NCT05346653

Brief Summary

The main purpose of this study is to observe hemodynamic effects of initiating sodium-glucose co-transporter 2 inhibitors (SGLT2i) in patients admitted to the intensive care unit (ICU) with acute decompensated heart failure.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
1

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started May 2023

Geographic Reach
1 country

1 active site

Status
terminated

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

April 20, 2022

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 26, 2022

Completed
1.1 years until next milestone

Study Start

First participant enrolled

May 22, 2023

Completed
1 day until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 23, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 23, 2023

Completed
7 months until next milestone

Results Posted

Study results publicly available

December 6, 2023

Completed
Last Updated

September 4, 2024

Status Verified

August 1, 2024

Enrollment Period

1 day

First QC Date

April 20, 2022

Results QC Date

November 15, 2023

Last Update Submit

August 12, 2024

Conditions

Keywords

SGLT2i

Outcome Measures

Primary Outcomes (2)

  • Change in Indirect Fick Cardiac Index

    Measured by pulmonary artery catheter

    4 days

  • Change in Pulmonary Capillary Wedge Pressure (PCWP)

    Measured by pulmonary artery catheter

    4 days

Study Arms (2)

SGLT2i

ACTIVE COMPARATOR

Participants will be treated with a SGLT2i during their ICU stay. The SGLT2i and heart failure care will be managed according to routine care, and data will be collected from the participant's medical record.

Drug: SGLT2i

No SGLT2i

ACTIVE COMPARATOR

Participants will not be treated with a SGLT2i during their ICU stay. Heart failure care will be managed according to routine care, and data will be collected from the participant's medical record.

Other: No SGLT2i

Interventions

SGLT2iDRUG

dapagliflozin (10 mg daily)

SGLT2i

No SGLT2i

No SGLT2i

Eligibility Criteria

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

You may qualify if:

  • Age \> 18 years old
  • Heart Failure Reduced ejection fraction (HFrEF) of 40 or less
  • Estimated glomerular filtration rate (eGFR) \> 30milliliters(ml)/minute(min)/1.73 meter(m)2
  • Admitted to CCU by advanced heart failure service for decompensated heart failure requiring continuous hemodynamic monitoring with a pulmonary artery catheter

You may not qualify if:

  • Diagnosis of type 1 diabetes mellitus
  • eGFR \< 30ml/min/1.73m2
  • age \< 18 years old
  • Jehovah's witnesses
  • Diagnosis of group 1 pulmonary arterial hypertension
  • Insulin requirement above standard low dose sliding scale
  • Patients with a history of diabetic ketoacidosis (DKA)
  • Allergies to SGLT2i medications
  • History of intolerance to SGLT2i medications
  • Patients listed for cardiac transplantation or on mechanical support
  • Pregnant or breastfeeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Chicago

Chicago, Illinois, 60637, United States

Location

Results Point of Contact

Title
Sr. Compliance Specialist
Organization
University of Chicago

Study Officials

  • Jonathan Grinstein, MD

    University of Chicago

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 20, 2022

First Posted

April 26, 2022

Study Start

May 22, 2023

Primary Completion

May 23, 2023

Study Completion

May 23, 2023

Last Updated

September 4, 2024

Results First Posted

December 6, 2023

Record last verified: 2024-08

Data Sharing

IPD Sharing
Will not share

Locations