SGLT2 Inhibition in Hemodialysis
DAPA-HD
SGLT2 Inhibition (Dapagliflozin) in Diabetic and Non-diabetic Hemodialysis Patients With and Without Residual Urine Volume: a Prospective Randomized, Placebo-controlled, Double-blinded Phase II Trial
2 other identifiers
interventional
220
1 country
9
Brief Summary
Dapagliflozin will be compared with placebo to evaluate its effects on cardiac structure and safety in patients with kidney failure receiving maintenance hemodialysis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Oct 2022
Typical duration for phase_2
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 16, 2021
CompletedFirst Posted
Study publicly available on registry
January 5, 2022
CompletedStudy Start
First participant enrolled
October 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 11, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
February 28, 2026
CompletedMarch 3, 2026
February 1, 2026
2.8 years
December 16, 2021
February 28, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in left ventricular mass indexed to body surface area
Change in left ventricular mass indexed to body surface area using echocardiography
6 months
Secondary Outcomes (10)
Change in left ventricular mass indexed to body height assessed by echocardiography
6 months
Change in LVEF assessed by echocardiography
6 months
Change in in LA volume index assessed by echocardiography
6 months
Change in in GLS assessed by echocardiography
6 months
Change in in Cardiac Biomarkers (NT-proBNP, hsTnT)
6 months
- +5 more secondary outcomes
Study Arms (2)
Dapagliflozin 10 mg
EXPERIMENTALPlacebo tablet
PLACEBO COMPARATORInterventions
administered orally once daily
Eligibility Criteria
You may qualify if:
- Age ≥18 years
- Maintenance hemodialysis 3×/week for ≥ 3 months and ≤5 years
- BMI \<45 kg/m2 and stable weight (±5 kg \["dry weight"\]) over the preceding three months
- Interventricular septum width \>11 mm
You may not qualify if:
- Treatment with SGLT2i within the last 6 months
- Hypersensitivity or Intolerance of SGLT2 inhibitors
- History of Type 1 diabetes mellitus
- History of diabetic ketoacidosis
- Scheduled kidney transplant from a living donor
- Acute coronary syndrome during the last 30 days
- Severe valvular heart disease
- Women of childbearing potential and unwilling or unable to use an acceptable method to avoid pregnancy for the entire study (estrogen and/or progesterone treatment).
- Pregnancy
- Breast feeding
- Substance abuse
- Life expectancy \< 1 year
- Other significant disease or pathology, that might predispose that patient to an unacceptable risk or interferes with the study in the opinion of the investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (9)
Dialyseinstitut Dr. Waller
Feldbach, 8330, Austria
Dialyseinstitut Gießauf GmbH
Graz, Austria
Klinik Landstraße
Vienna, 1030, Austria
Medical University of Vienna
Vienna, 1090, Austria
Klinik Favoriten
Vienna, 1100, Austria
Krankenhaus Hietzing
Vienna, 1130, Austria
Hanusch Krankenhaus
Vienna, 1140, Austria
Klinik Donaustadt
Vienna, 1220, Austria
Wiener Dialysezentrum
Vienna, 1220, Austria
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Manfred Hecking, MD, PhD
Medical University of Vienna, Department of Medicine III, Division of Nephrology and Dialysis
- PRINCIPAL INVESTIGATOR
Thomas A Zelniker, MD, MSc
Medical University of Vienna
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
December 16, 2021
First Posted
January 5, 2022
Study Start
October 1, 2022
Primary Completion
July 11, 2025
Study Completion
February 28, 2026
Last Updated
March 3, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share