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NCT05553938Active, not recruitingPhase 1

Effects of Acute and Chronic Empagliflozin Heart Failure

Renal Mechanistic Effects of Acute and Chronic Empagliflozin in Heart Failure

Source: ClinicalTrials.gov · Last updated 2 Jul 2026

Brief summary (registry, in English)

This is a 60-patient randomized, double-blind, placebo-controlled mechanistic study to understand the utility of empagliflozin in worsening heart failure (HF) patients with or without diabetes. Participants will be randomized to empagliflozin or placebo for 6 weeks, followed by a crossover of placebo patients to active therapy at 6 weeks-12 weeks.

Status (registry)
Active, not recruiting
Phase (registry)
Phase 1
Study type
Interventional
Enrollment
60 (actual)
First submitted
21 Sept 2022
Start date
4 Aug 2023
Primary completion date
8 May 2026
Lead sponsor
Yale University
NCT number
NCT05553938

What you commit to

  • Study type: Interventional · Phase 1
  • Participants enrolled: 60
  • From 4 Aug 2023 to the primary completion date, 8 May 2026
  • 2 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Current use or plan to initiate renal replacement therapy
  • Critical stenotic valvular disease, complex congenital heart disease or prior heart transplant

Other illness

  • Need for heart failure hospitalization at the time of randomization
  • History of type 1 diabetes, diabetic ketoacidosis, "brittle" diabetes or frequent hypoglycemia or severe hypoglycemic episodes requiring emergent intervention (ER visit or EMS response, glucagon administration or forced oral carbs) in the last 6 months
  • History of or current urosepsis or frequent urinary tract infections
  • Appears unlikely or unable to participate in the required study procedures, as assessed by the study PI, study coordinator, or designee (ex: clinically-significant psychiatric, addictive, or neurological disease)

Lab values

  • Anemia with hemoglobin \<8g/dL (due to required phlebotomy for the study) or active bleeding

Other

  • Significant bladder dysfunction or urinary incontinence
  • Inability to comply with the serial urine collection procedures
  • Chronic use of natriuretic doses of thiazide diuretics (≥50mg hydrochlorothiazide or equivalent)
  • Pregnancy or breastfeeding

Who the study is looking for

  • A clinical diagnosis of worsening heart failure (worsening of congestive symptoms with current therapies) in the opinion of the investigator.
  • A planned outpatient diuretic intervention (either up-titration of loop or addition of thiazide diuretic) for worsening heart failure per treating clinician. Diuretic intervention can occur via an unplanned in person visit (e.g., outpatient ambulatory clinic, emergency department, same day access visit) or via a telephone encounter (e.g., patient calling the clinic with reported weight gain and SOB that is prescribed uptitration of diuretic therapy).
  • Estimated or reported weight gain of at least 5 lbs.
  • Chronic daily oral loop diuretic dose ≥ 20mg furosemide equivalents for at least one month prior to enrollment
  • Estimated GFR (eGFR) ≥ 20 mL/min/1.73 m2
  • Age ≥ 18 years old
  • Signed informed consent
  • English speaking participants only

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Yale New Haven Hospital
Coordinator of this site? Confirm its status
New HavenUnited StatesUnknown status
Yale University
Coordinator of this site? Confirm its status
New HavenUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.