Heart FailurePhase 3NCT03448406
This Study Tests Empagliflozin in Patients With Chronic Heart Failure With Preserved Ejection Fraction (HFpEF). The Study Looks at How Far Patients Can Walk in 6 Minutes and at Their Heart Failure Symptoms.
A Phase 3 study testing Empagliflozin in people with Heart Failure, run by Boehringer Ingelheim at 108 sites in 11 countries.
Trial summary
The primary objective of the study is to evaluate the effect of empagliflozin 10 mg versus placebo on exercise ability using the 6 minute walk test (6MWT) in patients with chronic heart failure (CHF) with preserved ejection fraction (LVEF > 40%). Secondary objectives are to assess Patient-Reported Outcome (PRO) Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Heart Failure
- What is being tested?
- Empagliflozin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 315 participants
- Where
- 108 sitesin 11 countries
- Study dates
- 20 Mar 2018to 9 Oct 2019
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Of full age of consent (according to local legislation, usually ≥ 18 years) at screening.
- Male or female patients. Women of child bearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the patient information.
- Signed and dated written informed consent in accordance with ICHGCP and local legislation prior to admission to the trial
- Six minute walk test (6MWT) distance ≤350 m at screening and at baseline.
- Patients with CHF diagnosed for at least 3 months before Visit 1, and currently in NYHA class II-IV
- Chronic heart failure (CHF) with preserved Ejection fraction (EF) defined as left ventricle ejection fraction(LVEF) > 40 % as per echocardiography at Visit 1 per local reading and no prior measurement of LVEF ≤ 40% under stable conditions.
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- Elevated N-Terminal Pro-Brain Natriuretic Peptide (NT-proBNP) > 300 pg/ml for patients without atrial fibrillation (AF), OR > 600 pg/ml for patients with AF, as analysed at the Central laboratory at Visit 1
- Patients must have at least one of the following evidence of heart failure (HF):
- Structural heart disease (left atrial enlargement and/or left ventricular hypertrophy) documented by echocardiogram at Visit 1, OR
- Documented Hospitalization for Heart Failure (HHF) within 12 months prior to Visit 1
- Consistent with prevailing CV guidelines, if oral diuretics are prescribed to control symptoms, patients must be on an appropriate and stable dose of oral diuretics for at least 2 weeks prior to Visit 1 to control symptoms.
- Clinically stable at randomization with no signs of heart failure decompensation (as per investigator judgement).
Who cannot join
- Myocardial infarction (increase in cardiac enzymes in combination with symptoms of ischaemia or newly developed ischaemic ECG changes), coronary artery bypass graft surgery or other major cardiovascular surgery, stroke or transient ischemic attack in past 90 days prior to Visit 1
- Acute decompensated HF (exacerbation of CHF) requiring intravenous (i.v.) diuretics, i.v. inotropes or i.v. vasodilators, or left ventricular assist device within 4 weeks prior to Visit 1, and/or during screening period until Visit 2
- Previous or current randomisation in another Empagliflozin Heart Failure trial (i.e. studies 1245.110, 1245.121, 1245-0168)
- Type 1 Diabetes Mellitus (T1DM)
- Impaired renal function, defined as eGFR < 20 mL/min/1.73 m2 (CKD-EPIcr) or requiring dialysis, as determined at Visit 1
- Symptomatic hypotension or a systolic blood pressure (SBP) < 100 mmHg at Visit 1 or 2
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- SBP ≥ 180 mmHg at Visit 1 or 2, or SBP >160mmHg at both Visit 1 and 2
- Atrial fibrillation or atrial flutter with a resting heart rate > 110 bpm documented by ECG at Visit 1 (Screening)
- Unstable angina pectoris in past 30 days prior to Visit 1
- Largest distance walked in 6 minutes (6MWTD) at baseline <100m.
- Any presence of condition that precludes exercise testing such as:
- claudication,
- uncontrolled (according to investigator judgement) bradyarrhythmia or tachyarrhythmia,
- significant musculoskeletal disease,
- primary pulmonary hypertension,
- severe obesity (body mass index ≥40.0 kg/m2),
- orthopedic conditions that limit the ability to walk (such as arthritis in the leg, knee or hip injuries)
- amputation with artificial limb without stable prosthesis function for the past 3 months
- Any condition that in the opinion of the investigator would contraindicate the assessment of 6MWT
- Patients in a structured (according to Investigator judgement) exercise training program in the 1 month prior to screening or planned to start one during the course of this trial.
- ICD implantation within 1 month prior to Visit 1 or planned during the course of the trial
- Implanted cardiac resynchronisation therapy (CRT)
- Treatment with i.v. iron therapy or erythropoietin (EPO) within 3 months prior to screening.
- Further exclusion criteria applies
Trial locations and contacts
108 sites in 11 countries.
108 sites in 11 countries
United States43 sites
Albany Stratton VA Medical Center Albany, NY
Albany, New York, 12208
Northwest Heart Clinical Research, LLC
Arlington Heights, Illinois, 60005
Grady Memorial Hospital
Atlanta, Georgia, 30303
University of Colorado Denver
Aurora, Colorado, 80045
DiscoveResearch, Inc.
Beaumont, Texas, 77701
St Luke's Clinic - Idaho Cardiology Associates
Boise, Idaho, 83712
Grace Research, LLC
Bossier City, Louisiana, 71111
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Columbia Heart Clinic
Columbia, South Carolina, 29203
Western Connecticut Health Network
Danbury, Connecticut, 06810
John D. Dingell VA Medical Center
Detroit, Michigan, 48201
Med Research One
Florissant, Missouri, 63031
Mary Washington Hospital Research Department
Fredericksburg, Virginia, 22401
Clinical Investigation Specialists, Inc
Gurnee, Illinois, 60031
Chicago Medical Research
Hazel Crest, Illinois, 60429
Angiocardiac Care of Texas
Houston, Texas, 77025
California Heart Specialists
Huntington Beach, California, 92648
The Jackson Clinic, PA
Jackson, Tennessee, 38301
The DOCS
Las Vegas, Nevada, 89113
Rama Research LLC
Marion, Ohio, 43302
Infinite Clinical Research
Miami, Florida, 33133
Advance Medical Research Center
Miami, Florida, 33135
Bio1 Clinical Research
Miami Beach, Florida, 33140
Mobile Heart Specialists, PC
Mobile, Alabama, 36608
Rutgers Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08901
York Clinical Research, LLC
Norfolk, Virginia, 23510
Pharmacology Research, LLC
North Miami Beach, Florida, 33169
Midwest Heart and Vascular Specialists
Overland Park, Kansas, 66211
Palm Beach Gardens Research Center, LLC
Palm Beach Gardens, Florida, 33410
UNC REX Healthcare
Raleigh, North Carolina, 27607
Black Hills Cardiovascular Research
Rapid City, South Dakota, 57701
PMG Research of Rocky Mount, LLC
Rocky Mount, North Carolina, 27804
East Coast Institute for Research, LLC
Saint Augustine, Florida, 32086
The Center for Clinical Trials, Inc.
Saraland, Alabama, 36571
Grace Research, LLC
Shreveport, Louisiana, 71107
Cox Medical Center South
Springfield, Missouri, 65807
Manshadi Heart Institute, Inc
Stockton, California, 95204
Acacia Medical Research Institute,LLC
Sugar Land, Texas, 77478
University of California Los Angeles
Torrance, California, 90502
Georgia Arrhythmia Consultants and Research Institute
Warner Robins, Georgia, 31093
Clinical Trials of America LA, LLC
West Monroe, Louisiana, 71291
PMG Research of Wilmington, LLC
Wilmington, North Carolina, 28401
Cozy Research LLC
Zephyrhills, Florida, 33541
Germany13 sites
CIMS Studienzentrum Bamberg GmbH
Bamberg, 96049
Klinische Forschung Berlin GbR
Berlin, 10787
Charité - Universitätsmedizin Berlin
Berlin, 13353
Universitätsklinikum Köln (AöR)
Cologne, 50937
Cardiologicum Dresden und Pirna
Dresden, 01277
Universitätsklinikum Düsseldorf
Düsseldorf, 40225
IKF Pneumologie GmbH & Co. KG
Frankfurt, 60596
Universitäts-Herzzentrum Freiburg, Bad Krozingen GmbH
Freiburg im Breisgau, 79106
Universitätsklinikum Leipzig
Leipzig, 04103
Universitätsklinikum Magdeburg AöR
Magdeburg, 39120
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
Mainz, 55131
Universitätsklinikum Ulm
Ulm, 89081
Universitätsklinikum Würzburg
Würzburg, 97080
Poland9 sites
INTERCORE Medical Center
Bydgoszcz, 85-605
10.Military Clin.Hospital&Polyclinic
Bydgoszcz, 85681
Leszek Bryniarski Specialized Medical Cabinet
Krakow, 30-082
Card.Cli.Mil.Med.Ac.Uni.Cli.Hosp. Cent.Vetera.Hosp.Lodz
Lodz, 91-425
Cent.Clin.Hosp.Med.Univ.Lodz,Electrocard
Lodz, 92-213
Provincial Specialist M. Kopernik Hospital
Lodz, 93-513
Independent Public Healthcare, Dept. of Cardiology, Pulawy
Puławy, 24100
Central Hospital of Medical Academy, Warsaw
Warsaw, 02-097
4. Military Clinical Hospital with Polyclinic SP ZOZ
Wroclaw, 50 981
Spain8 sites
Hospital General Universitario de Alicante
Alicante, 03010
Hospital Germans Trias i Pujol
Badalona, 08916
Hospital San Rafael
Granada, 18001
Hospital de la Inmaculada Concepción
Granada, 18004
Hospital Universitario Virgen de las Nieves
Granada, 18014
Hospital La Princesa
Madrid, 28006
Hospital Ramón y Cajal
Madrid, 28034
Hospital Clínico de Valencia
Valencia, 46010
Italy7 sites
Centro Cardiologico Monzino-IRCCS
Milan, 20138
Asst Santi Paolo E Carlo
Milan, 20142
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162
Ospedale Regina Montis Regalis
Mondovì (CN), 12084
Università Federico II
Naples, 80131
Università degli studi di Palermo
Palermo, 90133
IRCCS San Raffaele
Roma, 00163
Portugal7 sites
CHLO, EPE - Hospital de Santa Cruz
Carnaxide, 2795
CHUC - Centro Hospitalar e Universitário de Coimbra, EPE
Coimbra, 3041-801
Centro Hosp. de Leiria-Pombal
Leiria, 2410-197
CHLC, EPE - Hospital de Santa Marta
Lisbon, 1169-024
CHLO, EPE - Hospital S. Francisco Xavier
Lisbon, 1449-005
CHULN, EPE - Hospital de Santa Maria
Lisbon, 1649-035
Centro Hospitalar Universitário São João,EPE
Porto, 4200-319
Greece6 sites
General Hospital of Athens Konstantopoulio-Agia Olga
Athens, 14233
General Hospital of Athens "G. Gennimatas"
Athens, 15669
General Hospital of Chalkida
Chalcis, 34100
University General Hospital of Heraklion
Herakleion, Crete, 71110
Univ. Gen. Hosp. of Ioannina
Ioannina, 45500
University Hospital of Thessaloniki AHEPA
Thessaloniki, 54636
Canada4 sites
University of Calgary
Calgary, Alberta, T2N 4Z6
KMH Cardiology Centres Inc.
Mississauga, Ontario, L5K 2L3
Toronto Heart Centre
Toronto, Ontario, M4P 1E4
Sameh Fikry Medicine Professional Corporation
Waterloo, Ontario, N2J 1C4
Norway4 sites
Sykehuset Østfold Kalnes
Grålum, N-1714
Oslo Universitetssykehus HF, Rikshospitalet
Oslo, N-0372
Helse Stavanger, Stavanger Universitetssykehus
Stavanger, N-4011
St. Olavs Hospital, Universitetssykehuset i Trondheim
Trondheim, N-7030
Sweden4 sites
Sahlgrenska US, Göteborg
Gothenburg, 413 45
Sahlgrenska Universitetssjukhuset, Östra
Gothenburg, 416 85
Skånes universitetssjukhus, Lund
Lund, 221 85
Akardo Med Site
Stockholm, 11446
Australia3 sites
University of the Sunshine Coast
Birtinya, Queensland, 4575
Peninsular Health CV Research Unit
Frankston, Victoria, 3199
Canberra Hospital
Garran, Australian Capital Territory, 2605
About this study
Official title: A Phase III Randomised, Double-blind Trial to Evaluate the Effect of 12 Weeks Treatment of Once Daily EMPagliflozin 10 mg Compared With Placebo on ExeRcise Ability and Heart Failure Symptoms, In Patients With Chronic HeArt FaiLure With Preserved Ejection Fraction (HFpEF) (EMPERIAL - Preserved)
The primary objective of the study is to evaluate the effect of empagliflozin 10 mg versus placebo on exercise ability using the 6 minute walk test (6MWT) in patients with chronic heart failure (CHF) with preserved ejection fraction (LVEF > 40%).
Secondary objectives are to assess Patient-Reported Outcome (PRO)
- Conditions
- Heart Failure
- Being tested
- Empagliflozin, Placebo
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EmpagliflozinDrug
Also called JARDIANCE, JARDIANZ, GIBTULIO
Film-coated tablet
PlaceboDrug
Film-coated tablet
| Study group | Role | What they receive |
|---|---|---|
| Empagliflozin | Experimental | Not described Receives: Drug: Empagliflozin |
| Placebo | Active comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline to Week 12 in Exercise Capacity as Measured by the Distance Walked in 6 Minutes in Standardised Conditions (6MWTD)
Change from baseline to week 12 in exercise capacity as measured by the distance walked in 6 minutes in standardised conditions (6MWTD). If repeated 6-minutes walk test (6MWT) measurements were available for the same day, the longest distance was used for analysis. Change from baseline was defined as the distance walked in 6 minutes at Week 12 minus the baseline value.
Baseline value was defined as the last available measurement before start of treatment with randomised study medication. If a participant was present at the visit at Week 12 but did not perform the 6MWT, the participant was evaluated as having walked a distance of 0 meter. If no value was available for Week 12, an imputed value was used. Patients with missing week 12 data who had no clinical event were ranked below any patient with non-missing data, but above the patients who had clinical events. Patients who died before week 12 were ranked below the patients in all categories above.
Measured: At baseline and at Week 12
Secondary outcomes (9)
Change From Baseline to Week 12 in Kansas City Cardiomyopathy Questionnaire (KCCQ) Total Symptom Score (TSS)
Change from baseline in KCCQ-TSS was defined as the endpoint value at week 12 minus the last available measurement before start of treatment with randomised study medication. The KCCQ is 23 item self-administered questionnaire and comprises 7 domains: physical limitation, symptom frequency, symptom burden, symptom stability, social limitation, self-efficacy and quality of life. Additionally 3 summary scores exist: TSS, clinical summary score, and overall summary score. The scores of the KCCQ domains and summary scores range from 0 to 100, with higher score indicating better outcome. If no questionnaire was available at week 12, an imputed value was used. Patients with missing week 12 data who had no clinical event were ranked below any patient with non-missing data, but above the patients who had clinical events. Patients who died before week 12 were ranked below the patients in all categories above. If no questionnaire was available at baseline, change from baseline was not imputed.
Measured: At baseline and at Week 12
Change From Baseline to Week 12 in Chronic Heart Failure Questionnaire Self- Administered Standardized Format (CHQ-SAS) Dyspnea Score
Change from baseline in CHQ-SAS was defined as the endpoint value at week 12 minus the last available endpoint value before start of treatment with randomised study medication. The CHQ-SAS evaluates 3 domains: dyspnoea, fatigue, and emotional function. Scores of the domains range from 1 to 7, with higher score indicating better quality of life. If no questionnaire was available at week 12, an imputed value was used. Patients with missing week 12 data who had no clinical event were ranked below any patient with non-missing data, but above the patients who had clinical events. Patients who died before week 12 were ranked below the patients in all categories above. If no questionnaire was available at baseline, change from baseline was not imputed.
Measured: At baseline and at Week 12
Change From Baseline to Week 6 in Exercise Capacity as Measured by the Distance Walked in 6 Minutes
Change from baseline to week 6 in exercise capacity as measured by the distance walked in 6 minutes in standardised conditions. Change from baseline was defined as the distance walked in 6 minutes at Week 6 minus the baseline value. Baseline value was defined as the last available measurement before start of treatment with randomised study medication.
If a participant was present at the visit at Week 6 but did not perform the 6-Minuted Walking Test, the participant was evaluated as having walked a distance of 0 meter. If no value was available for Week 6, an imputed value was used.
Measured: At baseline and at Week 6
Change From Baseline in Clinical Congestion Score at Week 12
Change from baseline to week 12 in Clinical Congestion score is defined as the score-value at week 12 minus the score-value at baseline. Baseline value was defined as the last available measurement before start of treatment with randomised study medication. The Clinical Congestion Score (summary score) is based on 3 items: orthopnoea, jugular venous distention (JVD) and oedema. Each item was assessed through a 4-measure questionnaire, which was further converted to a standardised 4-point scale ranging from 0 to 3, with 0 indicating no or fewer symptoms and 3 indicating continous or more symptoms. If at least 2 of the 3 items are not missing, the summary score is calculated as: (average over items JVD, orthopnea and oedema actually answered)*3. The summary score ranges from 0 to 9, with lower value indicating better health, and higher value indicating worse health. Mean is adjusted mean.
Measured: At baseline and at Week 12
Change From Baseline in Patient Global Impression of Severity (PGI-S) of Heart Failure Symptoms at Week 12
Change from baseline to week 12 in PGI-S of Heart Failure Symptoms. The Patient Global Impression of Severity (PGI-S) of Heart Failure Symptoms is a 1-item questionnaire to assess the patient's impression of symptoms severity, specifically: shortness of breath, fatigue and swelling. The PGI-S asks the Patient to choose one response that best describes how his/her heart failure symptoms, specifically: shortness of breath, fatigue and swelling are now on a 5-category scale, ranging from 'Not at all' (1) to 'Very severe' (5). Number of participants by change in score are reported. Change in score was defined as the number of categories improved/deteriorated from baseline to week 12.
Measured: At baseline and at Week 12
Change From Baseline in Patient Global Impression of Severity (PGI-S) of Dyspnea Severity at Week 12
Change from baseline to week 12 in Patient Global Impression of Severity (PGI-S) of dyspnoea. The PGI-S of Dyspnoea is a 1-item questionnaire designed to assess the participant´s impression of symptom severity, specifically dyspnoea. The PGI-S item asks the participant to choose one response that best describes how his/her dyspnoea is now on a 5-category scale, ranging from 'Not at all' (1) to 'Very severe' (5). Number of participants by change in score are reported. Change in score was defined as the number of categories improved/deteriorated from baseline to week 12.
Measured: At baseline and at Week 12
Patient Global Impression of Change (PGI-C) in Heart Failure Symptoms at Week 12
The Patient Global Impression of Change (PGI-C) in Heart Failure Symptoms is a 1-item questionnaire to assess the patient's impression of change in heart failure symptoms, specifically: shortness of breath, fatigue, and swelling. The PGI-C asks the patient to choose one Response that best describes the overall change (if any) in his/her heart failure symptoms, specifically: shortness of breath, fatigue, and swelling since he/she started taking the study medication on a 7- category scale ranging from 'Very much better' (+3) to 'Very much worse' (-3).
Measured: Week 12
Patient Global Impression of Change (PGI-C) in Dyspnea at Week 12
The PGI-C in Dyspnoea is a 1-item questionnaire designed to assess the patient's Impression of change in dyspnoea. The PGI-C asks the patient to choose one response that best describes the change (if any) in his/her shortness of breath when performing usual activities since he/she started taking the study medication on a 7-category scale ranging from 'Very much better' (+3) to 'Very much worse' (-3).
Measured: Week 12
Relative Change From Baseline in N-terminal Pro-brain Natriuretic Peptide (NTproBNP) at Week 12
Relative change from baseline to week 12 in N-terminal pro-brain natriuretic peptide (NTproBNP). Relative change from baseline is expressed as ratio of week 12 to baseline. Baseline value was defined as the mean of all available measurements from the screening visit until start of treatment with randomised study medication. Mean is adjusted mean.
Measured: Within 3 weeks prior to treatment start and at Week 12.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Feb 2018
- Study start20 Mar 2018
- Primary completion4 Oct 2019
- Study completion9 Oct 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Heart FailureStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 315 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03448406
- Sponsor's protocol ID
- 1245-0167
- Other IDs
- 2017-004072-59, 2017
- Status last verified
- Nov 2020
- First submitted
- 22 Feb 2018
- Last updated
- 8 Dec 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Anker SD, Ponikowski P, Wanner C, Pfarr E, Hauske S, Peil B, Salsali A, Ritter I, Koitka-Weber A, Brueckmann M, Lindenfeld J, Abraham WT; EMPERIAL Investigators and National Coordinators. Kidney Function After Initiation and Discontinuation of Empagliflozin in Patients With Heart Failure With and Without Type 2 Diabetes: Insights From the EMPERIAL Trials. Circulation. 2021 Oct 12;144(15):1265-1267. doi: 10.1161/CIRCULATIONAHA.121.054669. Epub 2021 Aug 16. No abstract available.
PubMed 34397263Abraham WT, Ponikowski P, Brueckmann M, Zeller C, Macesic H, Peil B, Brun M, Ustyugova A, Jamal W, Salsali A, Lindenfeld J, Anker SD; EMPERIAL Investigators and National Coordinators. Rationale and design of the EMPERIAL-Preserved and EMPERIAL-Reduced trials of empagliflozin in patients with chronic heart failure. Eur J Heart Fail. 2019 Jul;21(7):932-942. doi: 10.1002/ejhf.1486. Epub 2019 Jun 19.
PubMed 31218819Nassif ME, Kosiborod M. Effects of sodium glucose cotransporter type 2 inhibitors on heart failure. Diabetes Obes Metab. 2019 Apr;21 Suppl 2:19-23. doi: 10.1111/dom.13678.
PubMed 31081589
Study at a glance
From the registry record, last updated by the sponsor on 8 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Randomised, Double-blind Trial to Evaluate the Effect of 12 Weeks Treatment of Once Daily EMPagliflozin 10 mg Compared With Placebo on ExeRcise Ability and Heart Failure Symptoms, In Patients With Chronic HeArt FaiLure With Preserved Ejection Fraction (HFpEF) (EMPERIAL - Preserved)
- ClinicalTrials.gov ID
- NCT03448406
- Acronym / sponsor ID
- 1245-0167
- Conditions
- Heart Failure
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 315 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Study start
- 20 Mar 2018 (actual)
- Primary completion
- 4 Oct 2019 (actual)
- Study completion
- 9 Oct 2019 (actual)
- First posted
- 28 Feb 2018 (actual)
- Results
- Posted 8 Dec 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to evaluate the effect of empagliflozin 10 mg versus placebo on exercise ability using the 6 minute walk test (6MWT) in patients with chronic heart failure (CHF) with preserved ejection fraction (LVEF > 40%).
Secondary objectives are to assess Patient-Reported Outcome (PRO)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Empagliflozin | Experimental | Drug: Empagliflozin |
| Placebo | Active comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Of full age of consent (according to local legislation, usually ≥ 18 years) at screening.
- Male or female patients. Women of child bearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the patient information.
- Signed and dated written informed consent in accordance with ICHGCP and local legislation prior to admission to the trial
- Six minute walk test (6MWT) distance ≤350 m at screening and at baseline.
- Patients with CHF diagnosed for at least 3 months before Visit 1, and currently in NYHA class II-IV
Key exclusion criteria (24 listed)
- Myocardial infarction (increase in cardiac enzymes in combination with symptoms of ischaemia or newly developed ischaemic ECG changes), coronary artery bypass graft surgery or other major cardiovascular surgery, stroke or transient ischemic attack in past 90 days prior to Visit 1
- Acute decompensated HF (exacerbation of CHF) requiring intravenous (i.v.) diuretics, i.v. inotropes or i.v. vasodilators, or left ventricular assist device within 4 weeks prior to Visit 1, and/or during screening period until Visit 2
- Previous or current randomisation in another Empagliflozin Heart Failure trial (i.e. studies 1245.110, 1245.121, 1245-0168)
- Type 1 Diabetes Mellitus (T1DM)
- Impaired renal function, defined as eGFR < 20 mL/min/1.73 m2 (CKD-EPIcr) or requiring dialysis, as determined at Visit 1
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EmpagliflozinAlso: JARDIANCE, JARDIANZ, GIBTULIOFilm-coated tablet | Drug | Empagliflozin |
| PlaceboFilm-coated tablet | Drug | Placebo |
Primary outcome
Change From Baseline to Week 12 in Exercise Capacity as Measured by the Distance Walked in 6 Minutes in Standardised Conditions (6MWTD)
Time frame: At baseline and at Week 12
Change from baseline to week 12 in exercise capacity as measured by the distance walked in 6 minutes in standardised conditions (6MWTD). If repeated 6-minutes walk test (6MWT) measurements were available for the same day, the longest distance was used for analysis. Change from baseline was defined as the distance walked in 6 minutes at Week 12 minus the baseline value. Baseline value was defined as the last available measurement before start of treatment with randomised study medication. If a participant was present at the visit at Week 12 but did not perform the 6MWT, the participant was evaluated as having walked a distance of 0 meter. If no value was available for Week 12, an imputed value was used. Patients with missing week 12 data who had no clinical event were ranked below any patient with non-missing data, but above the patients who had clinical events. Patients who died before week 12 were ranked below the patients in all categories above.
9 secondary outcomes
Change From Baseline to Week 12 in Kansas City Cardiomyopathy Questionnaire (KCCQ) Total Symptom Score (TSS)
Time frame: At baseline and at Week 12
Change From Baseline to Week 12 in Chronic Heart Failure Questionnaire Self- Administered Standardized Format (CHQ-SAS) Dyspnea Score
Time frame: At baseline and at Week 12
Change From Baseline to Week 6 in Exercise Capacity as Measured by the Distance Walked in 6 Minutes
Time frame: At baseline and at Week 6
Change From Baseline in Clinical Congestion Score at Week 12
Time frame: At baseline and at Week 12
Change From Baseline in Patient Global Impression of Severity (PGI-S) of Heart Failure Symptoms at Week 12
Time frame: At baseline and at Week 12
Change From Baseline in Patient Global Impression of Severity (PGI-S) of Dyspnea Severity at Week 12
Time frame: At baseline and at Week 12
Patient Global Impression of Change (PGI-C) in Heart Failure Symptoms at Week 12
Time frame: Week 12
Patient Global Impression of Change (PGI-C) in Dyspnea at Week 12
Time frame: Week 12
Relative Change From Baseline in N-terminal Pro-brain Natriuretic Peptide (NTproBNP) at Week 12
Time frame: Within 3 weeks prior to treatment start and at Week 12.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Dec 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34397263Anker SD, Ponikowski P, Wanner C, Pfarr E, Hauske S, Peil B, Salsali A, Ritter I, Koitka-Weber A, Brueckmann M, Lindenfeld J, Abraham WT; EMPERIAL Investigators and National Coordinators. Kidney Function After Initiation and Discontinuation of Empagliflozin in Patients With Heart Failure With and Without Type 2 Diabetes: Insights From the EMPERIAL Trials. Circulation. 2021 Oct 12;144(15):1265-1267. doi: 10.1161/CIRCULATIONAHA.121.054669. Epub 2021 Aug 16. No abstract available.
- Derived from this study: PubMed 31218819Abraham WT, Ponikowski P, Brueckmann M, Zeller C, Macesic H, Peil B, Brun M, Ustyugova A, Jamal W, Salsali A, Lindenfeld J, Anker SD; EMPERIAL Investigators and National Coordinators. Rationale and design of the EMPERIAL-Preserved and EMPERIAL-Reduced trials of empagliflozin in patients with chronic heart failure. Eur J Heart Fail. 2019 Jul;21(7):932-942. doi: 10.1002/ejhf.1486. Epub 2019 Jun 19.
- Derived from this study: PubMed 31081589Nassif ME, Kosiborod M. Effects of sodium glucose cotransporter type 2 inhibitors on heart failure. Diabetes Obes Metab. 2019 Apr;21 Suppl 2:19-23. doi: 10.1111/dom.13678.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
108 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Empagliflozin in people with Heart Failure, run by Boehringer Ingelheim at 108 sites in 11 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 108 sites in United States, Germany, Poland, Spain, Italy and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 8 Dec 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline to Week 12 in Exercise Capacity as Measured by the Distance Walked in 6 Minutes in Standardised Conditions (6MWTD) (time frame: At baseline and at Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03448406, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Dec 2020.