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NCT07038356RecruitingPhase 3

Effects of Continued Administration of Empagliflozin in Patients With Heart Failure on Active SGLT2 Inhibitor Treatment Admitted for Acute Decompensated Heart Failure

Source: ClinicalTrials.gov · Last updated 26 Aug 2026

Brief summary (registry, in English)

The goal of this clinical trial is to test the hypothesis that the continuation of empagliflozin during decongestive therapy in the setting of acute decompensated and hospitalized heart failure patients is not inferior compared to therapy cessation during the acute heart failure hospitalization. Randomized treatment (plus standard medical care) in patients with acute decompensated heart failure is one (1) tablet daily of empagliflozin 10 mg or matching placebo during the in-hospital stay (up to a maximum of 30 days), followed by treatment with empagliflozin 10 mg daily after discharge (but no later than day 31) until day 90. The primary outcome measure is the combined hierarchical endpoint of all-cause mortality, heart failure hospitalization and worsening renal function at 90 days after admission. Secondary outcome measures are the effects on urine output, diuretic efficiency, quality-of-life and the need for further administration of diuretics. Participants will * Take one tablet of study medication once daily (day 1 to day 90) * Restrict fluid intake to 1.5 liters of fluid per day and record the daily fluid intake for the study from day 1 to day 6 in the patient diary * Measure the urine output (day 1 to day 6) * Fill in Questionnaires (EQ-5D-3L (3-level version of the EuroQol five dimensional descriptive system), KCCQ-12 (Kansas City Cardiomyopathy Questionnaire comprising 12 items)) on day 0 (Baseline), at hospital discharge, and on day 30

Status (registry)
Recruiting
Phase (registry)
Phase 3
Study type
Interventional
Enrollment
536 (estimated)
First submitted
23 May 2025
Start date
8 Dec 2025
Primary completion date
30 Apr 2027
Lead sponsor
Christian Schulze
NCT number
NCT07038356
EU CT number
2024-517977-26-00

What you commit to

  • Study type: Interventional · Phase 3
  • Planned participants: 536
  • From 8 Dec 2025 to the primary completion date, 30 Apr 2027
  • 14 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

  • Need for hemofiltration or any other form of extracorporeal therapy
  • Previous participation in this trial or recent participation in another clinical trial (within the last 4 weeks before inclusion)

Other illness

  • Type 1 diabetes mellitus
  • Acute heart failure without signs of congestion ("dry" patient)
  • Identification of any causes of heart failure leading to decompensation that needs urgent management (like acute coronary syndrome, severe unstable arrhythmias, mechanical causes, acute pulmonary embolism)

Lab values

  • Chronic Kidney Disease (CKD) with eGFR\<20 ml/min, or end-stage renal failure with the need for chronic dialysis treatment

Other

  • Acute kidney injury (AKI) requiring dialysis treatment
  • Known intolerance to empagliflozin
  • Incapacity to understand and / or to provide written informed consent
  • Obvious uncontrolled substance abuse
  • Pregnancy, breastfeeding

Who the study is looking for

  • Patients (age ≥ 18 years) with acute decompensated heart failure (HF) according to clinical assessment on active therapy with a SGLT2 inhibitor
  • Brain Natriuretic Peptide (BNP) \>100 pg/ml or N-terminal pro-BNP (NTproBNP) \>300 pg/ml
  • Written informed consent obtained
  • Women of childbearing potential: negative pregnancy test and use of a highly effective method of contraception

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

Full criteria on ClinicalTrials.gov

Sites (14)

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

SiteCityCountrySite status
Kerckhoff-Klinik GmbH
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Bad NauheimGermanyRecruiting
Charite Universitaetsmedizin Berlin KöR
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BerlinGermanyRecruiting
Universitätsklinikum Bonn
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BonnGermanyRecruiting
Herzzentrum Dresden GmbH Universitaetsklinik
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DresdenGermanyRecruiting
Universitaetsmedizin Goettingen
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GoettingenGermanyRecruiting
Universitaetsmedizin Greifswald KöR
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GreifswaldGermanyRecruiting
Martin-Luther-Universitaet Halle-Wittenberg
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Halle (Saale)GermanyRecruiting
Universitaetsklinikum Jena KöR
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JenaGermanyRecruiting
Herzzentrum Leipzig GmbH
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LeipzigGermanyRecruiting
Universitaetsklinikum Leipzig Aor
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LeipzigGermanyRecruiting
Otto Von Guericke Universitaet Magdeburg
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MagdeburgGermanyRecruiting
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
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MainzGermanyRecruiting
LMU Klinikum Muenchen AöR
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MunichGermanyRecruiting
Rostock University Medical Center
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RostockGermanyRecruiting

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