About this trial
The aim of prospective, open label, single center, randomized controlled trial is to investigate the efficacy of enavogliflozin on exercise performance, diastolic dysfunction, and quality of life in patients with heart failure with preserved ejection fraction (HFpEF).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Left ventricular ejection fraction (LVEF) ≥50%
NT-proBNP ≥220 pg/mL or BNP ≥80 pg/mL, if in sinus rhythm NT-proBNP ≥660 pg/mL or BNP ≥240 pg/mL, if in atrial fibrillation
Satisfying either noninvasive or invasive criteria I. Noninvasive: Echocardiography with at least one of the following criteria
LAVI ≥34 ml/m2
Disqualifiers
Unwillingness or inability to comply with the procedures described in this protocol
The ability to walk is, in the investigator's opinion, clearly limited by joint disease or other locomotor problems or lung diseases rather than by cardiorespiratory fitness
NYHA IV dyspnea
Type 1 diabetes mellitus
Trial design
Parallel
Treatments tested in this trial
SGLT2 inhibitor
DrugEnavogliflozin (0.3mg oral tablet once daily) will be administrated.
Treatment groups
Trial outcomes
Primary outcomes
Change in peak oxygen consumption (VO2)
Change in peak oxygen consumption (VO2) from baseline to week 24
Secondary outcomes
Change in minute ventilation to carbon dioxide output ratio (VE/VCO2 slope)
Change in minute ventilation to carbon dioxide output ratio (VE/VCO2 slope) from baseline to week 24
Change in Left atrial volume index (LAVI) before and after maximal exercise
Change in LAVI before and after maximal exercise from baseline to week 24
Change in Lateral Early diastolic transmitral filling velocity over early diastolic relaxation velocity at mitral annulus (E/e') before and after maximal exercise
Change in Lateral E/e' before and after maximal exercise from baseline to week 24
Change in Left ventricular mass index (LVMI) before and after maximal exercise
Change in LVMI before and after maximal exercise from baseline to week 24
Sponsors and contacts
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