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临床试验/EUCTR2018-003692-35-DE
EUCTR2018-003692-35-DE进行中(未招募)1 期

Effects of empagliflozin on diuresis and renal function in patients with acute decompensated heart failure - EMPAG-HF

Friedrich Schiller University Jena0 个研究点目标入组 60 人开始时间: 2019年2月14日最近更新:
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相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
60

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Patients (between 18 - 85 years) with acute decompensated heart failure (HF).
  • Brain Natriuretic Peptide (BNP) >100 pg/ml, or N-terminal pro-BNP (NT-proBNP)>300 pg/ml as defined by current clinical guidelines for the diagnosis of acute decompensated HF (European Society of Cardiology 2016 HF guideline)
  • Patients with diabetes mellitus type 2 or impaired glucose tolerance as defined by current clinical guidelines (German and International Diabetes Society 2016: HbA1c>6.5 % (upper limit for this clinical Trial 12%) or fasting glucose >7.0 mmol/l or any incidental glucose level >11.1 mmol/l or abnormal oral glucose tolerance test with 2h plasma glucose >7.8 mmol/l) or on antidiabetic medication or antidiabetic diet or patients with normal glucose tolerance
  • Patients without cognitive impairment, i.e. they must be capable of understanding the nature, significance and implications of the clinical trial and to form a rational intention in the light of the Facts
  • Written informed consent obtained
  • For women with childbearing potential (until 2 years after menopause):
  • o Negative pregnancy test
  • o regular and correct use of a highly effective contraceptive method with an error rate of <1% per year (e.g. combined (estrogen and progesteron) hormonal contraception, (oral, intravaginal, transdermal), progesteron-only hormonal contraception, (oral, injectable, implantable), intrauterine device (IUD), intrauterine hormone-releasing system ( IUS)) tubal ligation (female sterilization), hormon donating intrauterine device (hormonal spiral), double barrier methods, sexual abstinence, vasectomy of the partner)
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 10
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 50

排除标准

  • Type 1 diabetes mellitus
  • Chronic Kidney Disease (CKD) with eGFR< 30 ml/min (if obviously not related to acute kidney injury), or end-stage renal failure with the need for chronic dialysis treatment
  • Acute kidney injury (AKI) =AKIN stage 2 or requiring dialysis treatment
  • Current medication with SGLT-2 inhibitors
  • Known intolerance or hypersensitivity to the active substance empagliflozin, lactose or any other of the excipients listed in section 6.1. of the SmPC
  • A contraindication or intolerance to furosemide
  • Acute heart failure without signs of congestion (dry” patient)
  • Indication for urgent coronary angiography or planned administration of a iodine based contrast agent within the next 6 days.
  • Need for hemofiltration or any other form of extracorporeal therapy
  • Planned surgery
  • Recent participation in another clinical trial (within the last 3 months before inclusion, so that medical product/s from previous trial participation/s have been fully washed out )
  • Identification of any causes of heart failure leading to decompensation that needs urgent management (like acute coronary syndrome, severe unstable arrhythmias, mechanical causes, acute pulmonary embolism)
  • Incapacity to understand and / or to provide written informed consent
  • Ongoing reported alcohol abuse (daily alcohol intake of more than 2 drinks (liquor, beer or wine) in men and 1 drink in women, corresponding to 12/24 g of pure alcohol per day women / men and/ or obvious alcoholisation of the patient during screening )

研究者

发起方
Friedrich Schiller University Jena

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