Using empagliflozin to treat heart failure in patients with end-stage renal disease
Official title: The Safety and Efficacy of Empagliflozin in Patients With End-stage Renal Disease and Heart Failure With Preserved Ejection Fraction - a Randomized Controlled Trial
Run by National Taiwan University Hospital · NCT06249945 · Data updated 2026-11-12
This study tests if the drug empagliflozin can help people with heart failure and severe kidney disease who are on dialysis feel better and improve their heart health.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 20 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | National Taiwan University Hospital Academic / other |
| Locations | 2 sites (Hsinchu and 1 other locations) |
| Status | Recruiting |
| Started | March 5, 2024 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2030 |
| Registry record updated | December 16, 2024 |
| Trial ID | NCT06249945 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 20 and older with end-stage renal disease on stable dialysis and a prior diagnosis of heart failure with preserved ejection fraction.
✕Probably not a fit
Patients who are under 20 years old, have severe heart failure symptoms, or have recently experienced significant health complications may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effects of empagliflozin, a sodium-glucose co-transporter 2 inhibitor, on patients suffering from heart failure with preserved ejection fraction (HFpEF) who are also undergoing chronic maintenance dialysis for end-stage renal disease (ESRD). The study aims to determine the safety and efficacy of empagliflozin in this unique patient population, which has been largely excluded from previous research. Participants will receive either empagliflozin or a placebo while being monitored for improvements in heart function and overall health. The trial seeks to fill a significant gap in treatment options for patients with both HFpEF and ESRD.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option for patients with heart failure and end-stage renal disease, potentially improving their quality of life and health outcomes.
How similar studies have gone: While SGLT2 inhibitors have shown promise in treating heart failure in other populations, this specific approach in patients with end-stage renal disease is novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥20 years old * ESRD under chronic, maintenance dialysis with stable dry weight for the past 6 months * Prior diagnosis of HFpEF, as defined by a score of ≥5 on the HFA-PEFF diagnostic algorithm. Exclusion Criteria: * Age \<20 years old * Ongoing pregnancy * NYHA class IV heart failure * Any hospitalization for heart failure within the past month Ongoing acute urinary tract infection at the time of screening * Known acute genital infection * Severe peripheral artery disease (Rutherford category 4-6) * Acute coronary syndrome, stroke or transient ischemic attack within the past month * Recent initiation of chronic maintenance hemodialysis within 6 months * Adjustment of dry weight with changes greater than 5% of body weight within the past month * Documented left ventricular ejection fraction =\<40% by any imaging modality within 1 month of screening * Refused informed consent
Where it's running
-
National Taiwan University Hospital Hsinchu Branch
Hsinchu, Taiwan Recruiting -
Shin Kong Wu Ho-Su Memorial Hospital
Taipei, Taiwan Recruiting
Study contacts
- Principal investigator: Donna SH Lin, MD — Shin Kong Wu Ho-Su Memorial Hospital
- Study coordinator: Donna SH Lin, MD
- Email: Donna.lin24@gmail.com
- Phone: +886912902379
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Remote rehabilitation for HFpEF patients using telerehabilitation
A home-based telerehabilitation program is being tested to see if it is safe and helpful for people with heart failure with preserved ejection fraction.
-
How the body handles fosmanogepix in adults on dialysis
This study tests how fosmanogepix behaves in the body and its safety in adults with end-stage kidney disease on dialysis, compared to people with normal kidney function.
-
EDG-15400 in adults with HFpEF: a phase 2 study
This phase 2 study tests different doses of EDG-15400 against placebo in adults with HFpEF to see if it is safe and tolerable.
-
Coated Aldehyde Oxystarch to lower PBUTs in adults on dialysis
This study tests whether a coated oral adsorbent called Coated Aldehyde Oxystarch (Xiqing) can lower protein-bound uremic toxins in adults on maintenance dialysis and checks its safety.
-
Changes in regional ventilation-perfusion after artery graft ballooning in dialysis patients
This study tests how the lungs' ventilation and blood flow respond right before, during, and after repairing an arteriovenous graft with balloon angioplasty in adults on dialysis.
-
Incretin therapy with tirzepatide for obesity-related HFpEF
A 15-month study will test whether tirzepatide helps people with obesity and HFpEF by reducing plasma volume.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.