NCT06401343
Recruiting
Phase 4
Sodium-dependent Glucose Transporters 2 Inhibitor in Nonobstructive Hypertrophic Cardiomyoapthy Patients With Heart Failure With Preserved Ejection Fraction: a Prospective, Multi-center,Open-lable,Randomized Controlled Trial
China National Center for Cardiovascular Diseases1 site in 1 country94 target enrollmentAugust 1, 2022
InterventionsEmpagliflozin 10 MG
Overview
- Phase
- Phase 4
- Intervention
- Empagliflozin 10 MG
- Conditions
- Hypertrophic Cardiomyopathy
- Sponsor
- China National Center for Cardiovascular Diseases
- Enrollment
- 94
- Locations
- 1
- Primary Endpoint
- VO2max on cardiopulmonary exercise tesing
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
This study aims to evaluate the impact of Sodium-dependent glucose transporters 2 inhibitor Empagliflozin on the exercise capacity,symptoms of heart failure, cardiac function, myocardial remodeling and quality of life of nonobstructive HCM patients with HFpEF.
Investigators
Lianming Kang
Dr. Lianming Kang
China National Center for Cardiovascular Diseases
Eligibility Criteria
Inclusion Criteria
- •Patients with a diagnosis of nonobstructive hypertrophic cardiomyopathy;
- •At least 18 years old;
- •Elevated NT-proBNP \>300 pg/ml for patients without atrial fibrillation (AF), or \>900 pg/ml for patients with AF at Visit 1;
- •NYHA II-IV
- •Capable of performing cardiopulmonary exercise test with an RER≥1.0
- •Signed and dated written informed consent and willing to return for clinical follow-up.
Exclusion Criteria
- •Under-went septal reduction therapy within 3 months before screening;
- •Acute decompensation heart failure within 3 months before screening;
- •Symptomatic low BP or SBP\<100mmHg;
- •eGFR\<30ml/min/1.73m2
- •LVOTG ≥30mmHg at rest or under provocation;
- •Renal insufficiency with eGFR\<50mL/min/1.73m2
- •ICD implantation or CRT planned within 3 months;
- •Women who are pregnant, or who plan to become pregnant while in the trial;
- •Currently enrolled in another investigational device or drug trial;
- •Combining any other clinical condition with a life expectancy less than 1 year.
Arms & Interventions
Study group
Use of Empagliflozin+guideline directed medical treatment of HCM
Intervention: Empagliflozin 10 MG
Outcomes
Primary Outcomes
VO2max on cardiopulmonary exercise tesing
Time Frame: 12 months
Secondary Outcomes
- NT-ProBNP(12 months)
- HCMSQ-(SoB)(12 months)
- NYHA heart failure classification(12 months)
- E/A(12 months)
- KCCQ-CSS(12 months)
- Peak tricuspid regurgitation velocity(12 months)
- Left atrium volume index , LAVI(12 months)
- Left Ventricular Mass index, LVMI(12 months)
- E/e'(12 months)
Study Sites (1)
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