Unique ID issued by UMIN | UMIN000026315 |
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Receipt number | R000030216 |
Scientific Title | SGLT2 Inhibition in Patients With Type 2 Diabetes Mellitus and Acute Decompensated Heart Failure: SLIM-AHF Study |
Date of disclosure of the study information | 2017/02/27 |
Last modified on | 2020/09/14 20:42:05 |
SGLT2 Inhibition in Patients With Type 2 Diabetes Mellitus and Acute Decompensated Heart Failure: SLIM-AHF Study
SLIM-AHF
SGLT2 Inhibition in Patients With Type 2 Diabetes Mellitus and Acute Decompensated Heart Failure: SLIM-AHF Study
SLIM-AHF
Japan |
acute decompensated heart failure complicated with type 2 diabetes mellitus
Cardiology | Endocrinology and Metabolism |
Others
NO
To elucidate the efficacy of Empagliflozin in patients with type 2 diabetes mellitus and acute decompensated heart failure
Safety,Efficacy
Phase IV
Change in NT-proBNP levels from baseline to 3 days, 7 days, the day just before discharge, 6 months, 18 to 24 months, and 30 to 36 months
1) Vital signs: blood pressure, heart rate, body weight
2) Visual analogue scale: patient global assessent, dyspnea
3) Blood biomarkers: three fractions of catecholamine, renin activity, aldosterone, high-sensitivity troponin I, HbA1c, glycoalbumin, fasting insulin
4) Urinary biomarkers: urine osmolality, urinary excretion of sugar, urinary excretion of sodium, urinary albumin index, beta-2 microglobulin, L-FABP, urinary excretion of uric acid
5) Transthoracic echocardiography: LVEF, LVDd/Ds, E/e', LAD
6) Cardiac MIBG imaging: H/M MIBG uptake ratio on the delayed images, washout rate of cardiac MIBG
7) Cardiac MRI: LVEDV, LVESV, LVEF, LV mass, RVEDV, RVESV, RVEF, LA volume
8) Simultaneous blood pressure measurement at the bilateral upper arms and bilateral ankles: CAVI, PWV
9) Cardiovascular event
10) Acute kidney injury
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
2
Treatment
Medicine |
Empagliflozin group: Empagliflozin is started from an initial dose of 10 mg/day, and the maximum dose is set at 15mg/day. The choice of therapy, including up- or down-titration of empagliflozin, is left to the discretion of each primary physician.
Conventional therapy group: Use of SGTL2 inhibitors is prohibited.
20 | years-old | <= |
Not applicable |
Male and Female
1) Patients with a diagnosis of heart failure as defined by the presence of at least one symptom (dyspnea, orthopnea, edema) and one sign (rales on auscultation, peripheral edema, ascites, pulmonary vascular congestion on chest radiography)
2) Patients with the diagnosis of acute decompensated heart failure made within 24 hours of hospital admission
3) Patients newly diagnosed with type 2 diabetes mellitus (HbA1c >=6.5% and <=12.0%) or those who had already been diagnosed with type 2 diabetes mellitus (HbA1c >=6.0% and <=12.0%) in whom diabetes medication can be modified
4) Patients with estimated glomerular filtration rate >=15mL/min/1.73m2
5) Patients who received sufficient explanation, understood it and gave written consent based on their free will, before participating in this study
1) Patients with severe primary valvular heart disease
2) Patients with acute coronary syndrome
3) Patients with heart transplantation
4) Patients who do not need diuretic therapy because of dehydration
5) Patients with cardiogenic shock at eligibility qualification
6) Patients with intubation and mechanical ventilation at eligibility qualification
7) Patients who need mechanical circulatory assist device (IABP, PCPS) at eligibility qualification
8) Patients with myocarditis
9) Patients with hypertrophic obstructive cardiomyopathy
10) Patients with type 1 diabetes mellitus
11) Patients with reduced endogenous insulin secretion (fasting C-peptide level <1.0 ng/mL)
12) Patients who had already been on SGLT2 inhibitors
13) Patients with severe diabetic ketoacidosis or diabetic coma
14) Patients with a history of hypersensitivity reaction to empagliflozin
15) Patients who cannot have diet or receive enteral nutrition therapy within 96 hours of admission
16) Patients who are pre or post surgery, or patients with severe infection or serious trauma
17) Patients whose life expectancy is less than 6 months due to extracardiac disease
18) Patients with severe renal dysfunction (estimated glomerular filtration rate <15mL/min/1.73m2) or those with dialysis
19) Patients with a history of acute coronary syndrome, stroke or transient ischemic attack within one month of eligibility qualification
20) Pregnant, possibly pregnant or lactating women
21) Patients who were judged inappropriate by the principal investigator
250
1st name | |
Middle name | |
Last name | Shunsuke Tamaki |
Osaka General Medical Center
Division of Cardiology
3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka
06-6692-1201
tamaki-shunsuke@mwc.biglobe.ne.jp
1st name | |
Middle name | |
Last name | Shunsuke Tamaki |
Osaka General Medical Center
Division of Cardiology
3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka
06-6692-1201
kenkyusien@gh.opho.jp
Osaka General Medical Center
None
Self funding
NO
2017 | Year | 02 | Month | 27 | Day |
Unpublished
Terminated
2016 | Year | 12 | Month | 14 | Day |
2016 | Year | 12 | Month | 14 | Day |
2017 | Year | 01 | Month | 20 | Day |
2020 | Year | 05 | Month | 27 | Day |
2020 | Year | 05 | Month | 27 | Day |
2017 | Year | 02 | Month | 27 | Day |
2020 | Year | 09 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030216
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