Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
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At a Glance
Age
18 and older
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Treatment
Participants needed
200 (estimated)
Sponsor
VA Office of Research and Development · Federal
Who this trial is looking for
This trial is looking for heart transplant recipients who are at least 3 months post-surgery. Participants will take either empagliflozin or a placebo daily for 12 months to see how it affects their kidney function and overall health.
Are You a Good Fit for This Trial?
You may be able to join if
I am 18 years or older
I am a heart transplant recipient and at least 3 months post-transplant
You may not be able to join if
I have a kidney function level (eGFR) less than 20
I have type 1 diabetes
My blood sugar level (HbA1C) is over 10%
I have low levels of protein in urine without type 2 diabetes
I have an allergy or intolerance to SGLT2 inhibitors
I have an active uncontrolled infection
I have received a multi-organ transplant
I have taken SGLT2 inhibitors in the last 30 days
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Heart transplant (HTx) is an established therapy for advanced heart disease that restores quality of life and improves survival. However, due to preexisting comorbidities combined with the immunosuppressive therapies required after transplantation, HTx recipients remain at high risk for kidney, cardiovascular (CV), and metabolic disease. Large randomized clinical trials have recently shown that so…
Heart transplant (HTx) is an established therapy for advanced heart disease that restores quality of life and improves survival. However, due to preexisting comorbidities combined with the immunosuppressive therapies required after transplantation, HTx recipients remain at high risk for kidney, cardiovascular (CV), and metabolic disease. Large randomized clinical trials have recently shown that sodium-glucose cotransporter 2 inhibitors (SGLT2i) have potent kidney protective and CV benefits in many populations of patients with chronic kidney disease (CKD), CV disease and/or diabetes. SGLT2i have not been studied prospectively in HTx recipients, which represents a barrier to their use in this population.
In this multicenter randomized controlled trial in Veterans with HTx, investigators will evaluate the potential benefits of empagliflozin on kidney function, cardiometabolic risk, erythropoiesis, and functional status. A total of 200 Veterans will be randomly assigned to receive either empagliflozin 10 mg daily or a matching placebo for 12 months.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
1. Age 18 years or older
2. Heart transplant recipient, 3 months after transplant
Exclusion Criteria:
1. eGFR \<20 mL/min/1.73m2
2. Type 1 diabetes mellitus
3. HbA1C \>10%
4. Baseline UACR \<30 mg/g in patients without T2D
5. Known allergy or intolerance to SGLT2i
6. Active un…
Inclusion Criteria:
1. Age 18 years or older
2. Heart transplant recipient, 3 months after transplant
Exclusion Criteria:
1. eGFR \<20 mL/min/1.73m2
2. Type 1 diabetes mellitus
3. HbA1C \>10%
4. Baseline UACR \<30 mg/g in patients without T2D
5. Known allergy or intolerance to SGLT2i
6. Active uncontrolled infection
7. Multiorgan transplant
8. SGLT2i treatment in the last 30 days
9. Pregnancy, breast-feeding or woman of child-bearing age not on birth control
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