Evaluation of the Use of Empagliflozin in Patients with HF with PEF in a Cardiology Outpatient Department
- Conditions
- Congestive Heart Failure (CHF)
- Interventions
- Registration Number
- NCT06683053
- Lead Sponsor
- Conrado Roberto Hoffmann Filho
- Brief Summary
This study aims to evaluate whether the use of a 25 mg dose of empagliflozin compared to the 10 mg dose used would bring additional benefits in the improvement outcomes of the Kansas City Cardiomyopathy Questionnaire (KCCQ SST), in the 6-minute walk test (6MWT) without causing significant side effects.
- Detailed Description
This study aims to evaluate whether the use of a 25 mg dose of empagliflozin compared to the 10 mg dose used would bring additional benefits in the improvement outcomes of the Kansas City Cardiomyopathy Questionnaire (KCCQ SST), in the 6-minute walk test (6MWT) without causing significant side effects. Patients will be randomized and will receive one of the two doses of empagliflozin. All patients in both groups will be equally evaluated by the tests, before receiving the medication, and also 8 weeks after.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 90
- Patients >18 years old.
- Echocardiogram with ejection fraction > 50%
- Patients must present at least one of the following items to be included in the study: Patients with a previous diagnosis of Heart Failure with Reduced Ejection Fraction (HFrEF) who have improved on the echocardiogram to an ejection fraction above 50%, patients with a previous ejection fraction between 40-49% who have progressed to ejection fraction above 50%. For these groups there is no need to perform the score for heart failure with preserved ejetion fraction score (since the diagnosis of HF was already known). Patients with signs/symptoms of HFpEF, who present structural morphological changes such as left atrium enlargement or left ventricular hypertrophy (LVH).
- After recently undergoing the score for heart failure with preserved ejetion fraction score (H2FPEF), patients who present scores that place them at least at an intermediate probability of HFpEF would be eligible for entry into the study.
- Signing the consent form
- Patient with type I DM
- Estimated glomerular filtration rate (eGFR), using the Chronic Kidney Disease Epidemiology (CKD EPI) equation, with a cutoff of <20 mL/mm/1.73m2
- Patient currently using SGLT2 antagonists
- Patient with a history of allergic reaction or significant sensitivity to empagliflozin
- Female patient who is pregnant or considering becoming pregnant during the study or for 3 months after the last dose of study medication
- Patients that are breastfeeding
- Patients considered by the investigator, for any reason, to be an unsuitable candidate for the study
- Patients with a previous diagnosis of HFpEF who presents a low probability of diagnosis after being re-stratified by the previously mentioned score
- Patients unable to walk or understand/comply with the study protocol.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Empagliflozin 10 mg empagliflozin In this group the patients will receive the medication empagliflozin 10 mg Empagliflozin 25 mg empagliflozin In this group the patients will receive the medication empagliflozin 25 mg.
- Primary Outcome Measures
Name Time Method Ejection fraction Before receiving the drug and 60 days after. Using the echocardiogram upon entering the study, with assessment of ventricular and atrial strain modalities, repeating the same at the end of the treatment period to try to detect possible differences between pre and post treatment with the proposed Sodium-Glucose Transporter 2 Inhibitors (ISGLT2).
Quality of life - application of Kansas City Cardiomyopathy Questionnaire At inclusion and 60 days after receiving the medication. Applying the Kansas City Cardiomyopathy Questionnaire (KCCQ TSS) at inclusion and 60 days post-intervention in the two groups.
Quality of Life - Difference in the 6-minute walk test At inclusion and 60 days after receiving the medication. Evaluate the difference in the 6-minute walk test before and after receiving the medication
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Multidisciplinary Center for Specialized Education and Research Ltd.
🇧🇷Joinville, Santa Catarina, Brazil