- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06706791
Effect of Empagliflozin on Quality of Life in Chronic Heart Failure Patients With Diabetes Mellitus Type II
Effect of Empagliflozin on Quality of Life in patient of Chronic Heart Failure with Diabetes Mellitus Type II. As per ESC Guidelines Empagliflozin is recommended as part of the first-line treatment for HFrEF, irrespective of diabetes status.
As per American College of Cardiology (ACC)/American Heart Association (AHA) Empagliflozin is recommended in both diabetic and non-diabetic HF (especially beneficial in patients with HFrEF and HFpEF).
The aim of my study is to assess the impact of Empagliflozin on quality of life in Pakistani patients, considering the genetic, environmental and cultural factors.
The study will also explore whether Empagliflozin can offer cost-effective option for managing chronic heart failure and diabetes, potentially reducing the economic burden on both patients and health care system.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Effect of Empagliflozin on Quality of Life in patient of Chronic Heart Failure with Diabetes Mellitus Type II. As per ESC Guidelines Empagliflozin is recommended as part of the first-line treatment for HFrEF, irrespective of diabetes status.
This is a comparative clinical study with randomized groups. Participants will be allocated to either the Empagliflozin group or the placebo group alongside standard therapy.
Blinding will be done by assigning drug to participants according to computer generated numbers in 2 groups in 1:1 ratio.
Empagliflozin Group: taking Empagliflozin 10mg once daily per oral along with standard treatment. Their quality of life assessed by using Kansas City Cardiomyopathy questionnaire. Placebo Group: Identical placebo tablets, following the same dose and schedule as the Empagliflozin group along with standard treatment of chronic heart failure.
Duration is of18 months. Will take place in Fazaia Ruth Pfau medical college and hospital and NICVD hospital Karachi.
Study Type
Enrollment (Estimated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Tooba Riaz, MBBS
- Phone Number: 316 03333231665
- Email: drtoobariaz@outlook.com
Study Contact Backup
- Name: DR Asghar Mehdi, MBBS Phd
- Phone Number: 314 03008228284
- Email: drasgharmehdi@gmail.com
Study Locations
-
-
Sindh
-
Karachi, Sindh, Pakistan, 75120
- Recruiting
- Fazaia Ruth Pfau Hospital
-
Contact:
- Dr Masood Ahmed, MBBS Phd
- Phone Number: 03002922361
- Email: principal.frpmc@mail.au.edu.pk
-
Contact:
- DR Asghar Mehdi, MBBS Phd
- Phone Number: 03008228284
- Email: drasgharmehdi@gmail.com
-
Principal Investigator:
- Tooba Riaz, MBBS
-
Sub-Investigator:
- Asghar Mehdi, MBBS Phd
-
Sub-Investigator:
- Sadia Khan, MBBS
-
Sub-Investigator:
- Asad Khan, MBBS FCPS
-
Sub-Investigator:
- Rubina Khan, MBBS FCP
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 40-70 years at time of screening.
- Both Men and women are included in study.
- Patients with chronic heart failure and currently categorized in class II-IV heart failure as per NHYA classification having ejection fraction less than 40%.
- Patients having NT- proBNP levels greater than 25pg/ml.
- Diabetic patient diagnosed (HbA1c > 6.5mg/dl) and currently taking antidiabetic medicine.
Exclusion Criteria:
- Pregnant female.
- Patient with end stage renal disease (ESRD).
- Patient with acute decompensated heart failure.
- Acute coronary syndrome patients.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: experimental arm, Palcebo controlled group
Experimental arm, taking empagliflozin 10mg once daily along with standard treatment.
|
participants will be divided in two groups one group will empagliflozin 10mg once daily along with standard treatment secong group receiving placebo once daily along with standard treatment.
Other Names:
|
|
Placebo Comparator: Palcebo controlled group
Palcebo controlled group patient receiving placebo to compare with empagliflozin along with standard treatment.
|
participants will be divided in two groups one group will empagliflozin 10mg once daily along with standard treatment secong group receiving placebo once daily along with standard treatment.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
improvement in Kansas city cardiomyopathy questionnaire scoring
Time Frame: 18 months
|
Primary outcome measure will be the improvement in quality of life indicating by change in Kansas City cardiomyopathy questionnaire (KCCQ) scoring.
higher value indicates better results.
|
18 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
assessment of NT-pro-BNP levels.
Time Frame: 18 months
|
Secondary outcome measures will include the change in NT-pro-BNP levels.lower
values indicates better results
|
18 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Tooba Riaz, MBBS, Fazaia Ruth Pfau Medical College
Publications and helpful links
General Publications
- Zinman B, Wanner C, Lachin JM, Fitchett D, Bluhmki E, Hantel S, Mattheus M, Devins T, Johansen OE, Woerle HJ, Broedl UC, Inzucchi SE; EMPA-REG OUTCOME Investigators. Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes. N Engl J Med. 2015 Nov 26;373(22):2117-28. doi: 10.1056/NEJMoa1504720. Epub 2015 Sep 17.
- Packer M, Anker SD, Butler J, Filippatos G, Pocock SJ, Carson P, Januzzi J, Verma S, Tsutsui H, Brueckmann M, Jamal W, Kimura K, Schnee J, Zeller C, Cotton D, Bocchi E, Bohm M, Choi DJ, Chopra V, Chuquiure E, Giannetti N, Janssens S, Zhang J, Gonzalez Juanatey JR, Kaul S, Brunner-La Rocca HP, Merkely B, Nicholls SJ, Perrone S, Pina I, Ponikowski P, Sattar N, Senni M, Seronde MF, Spinar J, Squire I, Taddei S, Wanner C, Zannad F; EMPEROR-Reduced Trial Investigators. Cardiovascular and Renal Outcomes with Empagliflozin in Heart Failure. N Engl J Med. 2020 Oct 8;383(15):1413-1424. doi: 10.1056/NEJMoa2022190. Epub 2020 Aug 28.
- Dunlay SM, Roger VL, Redfield MM. Epidemiology of heart failure with preserved ejection fraction. Nat Rev Cardiol. 2017 Oct;14(10):591-602. doi: 10.1038/nrcardio.2017.65. Epub 2017 May 11.
- McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Bohm M, Burri H, Butler J, Celutkiene J, Chioncel O, Cleland JGF, Coats AJS, Crespo-Leiro MG, Farmakis D, Gilard M, Heymans S, Hoes AW, Jaarsma T, Jankowska EA, Lainscak M, Lam CSP, Lyon AR, McMurray JJV, Mebazaa A, Mindham R, Muneretto C, Francesco Piepoli M, Price S, Rosano GMC, Ruschitzka F, Kathrine Skibelund A; ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021 Sep 21;42(36):3599-3726. doi: 10.1093/eurheartj/ehab368. No abstract available. Erratum In: Eur Heart J. 2021 Dec 21;42(48):4901. doi: 10.1093/eurheartj/ehab670.
- Januzzi JL Jr, Zannad F, Anker SD, Butler J, Filippatos G, Pocock SJ, Ferreira JP, Sattar N, Verma S, Vedin O, Schnee J, Iwata T, Cotton D, Packer M; EMPEROR-Reduced Trial Committees and Investigators. Prognostic Importance of NT-proBNP and Effect of Empagliflozin in the EMPEROR-Reduced Trial. J Am Coll Cardiol. 2021 Sep 28;78(13):1321-1332. doi: 10.1016/j.jacc.2021.07.046.
- Januzzi JL Jr, Ahmad T, Mulder H, Coles A, Anstrom KJ, Adams KF, Ezekowitz JA, Fiuzat M, Houston-Miller N, Mark DB, Pina IL, Passmore G, Whellan DJ, Cooper LS, Leifer ES, Desvigne-Nickens P, Felker GM, O'Connor CM. Natriuretic Peptide Response and Outcomes in Chronic Heart Failure With Reduced Ejection Fraction. J Am Coll Cardiol. 2019 Sep 3;74(9):1205-1217. doi: 10.1016/j.jacc.2019.06.055.
- Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, Deswal A, Drazner MH, Dunlay SM, Evers LR, Fang JC, Fedson SE, Fonarow GC, Hayek SS, Hernandez AF, Khazanie P, Kittleson MM, Lee CS, Link MS, Milano CA, Nnacheta LC, Sandhu AT, Stevenson LW, Vardeny O, Vest AR, Yancy CW. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022 May 3;79(17):e263-e421. doi: 10.1016/j.jacc.2021.12.012. Epub 2022 Apr 1. Erratum In: J Am Coll Cardiol. 2023 Apr 18;81(15):1551. doi: 10.1016/j.jacc.2023.03.002.
- Stubblefield WB, Jenkins CA, Liu D, Storrow AB, Spertus JA, Pang PS, Levy PD, Butler J, Chang AM, Char D, Diercks DB, Fermann GJ, Han JH, Hiestand BC, Hogan CJ, Khan Y, Lee S, Lindenfeld JM, McNaughton CD, Miller K, Peacock WF, Schrock JW, Self WH, Singer AJ, Sterling SA, Collins SP. Improvement in Kansas City Cardiomyopathy Questionnaire Scores After a Self-Care Intervention in Patients With Acute Heart Failure Discharged From the Emergency Department. Circ Cardiovasc Qual Outcomes. 2021 Oct;14(10):e007956. doi: 10.1161/CIRCOUTCOMES.121.007956. Epub 2021 Sep 24. Erratum In: Circ Cardiovasc Qual Outcomes. 2021 Nov;14(11):e000104. doi: 10.1161/HCQ.0000000000000104.
Helpful Links
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Cardiovascular Diseases
- Heart Diseases
- Metabolic Diseases
- Glucose Metabolism Disorders
- Heart Failure
- Diabetes Mellitus, Type 2
- Diabetes Mellitus
- Sodium-Glucose Transporter 2 Inhibitors
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Hypoglycemic Agents
- Empagliflozin
Other Study ID Numbers
- FRPMC-IRB-2024-64
- FMC,Air university (Other Identifier: Air university)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Chronic Heart Failure
-
Noah LabsHospital Clinic of Barcelona; Maastricht University; Zuyderland Medical CentreActive, not recruitingHeart Failure | Chronic Heart Failure | Chronic Heart DiseaseSpain, Netherlands
-
BayerCompletedChronic Heart Failure | Chronic Heart Failure With Reduced Ejection FractionJapan
-
BayerActive, not recruitingChronic Heart Failure With Reduced Ejection Fraction | Worsening Chronic Heart FailureIndia
-
Maastricht University Medical CenterUniversity Medical Center Groningen; Maastricht UniversityWithdrawnChronic Heart Failure | Acute Decompensated Heart FailureNetherlands
-
Melana Yuzefpolskaya, MDRecruitingChronic Heart FailureUnited States
-
BayerRecruitingChronic Heart FailureSouth Korea
-
Indiana UniversityRecruitingCongestive Heart Failure | Congestive Heart Failure (CHF) | Congestive Heart Failure Chronic | Congestive Heart Failure(CHF)United States
-
CHFDX,Inc.University of South Florida; Tampa General HospitalRecruitingDecompensated Chronic Heart FailureUnited States
-
Medical University of ViennaCompleted
-
Maastricht University Medical CenterUniversity College Dublin; RWTH Aachen University; Queen's University, BelfastCompletedChronic Heart FailureNetherlands, Germany, Ireland, United Kingdom
Clinical Trials on Empagliflozin 10 MG
-
Ain Shams UniversityCompletedHeart Failure | Diabete Mellitus | Remodeling, Left VentricleEgypt
-
Washington D.C. Veterans Affairs Medical CenterBayerNot yet recruitingDiabetic Kidney DiseaseUnited States
-
University of MinnesotaNot yet recruitingDiabetes | Partial Islet Function | TPIATUnited States
-
Bahria UniversityCompleted
-
Abdelrahman MahmoudRecruitingMetabolic Syndrome | Obesity & Overweight | HIV (Human Immunodeficiency Virus)Egypt
-
Damanhour UniversityCompletedHeart Failure | Reduced Ejection Fraction Heart FailureEgypt
-
Instituto Nacional de Cardiologia Ignacio ChavezActive, not recruitingSTEMI | No-Reflow PhenomenonMexico
-
Boehringer IngelheimEli Lilly and CompanyCompletedDiabetes Mellitus, Type 2Japan
-
Seoul National University Bundang HospitalCelltrionRecruitingFatty Liver | Type 2 DiabetesKorea, Republic of
-
Centre Hospitalier Universitaire de NiceBoehringer IngelheimNot yet recruitingChronic Kidney DiseasesFrance