Empagliflozin Added Early After Cardiogenic Shock to Test Recovery
Tests empagliflozin, added early, in adults recovering from cardiogenic shock.
Plain-language title generated from the registry record
Registry title: Effect at 3 Months of Early Empagliflozin Initiation in Cardiogenic Shock Patients on Mortality, Rehospitalization, Left Ventricular Ejection Fraction and Renal Function.
Key facts
- Where
- Ars-Laquenexy, Besançon, Dijon, Lille, Reims, Strasbourg, and Vandœuvre-lès-Nancy, FranceSee the 8 sites
- Phase
- Phase 3
Where in France
- CHR Metz - ThionvilleArs-Laquenexy, FranceTaking people
- CHU de BesançonBesançon, FranceTaking people
- CHU de Dijon - BourgogneDijon, FranceNot yet recruiting
- CHU LilleLille, FranceNot yet recruiting
- CHU ReimsReims, FranceNot yet recruiting
- Hopitaux Universitaires de StrasbourgStrasbourg, FranceTaking people
- CHRU de NANCY - réanimation médicaleVandœuvre-lès-Nancy, FranceTaking people
- Chru Nancy - UsicVandœuvre-lès-Nancy, FranceTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Central Hospital, Nancy, France
- Trial code
- NCT05879276
- Record updated
- 27 June 2025
- Original description
Long term prognosis of cardiogenic shock is related to the resolution of haemodynamic failure, associated visceral failure and the recovery of an adequate myocardial function. In the immediate aftermath of cardiogenic shock, after catecholamines weaning, there are no recommendations on cardiovascular treatments that would improve this long term prognosis. Indeed, the standard cardiovascular treatments such as inhibitors of the renin-angiotensin and aldosterone system and beta-blockers have hypotensive and negative inotropic effects and may worsen the renal function. In practice, given their side effects, they are not prescribed in the immediate aftermath of cardiogenic shock.Read full original descriptionShow less
Effect at 3 Months of Early Empagliflozin Initiation in Cardiogenic Shock Patients on Mortality, Rehospitalization, Left Ventricular Ejection Fraction and Renal Function. A Randomized Multicentric Open Trial
Long term prognosis of cardiogenic shock is related to the resolution of haemodynamic failure, associated visceral failure and the recovery of an adequate myocardial function. In the immediate aftermath of cardiogenic shock, after catecholamines weaning, there are no recommendations on cardiovascular treatments that would improve this long term prognosis. Indeed, the standard cardiovascular treatments such as inhibitors of the renin-angiotensin and aldosterone system and beta-blockers have hypotensive and negative inotropic effects and may worsen the renal function. In practice, given their side effects, they are not prescribed in the immediate aftermath of cardiogenic shock.
Sodium-glucose co-transporter 2 (iSGLT2) inhibitors are now an integral part of the drug management of chronic heart failure and the EMPULSE-HF trial has just demonstrated a benefit in acute heart failure (PMID: 35228754). Several pivotal clinical trials have demonstrated a significant effect of iSGLT2 on the survival and the risk of re hospitalisation for heart failure (PMID: 32865377, 31535829, 33200892). Our hypothesis is that, in patients in cardiogenic shock, early treatment with Empaglifozin in addition to the standard management could reduce mortality and morbidity (death, transplantation/LVAD and rehospitalisation for heart failure) and improve myocardial function at 12 weeks, compared with standard management alone.
Inclusion: Adult patients hospitalized in critical cardiac unit care or Intensive care unit for a cardiogenic shock; "Who must have been or is on catecholamines for at least 12 hours for the treatment of cardiogenic shock; Patients who are able to take oral tablets.
Exclusion: Patient on SGLT2 inhibitors prior to admission to ICU or CCU; Specific cardiogenic shock context:; cardiac transplant patient or on transplant list; peripartum, adrenergic, valvular, non ischemic, post embolic heart disease; related to cardiotropic drug intoxication; Secondary to a cardiac arrest for which the patient remains comatose prior to inclusion; GFR< 20 ml/min/1.73m2; Known allergy to SGLT2 inhibitors or to any of its excipients (in particular, patients with hereditary disorders of galactose intolerance, total lactase deficiency or glucose or galactose malabsorption syndrome); Women of childbearing age without effective contraception; Chronic dialysis; Patients on lithium; Patient in shock for another cause or moribund (SAPS2> 90); Person referred to in Articles 10, 31, 32, 33 and 34 of EU Regulation 536/2014 (Pregnant woman, parturient or breastfeeding mother, Minor (not emancipated), Adult person subject to a legal protection measure (guardianship, curatorship, safeguard of justice)).