD, +33(0)2 32 88 89 90, Charles.Fauvel@chu-rouen.fr

    Charles FAUVEL, MD-PhD

    Not yet recruiting
  • CHU Strasbourg

    Strasbourg, 67091

    Jean Jacques VON HUNOLSTEIN, MD-PhD, +33(0)3 88 11 67 68, Jean-Jacques.VONHUNOLSTEIN@chru-strasbourg.fr

    Jean Jacques VON HUNOLSTEIN, MD-PhD

    Not yet recruiting
  • CHU de Toulouse

    Toulouse, 31059

    Romain ITIER, MD-PhD, +33(0)5 61 77 22 33, itier.r@chu-toulouse.fr

    Romain ITIER, MD-PhD

    Not yet recruiting
  • Chru Nancy

    Vandœuvre-lès-Nancy, 54500

    Guillaume BAUDRY, MD, +33(0)383157322, g.baudry@chru-nancy.fr

    Guillaume BAUDRY, MD

    Recruiting

Other trials in France

About this study

Heart failure affects 1 to 2% of the adult population in developed countries, representing about 55 million people worldwide.

Advanced heart failure is a condition where the heart can no longer provide sufficient cardiac output or equilibrate pressures within its chambers, leading to symptoms such as shortness of breath, fatigue, and water and salt retention.

Read more

Heart failure affects the kidneys by reducing blood flow directed to them, sometimes leading to kidney congestion. In the long term, this can degrade kidney function. Common medications used to treat heart failure, such as diuretics, can sometimes worsen kidney failure. This link between the heart and the kidneys is known as cardio-renal syndrome and requires careful management of both organs to prevent mutual degradation.

Dapagliflozin is an SGLT2 inhibitor medication used to treat type 2 diabetes, heart failure, and certain kidney diseases. It helps reduce blood sugar, improve heart and kidney function, while promoting the elimination of excess salt and water.

However, there are limited data regarding the progression of cardio-renal interactions in patients with advanced heart failure. Yet, advanced heart failure is often associated with kidney dysfunction.

The protein called suPAR is found in the blood of patients developing kidney disease and/or during the onset of acute kidney injury. This protein will allow to characterize a population of patients with advanced heart failure receiving optimized medical treatment, including dapagliflozin.

The main objective of this research is to assess, based on the suPAR protein level in the blood, the progression of cardio-renal damage between inclusion and 6 months in patients with advanced heart failure who are listed for a heart transplant and treated with a therapy including dapagliflozin.

The study plans 5 visits over 12 months. The research will take place in the cardiology department of several French hospitals.

Conditions
Heart Failure
Being tested
Biological sample for the measurement of suPAR levels.
Medical subject headings
Heart Failure

What participants receive

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

  • Biological sample for the measurement of suPAR levels.Other

    Biological sample for the measurement of plasminogen activator receptor (suPAR) level at baseline and at 6 months follow up to assess the evolution of cardio-renal interaction in HF patients listed for heart transplant treated by GDMT including dapagliflozin.

Study groups in NCT06868797
Study groupRoleWhat they receive
Patients followed for end-stage heart failureOtherPatients followed for end-stage heart failure and waiting for heart transplantation. This cohort will focus on cardio-renal assessment of advanced HF patients treated with optimal pharmacologic therapy including dapagliflozin. The biological material and clinical data collected will allow us to better understand the advanced HF and to generate new research hypotheses.
Receives: Other: Biological sample for the measurement of suPAR levels.

What is being measured

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

  1. the change in soluble urokinase-type plasminogen activator receptor (suPAR) levels (ng/ml)

    the change in soluble urokinase-type plasminogen activator receptor (suPAR) levels (ng/ml) between the baseline and 6 months of follow-up.

    Measured: baseline and 6 months of follow-up.

Secondary outcomes (26)
  1. VO2 max

    Functional status at baseline and 6 months assessed by VO2 max assessment

    Measured: baseline and 6 months of follow-up.

  2. Delta GFR estimated by CKD-EPI formula (ml/min/1.73m²)

    The following parameters are collected at baseline to identify predictive factors associated with secondary endpoint. These parameters should not be considered as endpoints themselves:

    • Hemodynamic Parameters: cardiac output (L/min), pulmonary capillary wedge pressure (mmHg), pulmonary artery systolic and mean pressure (mmHg), right atrial pressure (mmHg).
    • Echocardiographic Parameters: LVEF (%), mitral regurgitation grade (0-4), left atrial volume (mL /m2).
    • Biological Parameters: Nt-proBNP (ng/L), Creatinine (µmol/L), GFR evaluate by Iohexol clearance (ml/min) or other method (ml/min) (inuline, EDTA chrome51 (51Cr EDTA), Iothalamate clearance),plasma volume calculated from haemoglobin (g/L) and haematocrit,(%) bilirubin (µmol/L), AST (UI/L), ALT (UI/L), kalemia (mmol/L), cystatin C (mg/L), sST2 (ng/mL), gremlins 1(pg/mL), FGF 23 (C terminal and intact) (pg/mL).
    • Congestion Markers: Clinical, biological, echocardiographic, and hemodynamic markers.

    Measured: baseline and 6 months of follow-up.

  3. Rate of composite outcome (hospitalization for acute heart failure or all cause death).

    The following parameters are collected at baseline to identify predictive factors associated with secondary endpoint. These parameters should not be considered as endpoints themselves:

    • Hemodynamic Parameters: cardiac output (L/min), pulmonary capillary wedge pressure (mmHg), pulmonary artery systolic and mean pressure (mmHg), right atrial pressure (mmHg).
    • Echocardiographic Parameters: LVEF (%), mitral regurgitation grade (0-4), left atrial volume (mL /m2).
    • Biological Parameters: Nt-proBNP (ng/L), Creatinine (µmol/L), GFR evaluate by Iohexol clearance (ml/min) or other method (ml/min) (inuline, EDTA chrome51 (51Cr EDTA), Iothalamate clearance),plasma volume calculated from haemoglobin (g/L) and haematocrit,(%) bilirubin (µmol/L), AST (UI/L), ALT (UI/L), kalemia (mmol/L), cystatin C (mg/L), sST2 (ng/mL), gremlins 1(pg/mL), FGF 23 (C terminal and intact) (pg/mL).
    • Congestion Markers: Clinical, biological, echocardiographic, and hemodynamic markers.

    Measured: 6 months of follow-up.

  4. Quality of life assessed by Kansas City Cardiomyopathy Questionnaire (KCCQ)

    Kansas City Cardiomyopathy Questionnaire (KCCQ) is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. The KCCQ total symptom score incorporates the symptom domains into a single score. Scores are transformed to a range of 0-100, in which higher scores reflect better health status.

    Measured: baseline and 12 months.

  5. Global Leadership Initiative on Malnutrition criteria (GLIM Criteria)

    To assess changes in nutritional status according to Global Leadership Initiative on Malnutrition criteria status between Baseline and 6 months. Categories : no malnutrition, moderate malnutrition, or severe malnutrition

    Measured: baseline and 6 months

  6. Daily food and nutrient intake

    The food frequency questionnaire evaluate the frequency of consumption and portion size for 170 foods, we then calculate the daily food intake (in g/day). Nutritrional values are determined by converting food intake into nutrient intake using a french food composition table. Each item can have a minimum intake of 0, with quantities varying based on the specific food and individual consumption.

    Measured: baseline or the month following baseline

  7. cardiovascular death

    To assess incidence of cardiac and renal adverse events.

    Measured: 12 months

  8. unplanned hospitalization for Heart failure

    To assess incidence of cardiac and renal adverse events. The definition for unplanned heart failure hospitalization requires: 1) a hospital stay for worsening heart failure for >24 h; and 2) administration of intravenous or mechanical heart failure therapies, especially loop diuretics 3) heart failure symptoms/signs.

    Measured: 12 months

  9. worsening of Heart failure

    To assess incidence of cardiac and renal adverse events. The definition for worsening of heart failure requires an administration of loop diuretics intravenous (ambulatory or home-care) due to a worsening of heart failure symptoms/signs.

    Measured: 12 months

  10. cardiac transplantation

    To assess incidence of cardiac and renal adverse events

    Measured: 12 months

  11. ECMO

    To assess incidence of cardiac and renal adverse events

    Measured: 12 months

  12. Left Ventricular Assist Device

    To assess incidence of cardiac and renal adverse events

    Measured: 12 months

  13. Delisting from national waiting list

    to assess incidence of cardiac and renal adverse events

    Measured: 12 months

  14. renal death

    To assess incidence of cardiac and renal adverse events.

    Measured: 12 months

  15. chronic dialysis

    To assess incidence of cardiac and renal adverse events.

    Measured: 12 months

  16. renal transplantation

    To assess incidence of cardiac and renal adverse events.

    Measured: 12 months

  17. End stage renal disease

    To assess incidence of cardiac and renal adverse events. Chronic dialysis, renal transplantation or sustained eGFR <15 mL/min/1.73m²

    Measured: 12 months

  18. worsening cardio-renal syndrome

    To assess incidence of cardiac and renal adverse events. Worsening cardio-renal syndrome was defined according to the Kidney Disease Improving Global Outcomes (KIDGO) criteria as a ≥ 26.5 µmol/L (0.3mg/dL) increase in serum creatinine or 1.5-1.9 times baseline increase in serum creatinine or a urine output <0.5 ml/kg/h for 6-12 hours.

    Measured: 12 months

  19. GFR estimated by CKD-EPI formula (serum creatinine cystatin or both)

    To assess the degree of agreement between the different methods of estimating GFR.

    Measured: baseline and 6 months

  20. GFR estimated by MDRD formula

    To assess the degree of agreement between the different methods of estimating GFR.

    Measured: baseline and 6 months

  21. urinary creatinine (renal functional assessment (BFR))

    To assess the degree of agreement between the different methods of estimating GFR.

    Measured: baseline and 6 months

  22. iohexol clearance

    to assess the degree of agreement between the different methods of estimating GFR

    Measured: baseline and 6 months

  23. inuline clearance

    To assess the degree of agreement between the different methods of estimating GFR

    Measured: baseline and 6 months

  24. EDTA chrome51

    To assess the degree of agreement between the different methods of estimating GFR

    Measured: baseline and 6 months

  25. Iothalamate clearance

    To assess the degree of agreement between the different methods of estimating GFR

    Measured: baseline and 6 months

  26. PLAUR gene expression

    To assess the change in gene expression (including PLAUR gene) using the RNA collected at baseline and at 6 months.

    Measured: baseline and 6 months

Timeline

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

  1. First posted11 Mar 2025
  2. Study start29 Aug 2025
  3. Primary completion28 Feb 2027 (estimated)
  4. Study completion12 Sep 2027 (estimated)

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 N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
Prospective cohort study
Masking
None (open label)
Enrolment
103 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06868797
Sponsor's protocol ID
2023PI024
Other IDs
2024-A02450-47
Acronym
ARCADIA-HF
Status last verified
Sep 2025
First submitted
17 Feb 2025
Last updated
11 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Biological sample for the measurement of suPAR levels. in people with Heart Failure, run by Central Hospital, Nancy, France at 11 sites in France.

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 7 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: looking for participants now, as of the sponsor's last update on 11 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in France. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Guillaume BAUDRY, MD (+33 (0) 383157322, g.baudry@chru-nancy.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

the change in soluble urokinase-type plasminogen activator receptor (suPAR) levels (ng/ml) (time frame: baseline and 6 months of follow-up.). 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 11 Sep 2025.

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