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临床试验/NCT06030843
NCT06030843招募中2 期

The Treatment Effects of Empagliflozin on Renal Outcomes in Cardiorenal Syndrome Type 1

Chulalongkorn University1 个研究点 分布在 1 个国家目标入组 200 人开始时间: 2025年3月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
招募中
入组人数
200
试验地点
1
主要终点
MAKE30

研究概览

简要总结

Effects of Empagliflozin compared with placebo in cardiorenal syndrome type 1, evaluated by MAKE30.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Age 18 years or more
  • •Hospitalized for the primary diagnosis of acute denovo or decompensated chronic heart regardless of ejection fraction
  • •AKI KDIGO any stage or urine NGAL ≥ 150 ng/mL
  • •Must be able to be enrolled into the trial ≤ 12 hours of diagnosis of AKI or elevated urine NGAL

排除标准

  • •Denied to participate in the study
  • •Cardiogenic shock or unstable hemodynamic (systolic blood pressure of at least 100 mmHg or required inotropic support within last 24 hours)
  • •Cardiac mechanical support (i.e. extracorporeal membrane oxygenation and intra-aortic balloon pump)
  • •Acute coronary syndrome
  • •Diagnosed with cause of AKI other than cardiorenal syndrome (eg. sepsis, nephrotoxic, dehydration)
  • •Anuria or requiring dialysis or expected to required dialysis within 24 hr
  • •Baseline eGFR ≤ 20 ml/min/1.73m2 with or without dialysis initiated
  • •Heart or kidney transplanted
  • •Previously received any SGLT2i in the last 3 months before admission
  • •Allergic to any SGLT2i
  • •Type 1 diabetes mellitus
  • •History of ketoacidosis, including diabetic ketoacidosis
  • •Pregnancy
  • •Comorbid conditions with an expected survival of less than 1 months such as end-stage liver or heart disease, or uncurable malignancy

研究组 & 干预措施

Empagliflozin

Experimental

Empagliflozin 10 mg po OD

干预措施: Empagliflozin 10 MG (Drug)

Placebo

Placebo Comparator

Matching placebo

干预措施: Placebo (Drug)

结局指标

主要结局

MAKE30

时间窗: 30 days

The composite outcome of death, new dialysis, and sustained loss of kidney function (which was defined as a 25% or greater decline in eGFR from baseline) assess at 30 days following randomization

次要结局

  • Mechanical ventilation(30 days)
  • Recurrent heart failure(30 days)
  • Ventricular tachycardia or ventricular fibrillation(30 days)
  • Reduction of prespecified renal biomarkers(30 days)
  • In-hospital mortality rate(During admission)
  • 30-days mortality rate(30 days)
  • Initiation of Renal Replacement therapy(30 days)
  • Sustained loss of kidney function defined as a 25% or greater decline in eGFR at 30 days following randomisation compared to baseline eGFR(30 days)
  • Vasoactive drug(30 days)
  • Resuscitation following a cardiac arrest(30 days)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Nattachai Srisawat ,M.D.

Professor

Chulalongkorn University

研究点 (1)

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