About this trial
The primary objective of this study is to investigate the hemoglobin change and association between hemoglobin change and readmissions due to heart failure, and all-cause death in patients with heart failure treated with dapagliflozin or placebo.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female between the ages of 18 and 100 years.
Elevated NT-proBNP or BNP levels on admission.
Ejection fraction of 50% or less, and New York Heart Association (NYHA) class II, III, or IV symptoms.
Disqualifiers
Treatment with SGLT2-i during the past 3 months of admission,or previous intolerance of an SGLT2 inhibitor.
Severe (eGFR <30 mL/min/1.73 m² by CKD-EPI), unstable or rapidly progressing renal disease at the time of randomization.
Pregnant or breast feeding female patients.
Trial design
Parallel
Treatments tested in this trial
Dapagliflozin
DrugParticipants will receive dapagliflozin 10 mg once daily
Placebo
DrugParticipants will receive placebo 10 mg once daily
Treatment groups
Trial outcomes
Primary outcomes
Composite number of hospital admissions for Heart Failure (HF) and all-cause death
Total number of deaths and heart failure hospitalizations in one year
Secondary outcomes
Change in the Kansas City Cardiomyopathy Questionnaire (KCCQ) score
The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. Scores are transformed to a range of 0-100, in which higher scores reflect better health status.
Change in 6-minute walk distance (6MWD)
This test measures the distance that a patient can quickly walk on a flat, hard surface in a period of 6 minutes.
Change in hemoglobin
g/L
Sponsors and contacts
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Xiangtan Central Hospital
Lead sponsor
Second Xiangya Hospital of Central South University
Collaborator
ZhuZhou Central Hospital
Collaborator