Effect of Empagliflozin on Inflammation (EMPANTINFLAM)
Randomized Trial to Evaluate the Anti-inflammatory Effects of Empagliflozin Following PCI
Empagliflozin is a drug given to lower glucose. It is used in the treatment of diabetes. However, it was shown to improve symptoms and survival of patients who are suffering from heart failure. The exact mechanism of this effect is currently not clearly understood.
He hypothesize that empagliflozin has other properties than glucose lowering, that can explain its efficacy. One of these properties, is an anti-inflammatory effect.
To document this, we are using a model of inflammation following percutaneous coronary scenting. We know that patients who get a stent will develop inflammation following stenting. This is documenting by a higher level of C-Reactive Protein 24 hours after the procedure.
Patients who will participate in the study, will receive empagliflozin or a placebo tablet for 3 days prior to the revascularisation procedure. CRP and other inflammatory markers will be measured before intervention and 24 hours later. The goal is to demonstrate a lower rise in CRP following intervention in patients treated with empagliflozin vs. those who have received a placebo.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Rabih R Azar, MD, MPH
- Phone Number: +9613590999
- Email: razarmd@hotmail.com
Study Contact Backup
- Name: Georges G Hage, MD
- Phone Number: +9613284724
- Email: georgesjuniorhage@hotmail.com
Study Locations
-
-
Beyrouth
-
Beirut, Beyrouth, Lebanon, 00000
- Recruiting
- Hotel Dieu de France
-
Contact:
- Georges Dabar, MD
- Phone Number: +9611615300
- Email: georges.dabar@usj.edu.lb
-
Contact:
- Louisette Joubran
- Phone Number: +9611615300
- Email: louisette.joubran@hdf.esj.edu.lb
-
Sub-Investigator:
- Georges Hage, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- • Patients with stable CAD who are electively scheduled for PCI on a de novo lesion in a native coronary artery
Exclusion Criteria:
• Patients who have been taking an SGLT-2 inhibitor during the last month
- Patients who are receiving any anti-inflammatory medication: immunosuppressor, steroids, NSAID…
- Patients who have underlying inflammatory conditions such as rheumatic arthritis, infection, active malignancy
- Patients with an acute coronary syndrome within the last month
- Intervention on a restenotic lesion or lesion in a saphenous vein graft
- Creatinine clearance less than 30 mL/min
- Patients who are treated with devices other than balloons and stents (lithotripsy, rotational atherectomy…)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Placebo control
|
Patient will receive a matching placebo PO 1 tab per day, starting at least 2 days before planned PCI and on the day of PCI.
Patient will thus receive at least 3 doses of empagliflozin prior to intervention
|
|
Active Comparator: empagliflozin
Patients who will receive empagliflozin
|
Patient will receive 10 mg of empagliflozin PO per day, starting at least 2 days before planned PCI and on the day of PCI.
Patient will thus receive at least 3 doses of empagliflozin prior to intervention
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
CRP change
Time Frame: baseline and 18-24 hours after pci
|
High sensitivity CRP will be measured immediately before and 18-24 hours after PCI
|
baseline and 18-24 hours after pci
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Rabih R Azar, MD, MPH, Hotel Dieu de Frace
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CEHDF 2511
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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