Dapagliflozin (DAPA) Effects in HFpEF
Study Details
Study Description
Brief Summary
The purpose of this study is to determine whether treatment with Dapagliflozin (DAPA) for 6 months will improve pulmonary capillary wedge pressure (PCWP) during exercise in heart failure/preserved ejection fraction (HFpEF) and improve cardiac metabolism.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Dapagliflozin Group Subjects with HFpEF will take the study drug dapagliflozin daily |
Drug: Dapagliflozin
10 mg orally once a day
|
Placebo Comparator: Placebo Group Subjects with HFpEF will take a placebo daily |
Drug: Placebo
Taken orally once a day, the placebo looks identical to the study drug but it contains no active ingredient
|
Outcome Measures
Primary Outcome Measures
- Pulmonary Capillary Wedge Pressure (PCWP) [Baseline, 7 months]
Change in the PCWP during exercise reported in mmHg
Eligibility Criteria
Criteria
Inclusion Criteria:
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Signed informed consent prior to any study specific procedures.
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Male or female.
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Symptoms of dyspnea (NYHA II-III) with no non-cardiac or ischemia explanation.
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EF ≥ 50% + BMI ≥ 30 kg/m^2
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Elevated pulmonary capillary wedge pressure (PCWP) during exercise (≥ 25 mmHg) ascertained at Visit 1. Patients that have consented to study procedures but do not meet this invasive criterion will be considered as screen failures and will not be randomized .
Exclusion Criteria:
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Type I diabetes.
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Type II diabetes with poor control (HgbA1C ≥ 10%).
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Recent hospitalization (< 30 days) or revasculariation (< 90 days).
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Primary cardiomyopathy (such as amyloid).
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Constrictive pericarditis.
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Dyspea due to primary lung disease or myoardial ischemia in the opinion of the investigator.
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Severe anemia (hemoglobin < 9gm/dl.
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Significant left-sided valvular heart disease (> mild stenosis, > moderate regurgitation),
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Severe kidney disease (estimated GFR < 30) or liver disease,
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Mayo Clinic in Rochester | Rochester | Minnesota | United States | 55905 |
Sponsors and Collaborators
- Mayo Clinic
Investigators
- Principal Investigator: Barry A Borlaug, Mayo Clinic
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 20-005646