NCT03057977

Brief Summary

The aim of the study is to investigate the safety and efficacy of empagliflozin versus placebo on top of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
3,730

participants targeted

Target at P75+ for phase_3 heart-failure

Timeline
Completed

Started Mar 2017

Geographic Reach
20 countries

520 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 16, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 20, 2017

Completed
14 days until next milestone

Study Start

First participant enrolled

March 6, 2017

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2020

Completed
27 days until next milestone

Study Completion

Last participant's last visit for all outcomes

May 28, 2020

Completed
12 months until next milestone

Results Posted

Study results publicly available

May 18, 2021

Completed
Last Updated

May 18, 2021

Status Verified

April 1, 2021

Enrollment Period

3.2 years

First QC Date

February 16, 2017

Results QC Date

April 26, 2021

Last Update Submit

April 26, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Time to the First Event of Adjudicated Cardiovascular (CV) Death or Adjudicated Hospitalisation for Heart Failure (HHF)

    Time to the first event of adjudicated cardiovascular (CV) death or adjudicated hospitalisation for heart failure (HHF). The incidence rate per 100 patient years (100 \* number of patients with event /time at risk \[years\]) is presented. With time at risk \[year\] calculated as: Sum of time at risk \[days\] over all patients in a treatment group / 365.25. Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier. Unit of Measure: Patients with events per 100 patient-years (pt-yrs) at risk.

    From randomisation until completion of the planned treatment period, up to 1040 days.

Secondary Outcomes (9)

  • Occurrence of Adjudicated Hospitalisation for Heart Failure (HHF) (First and Recurrent)

    From randomisation until completion of the planned treatment phase, up to 1040 days.

  • eGFR (CKD-EPI) cr Slope of Change From Baseline

    Assessed at baseline, week 4, 12, 32, 52, 76, 100, 124, 148 and at end of treatment (EOT), up to 1040 days.

  • Time to First Event in Composite Renal Endpoint: Chronic Dialysis, Renal Transplant or Sustained Reduction of eGFR(CKD-EPI)cr

    From randomisation until completion of the planned treatment period, up to 1040 days.

  • Time to First Adjudicated Hospitalisation for Heart Failure (HHF)

    From randomisation until completion of the planned treatment period, up to 1040 days.

  • Time to Adjudicated Cardiovascular (CV) Death

    From randomisation until completion of the planned treatment period, up to 1040 days.

  • +4 more secondary outcomes

Study Arms (2)

Empagliflozin

EXPERIMENTAL
Drug: Empagliflozin

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Interventions

once daily

Also known as: JARDIANCE, JARDIANZ, GIBTULIO
Empagliflozin

once daily

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female patient age \>= 18 years at screening. For Japan only: Age \>= 20 years at screening
  • Patients with chronic HF (Chronic Heart Failure) NYHA (New York Heart Association Classification) class II-IV and reduced EF (Ejection Fraction) (LVEF (Left Ventricular Ejection Fraction) \<=40%) and elevated NT-proBNP (N-terminal of the prohormone brain natriuretic peptide)
  • If EF \>= 36% to \<= 40%: NT-proBNP \>= 2500 pg/ml or patients without AF (atrial fibrillation/atrial flutter) and NT-proBNP \>= 5000 pg/ml for patients with AF
  • If EF \>= 31% to \<= 35%: NT-proBNP \>= 1000 pg/ml for patients without AF and NT-proBNP \>=2000 pg/ml for patients with AF
  • If EF\<= 30%: NT-proBNP \>= 600 pg/ml for patients without AF and NT-proBNP \>=1200 pg/ml for patients with AF
  • EF ≤ 40% and hospitalization for heart failure in the past 12 months: NTproBNP ≥ 600 pg/ml for patients without AF and NT-proBNP \>= 1200 pg/ml for patients with AF
  • Appropriate dose of medical therapy for HF consistent with prevailing local and international CV (Cardiovascular) guidelines, stable for at least 1 week prior to Visit 1
  • Appropriate use of medical devices such as cardioverter defibrillator (ICD) or a cardiac resynchronization therapy (CRT) consistent with prevailing local or international CV guidelines
  • Signed and dated written ICF (Informed Consent Form)

You may not qualify if:

  • Myocardial infarction, coronary artery bypass graft surgery, or other major cardiovascular surgery, stroke or TIA (Transient Ischaemic Attack) in past 90 days prior to Visit 1
  • Heart transplant recipient, or listed for heart transplant
  • Acute decompensated HF
  • Systolic blood pressure (SBP) \>= 180 mmHg at Visit 2.
  • Symptomatic hypotension and/or a SBP \< 100 mmHg
  • Indication of liver disease
  • Impaired renal function, defined as eGFR (Estimated Glomerular Filtration Rate) \< 20 mL/min/1.73 m2 (CKD-EPI (Chronic Kidney Disease - Epidemiology Collaboration Equation)) or requiring dialysis
  • History of ketoacidosis
  • Current use or prior use of a SGLT (Sodium-glucose co-transporter)-2 inhibitor or combined SGLT-1 and 2 inhibitor
  • Currently enrolled in another investigational device or drug study
  • Known allergy or hypersensitivity to empagliflozin or other SGLT-2 inhibitors
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (520)

La Mesa Cardiac Center

La Mesa, California, 91942, United States

Location

Long Beach Center for Clinical Research

Long Beach, California, 90807, United States

Location

VA Greater Los Angeles Healthcare System

Los Angeles, California, 90073, United States

Location

Merced Vein and Vascular Center

Merced, California, 95340, United States

Location

University of California Irvine

Orange, California, 92865, United States

Location

Covigilant Research, LLC

Riverside, California, 92506, United States

Location

University of California

Torrance, California, 90502, United States

Location

Orange County Research Center

Tustin, California, 92780, United States

Location

Blue Coast Cardiology

Vista, California, 92083, United States

Location

South Denver Cardiology Associates, PC

Littleton, Colorado, 80120, United States

Location

Integrated Heart Care

Boca Raton, Florida, 33434, United States

Location

Morton Plant Mease Health Care

Clearwater, Florida, 33756, United States

Location

Nature Coast Clinical Research

Crystal River, Florida, 34429, United States

Location

Avail Clinical Research, LLC

DeLand, Florida, 32720, United States

Location

Holy Cross Hospital

Fort Lauderdale, Florida, 33308, United States

Location

Integrative Research Associates

Fort Lauderdale, Florida, 33312, United States

Location

Nature Coast Clinical Research

Inverness, Florida, 34452, United States

Location

East Coast Institute for Research, LLC

Jacksonville, Florida, 32216, United States

Location

Jacksonville Center for Clinical Research

Jacksonville, Florida, 32216, United States

Location

Cardiovascular Research Center of South Florida

Miami, Florida, 33173, United States

Location

Peninsula Research, Inc.

Ormond Beach, Florida, 32174, United States

Location

Cardiology Consultants, Inc

Pensacola, Florida, 32501, United States

Location

Sarasota Memorial Hospital

Sarasota, Florida, 34239, United States

Location

Grady Clinical Research Center

Atlanta, Georgia, 30303, United States

Location

Augusta University

Augusta, Georgia, 30912, United States

Location

Columbus Regional Research Institute

Columbus, Georgia, 31904, United States

Location

Cardiovascular Group PC

Lawrenceville, Georgia, 30046, United States

Location

Meridian Clinical Research, LLC

Savannah, Georgia, 31406, United States

Location

Northwest Heart Clinical Research, LLC

Arlington Heights, Illinois, 60005, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

Captain James A. Lovell Federal Health Care Center

North Chicago, Illinois, 60064, United States

Location

Rockford Cardiovascular Associates

Rockford, Illinois, 61107, United States

Location

Midwest Cardiovascular Research and Education Foundation

Elkhart, Indiana, 46514, United States

Location

St. Francis Medical Group-Indiana Heart Physicians, Inc

Indianapolis, Indiana, 46237, United States

Location

Reid Hospital

Richmond, Indiana, 47374, United States

Location

Beacon Medical Group Clinical Research

South Bend, Indiana, 46601, United States

Location

Research Integrity, LLC

Owensboro, Kentucky, 42303, United States

Location

Cambridge Medical Trials

Alexandria, Louisiana, 71301, United States

Location

Louisiana Heart Center

Covington, Louisiana, 70433, United States

Location

Clinical Trials of America, LLC

Monroe, Louisiana, 71201, United States

Location

Tulane University Hospital and Clinic

New Orleans, Louisiana, 70112, United States

Location

Anne Arundel Medical Center

Annapolis, Maryland, 21401, United States

Location

Johns Hopkins University Hospital School of Medicine

Baltimore, Maryland, 21205, United States

Location

MedStar Health Research Institute

Baltimore, Maryland, 21237, United States

Location

Metropolitan Cardiovascular Consultants

Beltsville, Maryland, 20705, United States

Location

Spectrum Clinical Research

Towson, Maryland, 21204, United States

Location

Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

East Mountain Medical Associates, PC

Great Barrington, Massachusetts, 01230, United States

Location

Alpena General Hospital

Alpena, Michigan, 49707, United States

Location

Regions Hospital

Saint Paul, Minnesota, 55101, United States

Location

Saint Louis University

St Louis, Missouri, 63110, United States

Location

SLHV

St Louis, Missouri, 63136, United States

Location

Palm Research Center

Las Vegas, Nevada, 89148, United States

Location

Advanced Heart Care, LLC

Bridgewater, New Jersey, 08807, United States

Location

Trinity Medical WNY, PC

Cheektowaga, New York, 14227, United States

Location

Northwell Health

Great Neck, New York, 11021, United States

Location

Mount Sinai School of Medicine

Lake Success, New York, 11041, United States

Location

St. Luke's Roosevelt Hospital

New York, New York, 10025, United States

Location

Harlem Cardiology

New York, New York, 10035, United States

Location

Stony Brook University Medical Center

Stony Brook, New York, 11794, United States

Location

Cardiac Care and Vascular Medicine, PLLC

The Bronx, New York, 10469, United States

Location

Asheville Cardiology Associates

Asheville, North Carolina, 28803, United States

Location

Kernodle Clinic West

Burlington, North Carolina, 27215, United States

Location

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599-5021, United States

Location

Novant Health Heart and Vascular Institute

Charlotte, North Carolina, 28204, United States

Location

Duke University Medical Center

Durham, North Carolina, 27609, United States

Location

Clinical Research of Gastonia

Gastonia, North Carolina, 28054, United States

Location

Clinical Trials of America, Inc

Lenoir, North Carolina, 28645, United States

Location

Rama Research LLC

Marion, Ohio, 43302, United States

Location

University of Toledo

Toledo, Ohio, 43614, United States

Location

South Oklahoma Heart Research Group

Oklahoma City, Oklahoma, 73135, United States

Location

Doylestown Health Cardiology

Doylestown, Pennsylvania, 18901, United States

Location

York Hospital, WellSpan Health

York, Pennsylvania, 17403, United States

Location

AnMed Health Clinical Research

Anderson, South Carolina, 29621, United States

Location

Ralph H. Johnson VA Medical Center

Charleston, South Carolina, 29401, United States

Location

Palmetto Health

Columbia, South Carolina, 29203, United States

Location

William Jennings Bryan Dorn VA Medical Center

Columbia, South Carolina, 29209, United States

Location

Clinical Research of Rock Hill

Rock Hill, South Carolina, 29732, United States

Location

Palmetto Research Center, LLC

Spartanburg, South Carolina, 29302, United States

Location

Methodist University Hospital

Memphis, Tennessee, 38104, United States

Location

Baylor Heart and Vascular Hospital

Dallas, Texas, 75226, United States

Location

Soltero Cardiovascular Research Center

Dallas, Texas, 75226, United States

Location

University of Texas Southwestern Medical Center

Dallas, Texas, 75390-8837, United States

Location

University of North Texas Health Science Center

Fort Worth, Texas, 76107, United States

Location

The Methodist Hospital

Houston, Texas, 77030, United States

Location

The Heart Hospital

Plano, Texas, 75093, United States

Location

Alpine Research Organization

Farmington, Utah, 84025, United States

Location

Cardiac Health Management Network, P.C.

Chester, Virginia, 23836, United States

Location

Hunter Holmes McGuire VA Medical Center

Richmond, Virginia, 23249, United States

Location

Roanoke Heart Institute PLC

Roanoke, Virginia, 24014, United States

Location

Salem VA Medical Center

Salem, Virginia, 24153, United States

Location

Marshfield Clinic

Marshfield, Wisconsin, 54449, United States

Location

Hospital Interzonal General de Agudos Dr Jose Penna

Bahía Blanca, B8001DDU, Argentina

Location

Hospital Italiano Regional del Sur, Bahia Blanca

Bahía Blanca, B8001HXM, Argentina

Location

CIPREC

CABA, C1119ACN, Argentina

Location

Hospital Italiano de Buenos Aires

CABA, C1199ABB, Argentina

Location

Consultorios Asociados de Endocrinología e Invest Clínica

Ciudad Autonoma Buenos Aires, C1425AGC, Argentina

Location

Instituto Cardiovascular de Buenos Aires

Ciudad Autonoma Buenos Aires, C1428ART, Argentina

Location

CCBR - Buenos Aires - AR

Ciudad Autonoma Buenos Aires, C1430CKE, Argentina

Location

Centro Médico Viamonte

Ciudad Autonoma de Bs As, C1120AAC, Argentina

Location

Sanatorio Güemes

Ciudad Autónoma de Bs As, C1180AAX, Argentina

Location

Instituto Medico Elsa Perez SRL (IMEP)

Ciudadela, 1702, Argentina

Location

Clinica Coronel Suarez SA

Coronel Suárez, B7540DOL, Argentina

Location

Instituto de Cardiología de Corrientes

Corrientes, W3400AMZ, Argentina

Location

Sanatorio Mayo Privado SA

Córdoba, 5000, Argentina

Location

Centro de Investigaciones Clinicas Instituto del Corazon

Córdoba, X5000EVQ, Argentina

Location

Sanatorio Allende S.A.

Córdoba, X5000JHQ, Argentina

Location

Clínica Colombo

Córdoba, X5002AOQ, Argentina

Location

Instituto Médico DAMIC S.R.L.

Córdoba, X5003DCE, Argentina

Location

Hospital Privado

Córdoba, X5016KEH, Argentina

Location

Hospital Italiano de La Plata

La Plata, B1900AXI, Argentina

Location

Centro de Investigaciones Médicas

Mar del Plata, B7600FYK, Argentina

Location

Hospital Privado de Comunidad

Mar del Plata, B7602CBM, Argentina

Location

Clínica Olivos

Olivos, 1602, Argentina

Location

CER Instituto Médico

Quilmes, B1878DVB, Argentina

Location

Instituto de Investigaciones Clínicas de Quilmes

Quilmes, B1878GEG, Argentina

Location

Instituto de Investigaciones Clinicas de Rosario

Rosario, 2000, Argentina

Location

Instituto Medico Fundación Grupo Colaborativo Rosario

Rosario, 2000, Argentina

Location

Sanatorio Británico

Rosario, 2000, Argentina

Location

Sanatorio Plaza

Rosario, 2000, Argentina

Location

Sanatorio Parque

Rosario, S2000DSV, Argentina

Location

Instituto CAICI

Rosario, S2000PBJ, Argentina

Location

CORDIS S.A., Salta

Salta, A4400ANW, Argentina

Location

Centro Cardiovascular Salta

Salta, A4406BFP, Argentina

Location

Corporacion Medica de Gral. San Martin S.A.

San Martín, B1650CSQ, Argentina

Location

Investigaciones Clinicas Tucuman

San Miguel de Tucumán, T4000ICL, Argentina

Location

Instituto de Cardiología

San Miguel de Tucumán, T4000JCU, Argentina

Location

CCBR Tucuman

San Miguel de Tucumán, T4000, Argentina

Location

Centro Medico Luquez

San Vicente, X5006CBI, Argentina

Location

Centro de Investigaciones Clínicas del Litoral

Santa Fe, S3000FWO, Argentina

Location

Hospital "Dr. José Maria Cullen "

Santa Fé, S3000EOZ, Argentina

Location

CEMEDIC - Centro de Especialidades Medicas

Villa Luro, C1440CFD, Argentina

Location

John Hunter Hospital

New Lambton Heights, New South Wales, 2305, Australia

Location

CORE Research Group

Milton, Queensland, 4064, Australia

Location

Mater Hospital Brisbane

South Brisbane, Queensland, 4101, Australia

Location

SA-Heart Ashford Specialist Centre

Ashford, South Australia, 5035, Australia

Location

Heart and Vascular Research

Fullarton, South Australia, 5063, Australia

Location

The Northern Hospital

Epping, Victoria, 3076, Australia

Location

St Vincent's Hospital Melbourne

Fitzroy, Victoria, 3065, Australia

Location

University Hospital Geelong

Geelong, Victoria, 3220, Australia

Location

Royal Melbourne Hospital

Parkville, Victoria, 3050, Australia

Location

AZ Sint-Jan Brugge

Bruges, 3000, Belgium

Location

C.H.U. de Charleroi

Charleroi, 6000, Belgium

Location

AZ Sint-Blasius

Dendermonde, 9200, Belgium

Location

Ziekenhuis Oost-Limburg - Campus Sint-Jan

Genk, 3600, Belgium

Location

AZ Sint-Lucas - Campus Sint Lucas

Ghent, 9000, Belgium

Location

Grand Hôpital de Charleroi

Gilly, 6060, Belgium

Location

Jessa Ziekenhuis - Campus Virga Jesse

Hasselt, 3500, Belgium

Location

La Louvière - UNIV CHU Tivoli

La Louvière, 7100, Belgium

Location

UZ Leuven

Leuven, 3000, Belgium

Location

AZ Sint-Maarten

Mechelen, 2800, Belgium

Location

Hospital Felicio Rocho

Belo Horizonte, 30110-060, Brazil

Location

Hospital Vera Cruz

Belo Horizonte, 30140-062, Brazil

Location

Cardresearch Cardiologia Assistencial e de Pesquisas Ltda

Belo Horizonte, 30150-240, Brazil

Location

CCBR - Brasília

Brasília, 70200-730, Brazil

Location

ICDF - Instituto de Cardiologia do Distrito Federal

Brasília, 70673-900, Brazil

Location

CECAP - Centro de Cardiologia Clínica

Brasília, 70710-100, Brazil

Location

Hospital Angelina Caron

Campina Grande do Sul, 83430-000, Brazil

Location

Centro Especializado em Cardiol Loema Instituto de Pesq Clin

Campinas, 13010-001, Brazil

Location

IPECC - Instituto de Pesquisa Clínica de Campinas

Campinas, 13060-080, Brazil

Location

CAEP - Centro Avançado de Estudos e Pesquisas Ltda.,Campinas

Campinas, 13087-567, Brazil

Location

Hospital Universitário

Canoas, 92425-900, Brazil

Location

IPCEM - Instituto de Pesquisa Clínica para Estudos Multicêntricos - Universidade de Caxias do Sul

Caxias do Sul, 95070-560, Brazil

Location

Irmandade da Santa Casa de Misericórdia de Curitiba

Curitiba, 80230-130, Brazil

Location

Hospital de Messejana Dr. Carlos Alberto Studart Gomes

Fortaleza, 60846-190, Brazil

Location

Barroso e Sebba Ltda

Goiânia, 74223-130, Brazil

Location

HC-UFG - Hospital das Clínicas da Universidade Federal de Goiás

Goiânia, 74605-020, Brazil

Location

ICM - Instituto do Coracao de Marilia

Marília, 17515-000, Brazil

Location

Hospital São Vicente de Paulo

Passo Fundo, 99010-080, Brazil

Location

Santa Casa de Misericórdia de Porto Alegre

Porto Alegre, 90035-074, Brazil

Location

Centro de Pesquisas em Diabetes

Porto Alegre, 90035-170, Brazil

Location

Hospital de Clínicas de Porto Alegre

Porto Alegre, 90035-903, Brazil

Location

Instituto de Cardiologia Rio Grande do Sul

Porto Alegre, 90620-001, Brazil

Location

Hospital Agamenon Magalhaes

Recife, 52051-380, Brazil

Location

H.C.da Fac. de Medicina de Ribeirao Preto

Ribeirão Preto, 14048-900, Brazil

Location

CCBR - Rio de Janeiro - BR

Rio de Janeiro, 22271-100, Brazil

Location

Hospital Universitário Pedro Ernesto UERJ

Rio de Janeiro - RJ, CEP 20551, Brazil

Location

Pesquisare

Santo André, 09080-110, Brazil

Location

Praxis Pesquisa Médica

Santo André, 09090-790, Brazil

Location

CEMEC - Centro Multidisciplinar de Estudos Clínicos

São Bernardo do Campo, 09780-000, Brazil

Location

Fundacao Faculdade Regional de Medicina, Sao Jose

São José do Rio Preto, 15090-000, Brazil

Location

Centro de Pesquisa Clinica - CPCLIN

São Paulo, 01244-030, Brazil

Location

FGM - Clínica Paulista de Doenças Cardiovasculares

São Paulo, 01323-000, Brazil

Location

CDEC BRASIL - Centro de Desenvolvimento em Estudos Clínicos Brasil

São Paulo, 04020-060, Brazil

Location

Dr. Consulta

São Paulo, 04208-002, Brazil

Location

CEPIC - Centro Paulista de Investigacao Clinica

São Paulo, 04266-010, Brazil

Location

INCOR e Hospital das Clínicas da Universidade de São Paulo

São Paulo, 05403-000, Brazil

Location

CEDOES - Diagnóstico e Pesquisa,Vitória

Vitória, 29055-450, Brazil

Location

Santa Casa de Votuporanga

Votuporanga, 15500-003, Brazil

Location

Royal Alexandra Hospital

Edmonton, Alberta, T5H 3V9, Canada

Location

Vancouver General Hospital

Vancouver, British Columbia, V5Z 1M9, Canada

Location

St. Paul's Hospital

Vancouver, British Columbia, V6Z 1Y6, Canada

Location

Victoria Heart Institute Foundation

Victoria, British Columbia, V8R 4R2, Canada

Location

St. Boniface General Hospital

Winnipeg, Manitoba, R2H 2A6, Canada

Location

G.A. Research Associates Ltd

Moncton, New Brunswick, E1G 1A7, Canada

Location

QEII Health Sciences Centre

Halifax, Nova Scotia, B3H 2Y9, Canada

Location

Brampton Cardio Pulmonary Clinic

Brampton, Ontario, L6W 2X7, Canada

Location

JBN Medical Diagnostic Services Inc.

Burlington, Ontario, L7M 4Y1, Canada

Location

Cambridge Cardiac Care Inc.

Cambridge, Ontario, N1R 6V6, Canada

Location

Health Sciences North

Greater Sudbury, Ontario, P3E 5J1, Canada

Location

Curnew Medicine Professional Corporation

Hamilton, Ontario, L8L 0A9, Canada

Location

Hamilton General Hospital

Hamilton, Ontario, L8L 2X2, Canada

Location

Southlake Regional Health Centre

Newmarket, Ontario, L3Y 2P6, Canada

Location

M Heffernan Medicine Professional Corp.

Oakville, Ontario, L6K 3W7, Canada

Location

Kawartha Cardiology Clinical Trials

Peterborough, Ontario, K9J 0B2, Canada

Location

Heart Health Institute

Scarborough Village, Ontario, M1B 4Z8, Canada

Location

Scarborough Cardiology Research

Scarborough Village, Ontario, M1E 5E9, Canada

Location

Canadian Phase Onward Inc.

Toronto, Ontario, M3J 2C5, Canada

Location

North York Diagnostic and Cardiac Centre

Toronto, Ontario, M6B 1N6, Canada

Location

Diabetes Heart Research Centre

Toronto, Ontario, M6G 1M2, Canada

Location

Mohan Babapulle Medicine Professional Medicine

Waterloo, Ontario, N2T 0C1, Canada

Location

Dr. Louis C.H. Yao

York, Ontario, M9N 1W4, Canada

Location

ViaCar Recherche Clinique Inc

Greenfield Park, Quebec, J4V 2G8, Canada

Location

Centre de Dépistage et Recherche Cardiovasculaire Rive-Sud

Longeuil, Quebec, J4M 2X1, Canada

Location

Clinique Santé Cardio MC

Montreal, Quebec, H1T 3Y7, Canada

Location

Montreal General Hospital - McGill University Health Centre

Montreal, Quebec, H3G 1A4, Canada

Location

McGill University Health Centre (MUHC)

Montreal, Quebec, H4A 3J1, Canada

Location

Centre de sante et de services sociaux de Beauce

Saint George-de-Beauce, Quebec, G5Y 4T8, Canada

Location

IUCPQ (Laval University)

Québec, G1V 4G5, Canada

Location

Cardiovascular Institute and Fu Wai Hospital

Beijing, 100037, China

Location

Beijing Friendship Hospital

Beijing, 100050, China

Location

First Hospital of Jilin University

Changchun, 130021, China

Location

Hunan Provincial People's Hospital

Changsha, 410005, China

Location

2nd Xiangya Hospital of Central South University

Changsha, 410011, China

Location

The Third Hospital of Changsha

Changsha, 410015, China

Location

Dongguan People's Hospital

Dongguan, 523059, China

Location

The First Affiliated Hospital of Fujian Medical University

Fuzhou, 350005, China

Location

The First Afiliated Hospital, Sun Yet-sen University

Guangzhou, 510080, China

Location

Guangzhou First Municipal People's Hospital

Guangzhou, 510180, China

Location

Haikou People's Hospital

Haikou, 570208, China

Location

HaiNan Provincial People's Hospital

Haikou, 570311, China

Location

The First Affiliated Hospital of Lanzhou University

Lanzhou, 730000, China

Location

The Second Affiliated Hospital of Lanzhou Medical University

Lanzhou, 730030, China

Location

The Affiliated Hospital of Southwest Medical University

Luzhou, 646099, China

Location

Nanchang University Affiliated 3rd Hospital

Nanchang, 330008, China

Location

First Hospital Affiliated with Nanjing Medical University

Nanjing, 210029, China

Location

Huashan Hospital, Fudan University

Shanghai, 200040, China

Location

General Hospital of Shenyang Military Region

Shenyang, 110015, China

Location

Shengjing Hospital of China Medical University

Shenyang, 110072, China

Location

Tianjin Union Medical Center Nankai University Affiliated Hospital

Tianjin, 300121, China

Location

Tongji Hospital, Tongji University

Wuhan, 430030, China

Location

Renmin Hospital of Wuhan University

Wuhan, 430060, China

Location

First Affiliated Hospital of Xi'an JiaoTong University

Xi'an, 710061, China

Location

Yanbian University Hospital

Yanji, 133000, China

Location

the first people hospital of Yue Yang

Yueyang, 414000, China

Location

Affiliated Hospital of Jiangsu University

Zhenjiang, 212013, China

Location

Poliklinika Humanitas

Bílovec, 74301, Czechia

Location

Medicus Services Ltd.

Brandys Nad, 250 01, Czechia

Location

Internal and Cardiology Practice, MUDr. Karel Kamenik, Brno

Brno, 603 00, Czechia

Location

MUDr. Alexandra Ludkova

Brno, 615 00, Czechia

Location

Vojenska nemocnice Brno

Brno, 63600, Czechia

Location

Nemocnice Milosrdnych bratri

Brno, 63900, Czechia

Location

Edumed s.r.o

Broumov, 55001, Czechia

Location

MUDr. Jan Hubac, s.r.o. Kardiologicka ambulance

Chrudim, 53702, Czechia

Location

Nemocnice ve Frydku-Mistku, prispevkova organizace

Frýdek-Místek, 73818, Czechia

Location

MUDr. Ladislav Busak

Louny, 440 01, Czechia

Location

Zdenek Vomacka

Olomouc, 779 00, Czechia

Location

PV-Kardiologie s.r.o.

Pardubice, 53002, Czechia

Location

General Faculty Hospital, Prague

Prague, 128 08, Czechia

Location

University Hospital Motol

Prague, 15006, Czechia

Location

Thomayer Hospital

Praha 4 - Krc, 140 59, Czechia

Location

Kardio Vaclavik s.r.o.

Přerov, 75000, Czechia

Location

Clinic of Cardiology, Pribram

Příbram, 261 01, Czechia

Location

Hospital Trebic, p.o.

Třebíč, 67401, Czechia

Location

Masaryk Hospital, Usti nad Labem

Ústí nad Labem, 40113, Czechia

Location

Angiocor s.r.o

Zlín, 76001, Czechia

Location

KIGE s.r.o

Znojmo, 66902, Czechia

Location

HOP de Bayonne

Bayonne, 64100, France

Location

HOP Jean Minjoz

Besançon, 25030, France

Location

HOP Louis Pradel

Bron, 69500, France

Location

HOP Côte de Nacre

Caen, 14033, France

Location

HOP Arnaud de Villeneuve

Montpellier, 34295, France

Location

HOP La Pitié Salpêtrière

Paris, 75651, France

Location

Centre Hospitalier de Pau

Pau, 64046, France

Location

HOP Haut-Lévêque

Pessac, 33600, France

Location

HOP Rangueil

Toulouse, 31059, France

Location

INS Louis Mathieu

Vandœuvre-lès-Nancy, 54511, France

Location

Universitätsklinikum Aachen, AöR

Aachen, 52074, Germany

Location

Praxis Dr. Rieker, Berlin

Berlin, 10789, Germany

Location

Charité - Universitätsmedizin Berlin

Berlin, 12200, Germany

Location

Vivantes Netzwerk für Gesundheit GmbH

Berlin, 12351, Germany

Location

Charité - Universitätsmedizin Berlin

Berlin, 13353, Germany

Location

Klinikum Bielefeld gGmbH

Bielefeld, 33604, Germany

Location

Praxis Dr. Menzel

Dessau, 06846, Germany

Location

St. Johannes Hospital Dortmund

Dortmund, 44137, Germany

Location

Städtisches Klinikum Dresden

Dresden, 01067, Germany

Location

GWT-TUD GmbH

Dresden, 01307, Germany

Location

Helios Klinikum Erfurt

Erfurt, 99089, Germany

Location

Studienzentrum Bocholderstraße

Essen, 45355, Germany

Location

ClinPhenomics GmbH & Co KG, Frankfurt

Frankfurt, 60594, Germany

Location

Universitätsmedizin Göttingen, Georg-August-Universität

Göttingen, 37075, Germany

Location

Asklepios Klinik St. Georg

Hamburg, 20099, Germany

Location

Medizinische Hochschule Hannover

Hanover, 30625, Germany

Location

Universitätsklinikum Heidelberg

Heidelberg, 69120, Germany

Location

Universitätsklinikum des Saarlandes

Homburg, 66421, Germany

Location

Universitätsklinikum Jena

Jena, 07740, Germany

Location

Universitätsklinikum Schleswig-Holstein, Campus Kiel

Kiel, 24105, Germany

Location

Asklepios Klinik Langen-Seligenstadt GmbH

Langen, 63225, Germany

Location

Märkische Gesundheitsholding GmbH & Co. KG, Klinikum Lüdenscheid

Lüdenscheid, 58515, Germany

Location

Praxis Dr. Sarnighausen, Lüneburg

Lüneburg, 21339, Germany

Location

Katholisches Klinikum St. Hildegardiskrankenhaus, Mainz

Mainz, 55131, Germany

Location

Deutsches Herzzentrum München

München, 80636, Germany

Location

Kardiologische Gemeinschaftspraxis Nienburg

Nienburg, 31582, Germany

Location

Kardiologische Praxis Papenburg

Papenburg, 26871, Germany

Location

Universitätsklinikum Regensburg

Regensburg, 93053, Germany

Location

Praxis Dr. Stenzel, Riesa

Riesa, 01587, Germany

Location

Zentrum für Klinische Forschung

Wangen, 88239, Germany

Location

Josephs-Hospital Warendorf

Warendorf, 48231, Germany

Location

Petrus-Krankenhaus

Wuppertal, 42283, Germany

Location

Lausmed Kft. Outpatient Unit of Internal Medicine

Baja, 6500, Hungary

Location

Belgyogyaszati es Kardiologiai Maganrendelo

Békéscsaba, 5600, Hungary

Location

Clinexpert Kft.

Budapest, 1033, Hungary

Location

Gottsegen Gyorgy Hungarian Instit.of Cardiology,Budapest

Budapest, 1096, Hungary

Location

Bajcsy-Zsilinszky Hospital and Clinic

Budapest, 1106, Hungary

Location

Semmelweis University

Budapest, 1122, Hungary

Location

Milit.Hosp.-State Health Cent.

Budapest, 1134, Hungary

Location

Uzsoki Street Hospital, Budapest

Budapest, 1145, Hungary

Location

Nehezlegzes Ambulancia

Debrecen, 4027, Hungary

Location

Bugat Pal Hospital, Gyongyos

Gyöngyös, 3200, Hungary

Location

Selye Janos Hospital Komarom

Komárom, 2900, Hungary

Location

Dorottya Kanizsai Hospital

Nagykanizsa, 8800, Hungary

Location

Dr. Nagy Laszlo Kardiologiai Maganrendeles

Orosháza, 5900, Hungary

Location

Pecsi Tudomanyegyetem

Pécs, 7623, Hungary

Location

Da Vinci Maganklinika

Pécs, 7635, Hungary

Location

Fejer County Saint George University Teaching Hospital

Székesfehérvár, 8000, Hungary

Location

Veszpremi Sziv es Egeszseg Centrum

Veszprém, 8200, Hungary

Location

Doctor Jivraj Mehta Smarak Health Foundation

Ahmedabad, 380007, India

Location

Kamalnayan Bajaj Hospital

Aurangabad, 431 005, India

Location

Narayana Institute of Cardiac Sciences

Bangalore, 560099, India

Location

Rajarajeswari Medical College

Bengaluru, 560074, India

Location

Madras Medical Mission,

Chennai, 600 037, India

Location

Apollo Speciality Hospital

Chennai, 600035, India

Location

Medanta-The Medicity

Gūrgaon, 122001, India

Location

B.M. Birla Heart research Centre

Kolkata, 700027, India

Location

Vijan Cardiac and Critical Care Centre

Nashik, 422005, India

Location

Siddhi Hospital

Nashik, 422007, India

Location

Batra Hospital and Medical Research Centre

New Delhi, 110 062, India

Location

GB Pant Hospital

New Delhi, 110002, India

Location

Fortis Escorts Heart Institute

New Delhi, 110025, India

Location

Sir Gangaram Hospital

New Delhi, 110060, India

Location

Azienda Ospedaliera G. Rummo

Benevento, 82100, Italy

Location

ASST Papa Giovanni XXIII - A.O. Papa Giovanni XXIII

Bergamo, 24127, Italy

Location

Azienda Ospedaliera Universitaria Arcispedale Sant'Anna

Cona (FE), 44124, Italy

Location

Ospedale della Val di Chiana Santa Margherita

Cortona (AR), 52040, Italy

Location

Centro Cardiologico Monzino-IRCCS

Milan, 20138, Italy

Location

Azienda Ospedaliera Universitaria "Federico II"

Napoli, 80131, Italy

Location

Azienda Ospedaliera Universitaria Pisana

Pisa, 56126, Italy

Location

Umberto I Pol. di Roma-Università di Roma La Sapienza

Roma, 00161, Italy

Location

Azienda Ospedaliera Sant'Andrea-Università di Roma La Sapienza

Roma, 00189, Italy

Location

Azienda Servizi Sanitari 1 Triestina

Trieste, 34128, Italy

Location

Kasugai Municipal Hospital

Aichi, Kasugai, 486-8510, Japan

Location

Nagoya Kyoritsu Hospital

Aichi, Nagoya, 454-0933, Japan

Location

Japanese Red Cross Nagoya Daini Hospital

Aichi, Nagoya, 466-8650, Japan

Location

Toyota Memorial Hospital

Aichi, Toyota, 471-8513, Japan

Location

Chiba Heart Clinic

Chiba, Chiba, 263-0043, Japan

Location

Kimitsu Chuo Hospital

Chiba, Kisarazu, 292-8535, Japan

Location

Seikeikai New Tokyo Heart Clinic

Chiba, Matsudo, 271-0077, Japan

Location

Ehime Prefectural Central Hospital

Ehime, Matsuyama, 790-0024, Japan

Location

Matsuyama Shimin Hospital

Ehime, Matsuyama, 790-0067, Japan

Location

Uwajima City Hospital

Ehime, Uwajima, 798-8510, Japan

Location

Fukuiken Saiseikai Hospital

Fukui, Fukui, 918-8503, Japan

Location

Fukuoka University Chikushi Hospital

Fukuoka, Chikushino, 818-8502, Japan

Location

Fukuokaken Saiseikai Futsukaichi Hospital

Fukuoka, Chikushino, 818-8516, Japan

Location

Saiseikai Fukuoka General Hospital

Fukuoka, Fukuoka, 810-0001, Japan

Location

National Hospital Organization Kyushu Medical Center

Fukuoka, Fukuoka, 810-8563, Japan

Location

Kyushu University Hospital

Fukuoka, Fukuoka, 812-8582, Japan

Location

Aso Co.,Ltd Iizuka Hospital

Fukuoka, Iizuka, 820-8505, Japan

Location

Steel Memorial Yawata Hospital

Fukuoka, Kitakyushu, 805-8508, Japan

Location

Japan Community Health Care Organization Kyushu Hospital

Fukuoka, Kitakyushu, 806-8501, Japan

Location

Ogaki Municipal Hospital

Gifu, Ogaki, 503-8502, Japan

Location

Chuno Kosei Hospital

Gifu, Seki, 501-3802, Japan

Location

Fukuyama City Hospital

Hiroshima, Fukuyama, 721-8511, Japan

Location

JA Hiroshima General Hospital

Hiroshima, Hatsukaichi, 738-8503, Japan

Location

Shobara Red Cross Hospital

Hiroshima, Shobara, 727-0013, Japan

Location

National Hospital Organization Hakodate Hospital

Hokkaido, Hakodate, 041-8512, Japan

Location

Teine Keijinkai Clinic

Hokkaido, Sapporo, 006-0811, Japan

Location

Tomakomai City Hospital

Hokkaido, Tomakomai, 053-8567, Japan

Location

Hyogo Prefectural Amagasaki General Medical Center

Hyogo, Amagasaki, 660-8550, Japan

Location

Hyogo Brain and Heart Center

Hyogo, Himeji, 670-0981, Japan

Location

National Hospital Organization Kobe Medical Center

Hyogo, Kobe, 654-0155, Japan

Location

Mito Medical Center

Ibaraki, Higashiibaraki-gun, 311-3193, Japan

Location

National Hospital Organization Kanazawa Medical Center

Ishikawa, Kanazawa, 920-8650, Japan

Location

Mitoyo General Hospital

Kagawa, Kanonji, 769-1695, Japan

Location

Kagawa Prefectural Central Hospital

Kagawa, Takamatsu, 760-8557, Japan

Location

Yamamoto Clinic

Kanagawa, Sagamihara, 252-0311, Japan

Location

Kanagawa Cardiovascular and Respiratory Center

Kanagawa, Yokohama, 236-0051, Japan

Location

Japanese Red Cross Kumamoto Hospital

Kumamoto, Kumamoto, 861-8520, Japan

Location

Seiwakai Suizenji Touya Hospital

Kumamoto, Kumamoto, 862-0950, Japan

Location

Kumamoto Rosai Hospital

Kumamoto, Yatsushiro, 866-8533, Japan

Location

Uji-Tokushukai Medical Center

Kyoto, Uji, 611-0041, Japan

Location

Sendai Kousei Hospital

Miyagi, Sendai, 980-0873, Japan

Location

Sendai Tokushukai Hospital

Miyagi, Sendai, 981-3131, Japan

Location

The Cardiovascular Center of Sendai

Miyagi, Sendai, 981-3133, Japan

Location

National Hospital Organization Sendai Medical Center

Miyagi, Sendai, 983-8520, Japan

Location

Miyazaki Medical Association Hospital

Miyazaki, Miyazaki, 880-0834, Japan

Location

Hokushin General Hospital

Nagano, Nakano, 383-8505, Japan

Location

Nagasaki Medical Center

Nagasaki, Omura, 856-8562, Japan

Location

Okayama City General Medical Center

Okayama, Okayama, 700-8557, Japan

Location

Naha City Hospital

Okinawa, Naha, 902-8511, Japan

Location

Nanbu Tokushukai Hospital

Okinawa, Shimajiri-gun, 901-0493, Japan

Location

Urasoe General Hospital

Okinawa, Urasoe, 901-2132, Japan

Location

Higashiosaka City Medical Center

Osaka, Higashiosaka, 578-8588, Japan

Location

Kitano Hospital

Osaka, Osaka, 530-8480, Japan

Location

Yodogawa Christian Hospital

Osaka, Osaka, 533-0024, Japan

Location

Seichokai Bell Land General Hospital

Osaka, Sakai, 599-8247, Japan

Location

Hokusetsu General Hospital

Osaka, Takatsuki, 569-8585, Japan

Location

San-Ai Hospital

Saitama, Saitama, 338-0837, Japan

Location

Kosekai Iwatsuki-minami Hospital

Saitama, Saitama, 339-0033, Japan

Location

Kusatsu General Hospital

Shiga, Kusatsu, 525-8585, Japan

Location

Tokushima Prefectural Central Hospital

Tokushima, Tokushima, 770-8539, Japan

Location

National Hospital Organization Tokyo Medical Center

Tokyo, Meguro-ku, 152-8902, Japan

Location

Ome Municipal General Hospital

Tokyo, Ome, 198-0042, Japan

Location

Tokyo Rosai Hospital

Tokyo, Ota-ku, 143-0013, Japan

Location

Sekino Hospital

Tokyo, Toshima-ku, 171-0014, Japan

Location

Minami Wakayama Medical Center

Wakayama, Tanabe, 646-8558, Japan

Location

Kanmon Medical Center

Yamaguchi, Shimonoseki, 752-8510, Japan

Location

Hospital Cardiologica Aguascalientes

Aguascalientes, 20230, Mexico

Location

Centro de Investigacion Biomedica y Farmaceutica, S.C.

Distrito Federal, 03100, Mexico

Location

Unidad de Investigacion Clinica Cardiometabolica de Occident

Guadalajara, 44150, Mexico

Location

Diseño y Planeación en Investigación Médica SC

Guadalajara, 44656, Mexico

Location

Cardiologia Clinica e Intervencionista

Guadalajara, 44670, Mexico

Location

Instituto Nacional de Cardiologia Ignacio Chavez

Mexico City, 14080, Mexico

Location

Centro de Investigación Clinica Acelerada, S.C.

México, 07020, Mexico

Location

CEDOPEC-Ctro Esp en Diab, Obesidad y Prev de Enf Cardiovasc

México, 11650, Mexico

Location

Instituto Cardiovascular de Monclova, S de RL de CV

Monclova, 25750, Mexico

Location

Hospital Universitario Dr Jose Eleuterio Gonzalez

Nuevo León, 64460, Mexico

Location

Centro Integral Medico SJR S.C.

San Juan del Río, 76800, Mexico

Location

Cardioarritmias e Investigación S.C

San Luis Potosí City, 78213, Mexico

Location

Centro de Investigacion Cardiovascular y Metabolica

Tijuana, 22500, Mexico

Location

Centro de Investigacion Medica Alberto Bazzoni S.A. de C.V.

Torreón, 27000, Mexico

Location

Hospital Dr Angel Leano

Zapopan, 45200, Mexico

Location

Ziekenhuisgroep Twente locatie Almelo

Almelo, 7609 PP, Netherlands

Location

BovenIJ Ziekenhuis

Amsterdam, 1034 CS, Netherlands

Location

Onze Lieve Vrouwe Gasthuis, Locatie West

Amsterdam, 1061 AE, Netherlands

Location

Amsterdam UMC Locatie VUMC

Amsterdam, 1081HV, Netherlands

Location

Onze Lieve Vrouwe Gasthuis

Amsterdam, 1091AC, Netherlands

Location

Amsterdam UMC, Locatie AMC

Amsterdam, 1105 AZ, Netherlands

Location

Rode Kruis Ziekenhuis Beverwijk

Beverwijk, 1942 LE, Netherlands

Location

Tergooiziekenhuizen locatie Blaricum

Blaricum, 1261 AN, Netherlands

Location

Amphia Ziekenhuis

Breda, 4818 CK, Netherlands

Location

Ziekenhuis Gelderse Vallei

Ede, 6716 RP, Netherlands

Location

Catharina Ziekenhuis

Eindhoven, 5623 EJ, Netherlands

Location

Universitair Medisch Centrum Groningen

Groningen, 9713 GZ, Netherlands

Location

Zuyderland Medisch Centrum

Heerlen, 6419 PC, Netherlands

Location

Vasculair Onderzoek Centrum

Hoorn, 1624 NP, Netherlands

Location

Maastricht Universitair Medisch Centrum

Maastricht, 6229 HX, Netherlands

Location

Diaconessenhuis Meppel

Meppel, 7943 KA, Netherlands

Location

St. Antonius ziekenhuis, locatie Nieuwegein

Nieuwegein, 3435 CM, Netherlands

Location

Radboud Universitair Medisch Centrum

Nijmegen, 6525 GL, Netherlands

Location

HMC Bronovo

The Hague, 2597 AX, Netherlands

Location

Ziekenhuis Bernhoven Uden

Uden, 5406 PT, Netherlands

Location

Vie Curi Medisch Centrum

Venlo, 5912 BL, Netherlands

Location

De Heel - Zaans Medisch Centrum

Zaandam, 1502 DV, Netherlands

Location

Gelre Ziekenhuis Zutphen

Zutphen, 7207 AE, Netherlands

Location

KLIMED Marek Klimkiewicz

Bialystok, 15-765, Poland

Location

Univ. Clinic Hosp, Bialystok

Bialystok, 15276, Poland

Location

American Heart of Poland Sp. z o.o.

Bielsko-Biala, 43-316, Poland

Location

NZOZ Centrum Medyczne KERmed

Bydgoszcz, 85231, Poland

Location

Polsko-Amerykanskie Kliniki Serca

Chorzów, 32-500, Poland

Location

American Heart of Poland Sp. z o.o.

Dąbrowa Górnicza, 41-300, Poland

Location

Poradnia Kardiologiczna Jaroslaw Jurowiecki

Gdansk, 80-286, Poland

Location

University Clinical Center, Gdansk

Gdansk, 80952, Poland

Location

Indywidualna Specjalistyczna Praktyka Lekarska

Gdynia, 81-157, Poland

Location

Saint Wincenty a Paulo Hosp., Cardiology Dept., Gdynia

Gdynia, 81348, Poland

Location

Szpital Zakonu Bonifratow Sp. z o.o.

Katowice, 40-211, Poland

Location

Specialistic Cardiology&Hypertension Out-patient Clin,Kielce

Kielce, 25525, Poland

Location

Leszek Bryniarski Specialized Medical Cabinet

Krakow, 30-082, Poland

Location

Krakow Specialistic Hospital of John Paul II

Krakow, 31-202, Poland

Location

SANTA FAMILIA Centrum Badan, Profilaktyki i Leczenia

Lodz, 90-302, Poland

Location

Nzoz Salus

Lodz, 91-302, Poland

Location

Individual Specialized Practice

Lodz, 94-255, Poland

Location

Lowickie Cardiology Center

Lowicz, 99-400, Poland

Location

American Heart of Poland Sp. z o.o.

Nysa, 48-300, Poland

Location

Medicome Sp. z o.o.

Oświęcim, 32-600, Poland

Location

Specialized Practice Dr. Janusz Spyra

Ruda Śląska, 41-709, Poland

Location

Centrum Medyczne Medyk

Rzeszów, 35-055, Poland

Location

Lukmed Lukasz Wozniak

Siedlce, 08-110, Poland

Location

Clinmedica Research Omc sp. z o.o. sp.k., Skierniewice

Skierniewice, 96-100, Poland

Location

KO-MED Centra Kliniczne Staszow

Staszów, 28-200, Poland

Location

The Provincial Polyclinical Hospital in Torun

Torun, 87-100, Poland

Location

American Heart of Poland Sp. z o.o.

Tychy, 43-100, Poland

Location

American Heart of Poland Sp. z o.o.

Ustroń, 43-450, Poland

Location

Central Hospital of Medical Academy, Warsaw

Warsaw, 02-097, Poland

Location

McM Polimedica

Warsaw, 02-777, Poland

Location

4. Military Clinical Hospital with Polyclinic SP ZOZ

Wroclaw, 50-981, Poland

Location

Zgierskie Center of Cardiology MED-PRO

Zgierz, 95-100, Poland

Location

Specialist Hospital J. Dietla NZOZ Specialized Clinic "Gemini"

Żychlin, 62-571, Poland

Location

Dong-A University Hospital

Busan, 602-715, South Korea

Location

Inje University Busan Paik Hospital

Busan, 614-735, South Korea

Location

Chungbuk National University Hospital

Cheongju-si, 361-771, South Korea

Location

Chungnam National University Hospital

Daejeon, 35015, South Korea

Location

Gachon University Gil Medical Center

Incheon, 21565, South Korea

Location

Seoul National University Hospital

Seoul, 03080, South Korea

Location

Severance Hospital

Seoul, 03722, South Korea

Location

Asan Medical Center

Seoul, 05505, South Korea

Location

Samsung Medical Center

Seoul, 06351, South Korea

Location

Korea University Guro Hospital

Seoul, 08308, South Korea

Location

Seoul National University Bundang Hospital

Sungnam, 463-707, South Korea

Location

Wonju Severance Christian Hosp

Wŏnju, 26426, South Korea

Location

Hospital Quiron. I.C.U.

Barcelona, 08023, Spain

Location

Hospital Santa Creu i Sant Pau

Barcelona, 08026, Spain

Location

Hospital Universitario Virgen de la Arrixaca

El Palmar, 30120, Spain

Location

Hospital de Bellvitge

L'Hospitalet de Llobregat, 08907, Spain

Location

Hospital Ramón y Cajal

Madrid, 28034, Spain

Location

Hospital Clínico San Carlos

Madrid, 28040, Spain

Location

Hospital Universitario 12 de Octubre

Madrid, 28041, Spain

Location

Hospital La Paz

Madrid, 28046, Spain

Location

Hospital Virgen de la Victoria

Málaga, 29010, Spain

Location

Complejo Hospitalario Universitario de Orense

Ourense, 32005, Spain

Location

Hospital Clínico de Santiago

Santiago de Compostela, 15706, Spain

Location

Hospital Clínico Universitario de Valladolid

Valladolid, 47003, Spain

Location

Barnet General Hospital

Barnet, EN5 3DJ, United Kingdom

Location

University Hospital of Wales

Cardiff, CF14 4XW, United Kingdom

Location

Park & St Francis Surgery

Eastleigh, SO53 4ST, United Kingdom

Location

Wycombe General Hospital

High Wycombe, HP11 2TT, United Kingdom

Location

Glenfield Hospital

Leicester, LE3 9QP, United Kingdom

Location

St Bartholomew's Hospital

London, EC1A 7BE, United Kingdom

Location

Luton and Dunstable University Hospital

Luton, LU4 0DZ, United Kingdom

Location

St Mary's Hospital

Newport, PO30 5TG, United Kingdom

Location

Morriston Hospital

Swansea, SA6 6NL, United Kingdom

Location

Related Publications (29)

  • Packer M, Ferreira JP, Butler J, Filippatos G, Januzzi JL Jr, Gonzalez Maldonado S, Panova-Noeva M, Pocock SJ, Prochaska JH, Saadati M, Sattar N, Sumin M, Anker SD, Zannad F. Reaffirmation of Mechanistic Proteomic Signatures Accompanying SGLT2 Inhibition in Patients With Heart Failure: A Validation Cohort of the EMPEROR Program. J Am Coll Cardiol. 2024 Nov 12;84(20):1979-1994. doi: 10.1016/j.jacc.2024.07.013. Epub 2024 Aug 31.

  • Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.

  • Ferreira JP, Packer M, Sattar N, Butler J, Pocock SJ, Anker SD, Maldonado SG, Panova-Noeva M, Sumin M, Masson S, Zannad F, Januzzi JL. Carbohydrate antigen 125 concentrations across the ejection fraction spectrum in chronic heart failure: The EMPEROR programme. Eur J Heart Fail. 2024 Apr;26(4):788-802. doi: 10.1002/ejhf.3166. Epub 2024 Mar 4.

  • Zannad F, Macari S. Drug treatment with empagliflozin lowered risk for hospitalization in people with heart failure with reduced ejection fraction: plain language summary of the EMPEROR-Reduced study. Future Cardiol. 2023 Oct;19(13):625-630. doi: 10.2217/fca-2023-0090. Epub 2023 Nov 9.

  • Dhingra NK, Verma S, Butler J, Anker SD, Ferreira JP, Filippatos G, Januzzi JL, Lam CSP, Sattar N, Zaremba-Pechmann L, Bohm M, Nordaby M, Brueckmann M, Pocock SJ, Zannad F, Packer M; EMPEROR-Reduced Trial Committees and Investigators. Efficacy and Safety of Empagliflozin According to Background Diuretic Use in HFrEF: Post-Hoc Analysis of EMPEROR-Reduced. JACC Heart Fail. 2024 Jan;12(1):35-46. doi: 10.1016/j.jchf.2023.06.036. Epub 2023 Sep 13.

  • Packer M, Butler J, Zeller C, Pocock SJ, Brueckmann M, Ferreira JP, Filippatos G, Usman MS, Zannad F, Anker SD. Blinded Withdrawal of Long-Term Randomized Treatment With Empagliflozin or Placebo in Patients With Heart Failure. Circulation. 2023 Sep 26;148(13):1011-1022. doi: 10.1161/CIRCULATIONAHA.123.065748. Epub 2023 Aug 24.

  • Carson P, Teerlink JR, Komajda M, Anand I, Anker SD, Butler J, Doehner W, Ferreira JP, Filippatos G, Haass M, Miller A, Pehrson S, Pocock SJ, Schnaidt S, Schnee JM, Zannad F, Packer M. Comparison of Investigator-Reported and Centrally Adjudicated Heart Failure Outcomes in the EMPEROR-Reduced Trial. JACC Heart Fail. 2023 Apr;11(4):407-417. doi: 10.1016/j.jchf.2022.11.017. Epub 2023 Feb 1.

  • Khan MS, Butler J, Anker SD, Filippatos G, Ferreira JP, Pocock SJ, Januzzi JL, Pina IL, Bohm M, Ponikowski P, Verma S, Brueckmann M, Vedin O, Zeller C, Zannad F, Packer M. Impact of Empagliflozin in Heart Failure With Reduced Ejection Fraction in Patients With Ischemic Versus Nonischemic Cause. J Am Heart Assoc. 2023 Jan 3;12(1):e027652. doi: 10.1161/JAHA.122.027652. Epub 2022 Dec 24.

  • Ferreira JP, Zannad F, Butler J, Filippatos G, Pocock SJ, Brueckmann M, Steubl D, Schueler E, Anker SD, Packer M. Association of Empagliflozin Treatment With Albuminuria Levels in Patients With Heart Failure: A Secondary Analysis of EMPEROR-Pooled. JAMA Cardiol. 2022 Nov 1;7(11):1148-1159. doi: 10.1001/jamacardio.2022.2924.

  • Zannad F, Ferreira JP, Butler J, Filippatos G, Januzzi JL, Sumin M, Zwick M, Saadati M, Pocock SJ, Sattar N, Anker SD, Packer M. Effect of empagliflozin on circulating proteomics in heart failure: mechanistic insights into the EMPEROR programme. Eur Heart J. 2022 Dec 21;43(48):4991-5002. doi: 10.1093/eurheartj/ehac495.

  • Zannad F, Ferreira JP, Gregson J, Kraus BJ, Mattheus M, Hauske SJ, Butler J, Filippatos G, Wanner C, Anker SD, Pocock SJ, Packer M; EMPEROR-Reduced Trial Committees and Investigators. Early changes in estimated glomerular filtration rate post-initiation of empagliflozin in EMPEROR-Reduced. Eur J Heart Fail. 2022 Oct;24(10):1829-1839. doi: 10.1002/ejhf.2578. Epub 2022 Jul 7.

  • Ferreira JP, Zannad F, Butler J, Filipattos G, Ritter I, Schuler E, Kraus BJ, Pocock SJ, Anker SD, Packer M. Empagliflozin and serum potassium in heart failure: an analysis from EMPEROR-Pooled. Eur Heart J. 2022 Aug 14;43(31):2984-2993. doi: 10.1093/eurheartj/ehac306.

  • Ferreira JP, Butler J, Zannad F, Filippatos G, Schueler E, Steubl D, Zeller C, Januzzi JL, Pocock S, Packer M, Anker SD. Mineralocorticoid Receptor Antagonists and Empagliflozin in Patients With Heart Failure and Preserved Ejection Fraction. J Am Coll Cardiol. 2022 Mar 29;79(12):1129-1137. doi: 10.1016/j.jacc.2022.01.029.

  • Ferreira JP, Anker SD, Butler J, Filippatos G, Iwata T, Salsali A, Zeller C, Pocock SJ, Zannad F, Packer M. Impact of anaemia and the effect of empagliflozin in heart failure with reduced ejection fraction: findings from EMPEROR-Reduced. Eur J Heart Fail. 2022 Apr;24(4):708-715. doi: 10.1002/ejhf.2409. Epub 2022 Jan 9.

  • Verma S, Dhingra NK, Butler J, Anker SD, Ferreira JP, Filippatos G, Januzzi JL, Lam CSP, Sattar N, Peil B, Nordaby M, Brueckmann M, Pocock SJ, Zannad F, Packer M; EMPEROR-Reduced trial committees and investigators. Empagliflozin in the treatment of heart failure with reduced ejection fraction in addition to background therapies and therapeutic combinations (EMPEROR-Reduced): a post-hoc analysis of a randomised, double-blind trial. Lancet Diabetes Endocrinol. 2022 Jan;10(1):35-45. doi: 10.1016/S2213-8587(21)00292-8. Epub 2021 Nov 30.

  • Ryden L, Ferrannini G. Is the impact of add on heart failure therapy influenced by background therapy? Lancet Diabetes Endocrinol. 2022 Jan;10(1):3-5. doi: 10.1016/S2213-8587(21)00311-9. Epub 2021 Nov 30. No abstract available.

  • Bohm M, Anker SD, Butler J, Filippatos G, Ferreira JP, Pocock SJ, Mahfoud F, Brueckmann M, Jamal W, Ofstad AP, Schuler E, Ponikowski P, Wanner C, Zannad F, Packer M; EMPEROR-Reduced Trial Committees and Investigators. Empagliflozin Improves Cardiovascular and Renal Outcomes in Heart Failure Irrespective of Systolic Blood Pressure. J Am Coll Cardiol. 2021 Sep 28;78(13):1337-1348. doi: 10.1016/j.jacc.2021.07.049.

  • 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.

  • Packer M, Butler J, Zannad F, Filippatos G, Ferreira JP, Pocock SJ, Carson P, Anand I, Doehner W, Haass M, Komajda M, Miller A, Pehrson S, Teerlink JR, Schnaidt S, Zeller C, Schnee JM, Anker SD. Effect of Empagliflozin on Worsening Heart Failure Events in Patients With Heart Failure and Preserved Ejection Fraction: EMPEROR-Preserved Trial. Circulation. 2021 Oct 19;144(16):1284-1294. doi: 10.1161/CIRCULATIONAHA.121.056824. Epub 2021 Aug 29.

  • Pocock SJ, Ferreira JP, Gregson J, Anker SD, Butler J, Filippatos G, Gollop ND, Iwata T, Brueckmann M, Januzzi JL, Voors AA, Zannad F, Packer M. Novel biomarker-driven prognostic models to predict morbidity and mortality in chronic heart failure: the EMPEROR-Reduced trial. Eur Heart J. 2021 Nov 14;42(43):4455-4464. doi: 10.1093/eurheartj/ehab579.

  • Lam CSP, Ferreira JP, Pfarr E, Sim D, Tsutsui H, Anker SD, Butler J, Filippatos G, Pocock SJ, Sattar N, Verma S, Brueckmann M, Schnee J, Cotton D, Zannad F, Packer M. Regional and ethnic influences on the response to empagliflozin in patients with heart failure and a reduced ejection fraction: the EMPEROR-Reduced trial. Eur Heart J. 2021 Nov 14;42(43):4442-4451. doi: 10.1093/eurheartj/ehab360.

  • Ferreira JP, Zannad F, Pocock SJ, Anker SD, Butler J, Filippatos G, Brueckmann M, Jamal W, Steubl D, Schueler E, Packer M. Interplay of Mineralocorticoid Receptor Antagonists and Empagliflozin in Heart Failure: EMPEROR-Reduced. J Am Coll Cardiol. 2021 Mar 23;77(11):1397-1407. doi: 10.1016/j.jacc.2021.01.044.

  • Packer M, Anker SD, Butler J, Filippatos G, Ferreira JP, Pocock SJ, Sattar N, Brueckmann M, Jamal W, Cotton D, Iwata T, Zannad F; EMPEROR-Reduced Trial Committees and Investigators. Empagliflozin in Patients With Heart Failure, Reduced Ejection Fraction, and Volume Overload: EMPEROR-Reduced Trial. J Am Coll Cardiol. 2021 Mar 23;77(11):1381-1392. doi: 10.1016/j.jacc.2021.01.033.

  • Butler J, Anker SD, Filippatos G, Khan MS, Ferreira JP, Pocock SJ, Giannetti N, Januzzi JL, Pina IL, Lam CSP, Ponikowski P, Sattar N, Verma S, Brueckmann M, Jamal W, Vedin O, Peil B, Zeller C, Zannad F, Packer M; EMPEROR-Reduced Trial Committees and Investigators. Empagliflozin and health-related quality of life outcomes in patients with heart failure with reduced ejection fraction: the EMPEROR-Reduced trial. Eur Heart J. 2021 Mar 31;42(13):1203-1212. doi: 10.1093/eurheartj/ehaa1007.

  • Anker SD, Butler J, Filippatos G, Khan MS, Marx N, Lam CSP, Schnaidt S, Ofstad AP, Brueckmann M, Jamal W, Bocchi EA, Ponikowski P, Perrone SV, Januzzi JL, Verma S, Bohm M, Ferreira JP, Pocock SJ, Zannad F, Packer M. Effect of Empagliflozin on Cardiovascular and Renal Outcomes in Patients With Heart Failure by Baseline Diabetes Status: Results From the EMPEROR-Reduced Trial. Circulation. 2021 Jan 26;143(4):337-349. doi: 10.1161/CIRCULATIONAHA.120.051824. Epub 2020 Nov 11.

  • Zannad F, Ferreira JP, Pocock SJ, Zeller C, Anker SD, Butler J, Filippatos G, Hauske SJ, Brueckmann M, Pfarr E, Schnee J, Wanner C, Packer M. Cardiac and Kidney Benefits of Empagliflozin in Heart Failure Across the Spectrum of Kidney Function: Insights From EMPEROR-Reduced. Circulation. 2021 Jan 26;143(4):310-321. doi: 10.1161/CIRCULATIONAHA.120.051685. Epub 2020 Oct 23.

  • Packer M, Anker SD, Butler J, Filippatos G, Ferreira JP, Pocock SJ, Carson P, Anand I, Doehner W, Haass M, Komajda M, Miller A, Pehrson S, Teerlink JR, Brueckmann M, Jamal W, Zeller C, Schnaidt S, Zannad F. Effect of Empagliflozin on the Clinical Stability of Patients With Heart Failure and a Reduced Ejection Fraction: The EMPEROR-Reduced Trial. Circulation. 2021 Jan 26;143(4):326-336. doi: 10.1161/CIRCULATIONAHA.120.051783. Epub 2020 Oct 21.

  • 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.

  • Nassif ME, Kosiborod M. Effects of sodium glucose cotransporter type 2 inhibitors on heart failure. Diabetes Obes Metab. 2019 Apr;21 Suppl 2:19-23. doi: 10.1111/dom.13678.

Related Links

MeSH Terms

Conditions

Heart Failure

Interventions

empagliflozin

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Results Point of Contact

Title
Boehringer Ingelheim, Call Centre
Organization
Boehringer Ingelheim

Study Officials

  • Boehringer Ingelheim

    Boehringer Ingelheim

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 16, 2017

First Posted

February 20, 2017

Study Start

March 6, 2017

Primary Completion

May 1, 2020

Study Completion

May 28, 2020

Last Updated

May 18, 2021

Results First Posted

May 18, 2021

Record last verified: 2021-04

Locations