SGLT2 Inhibitors for Heart Failure With LVADs
Trial Summary
What is the purpose of this trial?
The main purpose of this study is to observe outcomes of sodium-glucose co-transporter 2 inhibitors (SGLT2i) in heart failure (HF) patients with left ventricular assist devices (LVAD).
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of the drug SGLT2 inhibitors for heart failure?
SGLT2 inhibitors, like empagliflozin and dapagliflozin, have been shown in large clinical trials to reduce the risk of heart failure hospitalizations and improve heart health in patients, even those without diabetes. These drugs are now considered important in treating heart failure with reduced ejection fraction, as they have demonstrated benefits in cardiovascular outcomes.12345
What is the safety profile of SGLT2 inhibitors in humans?
SGLT2 inhibitors, used for conditions like type 2 diabetes and heart failure, generally have a favorable safety profile but can cause some side effects. Common issues include mild infections and dehydration, while more serious but rare risks include diabetic ketoacidosis, low blood sugar (when combined with insulin), and lower limb problems. Monitoring is important to manage these potential side effects.678910
How do SGLT2 inhibitors work differently from other drugs for heart failure?
SGLT2 inhibitors, originally developed for diabetes, are unique because they help manage heart failure by reducing hospitalizations and improving heart function, even in patients without diabetes. They work by affecting glucose and sodium levels in the kidneys, which can lead to benefits like weight loss, lower blood pressure, and improved heart and kidney health.12111213
Eligibility Criteria
This trial is for adults over 18 with heart failure who have a left ventricular assist device (LVAD) implanted and haven't been treated with SGLT2 inhibitors yet. They must be able to consent and have an eGFR of at least 30 ml/min/1.73 m². Those with Type 1 diabetes or worse kidney function can't join.Inclusion Criteria
Exclusion Criteria
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either SGLT2i or no SGLT2i as part of routine heart failure care for 6 months
Follow-up
Participants are monitored for safety and effectiveness after treatment
Treatment Details
Interventions
- SGLT2i (SGLT2 inhibitor)
SGLT2i is already approved in United States, European Union, Canada, Japan for the following indications:
- Type 2 diabetes
- Heart failure
- Chronic kidney disease
- Cardiovascular risk reduction
- Type 2 diabetes
- Heart failure
- Chronic kidney disease
- Cardiovascular risk reduction
- Type 2 diabetes
- Heart failure
- Chronic kidney disease
- Cardiovascular risk reduction
- Type 2 diabetes
- Heart failure
- Chronic kidney disease
- Cardiovascular risk reduction