Myocardial InfarctionPhase 3NCT04509674
EMPACT-MI: A Study to Test Whether Empagliflozin Can Lower the Risk of Heart Failure and Death in People Who Had a Heart Attack (Myocardial Infarction)
A Phase 3 study testing Empagliflozin in people with Myocardial Infarction, run by Boehringer Ingelheim at 439 sites in 22 countries.
Trial summary
This is a study in adults who had a heart attack (myocardial infarction). The purpose of this study is to find out whether a medicine called empagliflozin helps to lower the chances of having to go to the hospital for heart failure and whether it lowers the chances of dying from cardiovascular disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Myocardial Infarction
- What is being tested?
- Empagliflozin
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 6,522 participants
- Where
- 439 sitesin 22 countries
- Study dates
- 16 Dec 2020to 5 Nov 2023
- 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, at least ≥ 18 years) at screening.
- Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
- Male or female patients. Women of childbearing 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.
- Diagnosis of spontaneous Acute Myocardial Infarction (AMI): ST-Elevation Myocardial Infarction (STEMI) or Non-ST Elevation Myocardial Infarction (NSTEMI) with randomisation to occur no later than 14 calendar days after hospital admission. For patients with an in-hospital Myocardial Infarction (MI) as qualifying event, randomization must still occur within 14 days of hospital admission.
- High risk of HF, defined as EITHER
- Symptoms (e.g. dyspnea; decreased exercise tolerance; fatigue), or signs of congestion (e.g. pulmonary rales, crackles or crepitations; elevated jugular venous pressure; congestion on chest X-ray), that require treatment (e.g. augmentation or initiation of oral diuretic therapy; i.v. diuretic therapy; i.v. vasoactive agent; mechanical intervention etc.) at any time during the hospitalization.
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- OR
- Newly developed Left Ventricular Ejection Fraction (LVEF) < 45% as measured by echocardiography, ventriculography, cardiac Computer Tomography (CT), Magnetic Resonance Imaging (MRI) or radionuclide imaging during index hospitalisation.
- In addition at least one of the following risk factors:
- Age > 65 years,
- Newly developed LVEF < 35%,
- Prior MI (before index MI) documented in medical records,
- Estimated Glomerular Filtration Rate (eGFR) < 60 ml/min/1.73m2 (using Chronic Kidney Disease Epidemiology Collaboration Equation (CKD-EPI) formula based on creatinine from local lab at any time during index hospitalisation),
- Atrial fibrillation (persistent or permanent ; if paroxysmal, only valid if associated with index MI),
- Type 2 diabetes mellitus (prior or new diagnosis),
- N-Terminal Pro-Brain Natriuretic Peptide (NT-proBNP) >1,400 pg/mL for patients in sinus rhythm, >2,800 pg/mL if atrial fibrillation; Brain Natriuretic Peptide (BNP) >350 pg/mL for patients in sinus rhythm, >700 pg/mL if atrial fibrillation, measured at any time during hospitalisation,
- Uric acid >7.5 mg/dL (>446 μmol/L), measured at any time during hospitalisation,
- Pulmonary Artery Systolic Pressure [or right ventricular systolic pressure] >40 mmHg (non-invasive [usually obtained from clinically indicated post-MI echocardiography] or invasive, at any time during hospitalisation),
- Patient not revascularized (and no planned revascularization) for the index MI (Includes e.g. patients where no angiography is performed, unsuccessful revascularization attempts, diffuse atherosclerosis not amenable for intervention; but does NOT include if revascularization was not performed due to nonobstructive coronary arteries),
- 3-vessel coronary artery disease at time of index MI,
- Diagnosis of peripheral artery disease (extracoronary vascular disease, e.g. lower extremity artery disease or carotid artery disease).
Who cannot join
- Diagnosis of chronic Heart Failure (HF) prior to index MI.
- Systolic blood pressure < 90 mmHg at randomisation.
- Cardiogenic shock or use of i.v. inotropes in last 24 hours before randomisation.
- Coronary Artery Bypass Grafting planned at time of randomisation.
- Current diagnosis of Takotsubo cardiomyopathy.
- Any current severe (stenotic or regurgitant) valvular heart disease.
- eGFR < 20 ml/min/1.73m2 (using CKD-EPI formula based on most recent creatinine from local lab during index hospitalisation) or on dialysis.
- Type I diabetes mellitus. Further exclusion criteria apply.
Trial locations and contacts
439 sites in 22 countries.
439 sites in 22 countries
United States85 sites
Advanced Cardiovascular LLC
Alexander City, Alabama, 35010
Texas Health Presbyterian Hospital Allen
Allen, Texas, 75013
Amarillo Heart Clinical Research Institute, Incorporated
Amarillo, Texas, 79106
Pharmatex Research
Amarillo, Texas, 79109
Asheville Cardiology Associates
Asheville, North Carolina, 28803
Grady Memorial Hospital
Atlanta, Georgia, 30303
Comprehensive Cardiovascular Medical Group
Bakersfield, California, 93309
Eastern Maine Medical Center
Bangor, Maine, 04401
Grandview Medical Center
Birmingham, Alabama, 35243
Capital Area Research, LLC
Camp Hill, Pennsylvania, 17011
Aultman Hospital
Canton, Ohio, 44710
The University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27517
Cincinnati VA Medical Center
Cincinnati, Ohio, 45220
Clearwater Cardiovascular Consultants
Clearwater, Florida, 33756
Cardiovascular Specialists of Central Maryland
Columbia, Maryland, 21044
Missouri Cardiovascular Specialists, LLP
Columbia, Missouri, 65201
University of Missouri Health System
Columbia, Missouri, 65212
Valley Clinical Trials, Inc.
Covina, California, 91723
Dallas VA Medical Center
Dallas, Texas, 75216
Duke University Medical Center
Durham, North Carolina, 27705
Midwest Cardiovascular Research and Education Foundation
Elkhart, Indiana, 46514
Advanced Heart Care, LLC, Medicoricum, LLC
Fairview Heights, Illinois, 62208
Integrative Research Associates
Fort Lauderdale, Florida, 33312
Mercy Gilbert Medical Center
Gilbert, Arizona, 85297
Healthy Heart Cardiology
Grand Rapids, Michigan, 49546
Moses H. Cone Memorial Hospital
Greensboro, North Carolina, 27401
Medication Management, LLC
Greensboro, North Carolina, 27405
Upstate Cardiology, PA
Greenville, South Carolina, 29607
Holy Name Medical Center
Hackensack, New Jersey, 07601
Heart Center Research, LLC
Huntsville, Alabama, 35801
University of Florida Health Jacksonville
Jacksonville, Florida, 32209
Western Michigan University
Kalamazoo, Michigan, 49009
Kettering Medical Center
Kettering, Ohio, 45429
Carolina Heart Specialists, LLC
Lancaster, South Carolina, 29720
University of Kentucky Medical Center
Lexington, Kentucky, 40536-0200
Arkansas Cardiology, PA
Little Rock, Arkansas, 72205
SJH Cardiology Associates
Liverpool, New York, 13088
Cardiovascular Innovation and Research Center
Long Beach, California, 90813
University of California Los Angeles
Los Angeles, California, 90095
University of Louisville
Louisville, Kentucky, 40202
Carient Heart and Vascular
Manassas, Virginia, 20109
Mid Michigan Medical Center
Midland, Michigan, 48670
Minneapolis Heart Institute Foundation
Minneapolis, Minnesota, 55407
Trinity Health Center Medical Arts
Minot, North Dakota, 58701
InvivoCure
Mission Hills, California, 91346
Cardiovascular Research of Northwest Indiana, LLC
Munster, Indiana, 46321
Centennial Heart Cardiovascular Consultants, LLC
Nashville, Tennessee, 37203
Riverside Regional Medical Center
Newport News, Virginia, 23601
Tidewater Physicians Multispecialty Group
Newport News, Virginia, 23606
Sentara Hospitals
Norfolk, Virginia, 23507
North Kansas City Hospital
North Kansas City, Missouri, 64116
Valley Clinical Trials, Inc.
Northridge, California, 91325
Parkway Cardiology Associates
Oak Ridge, Tennessee, 37830
Oklahoma Heart Hospital Research Foundation, Incorporated
Oklahoma City, Oklahoma, 73120
South Oklahoma Heart Research Group
Oklahoma City, Oklahoma, 73135
Midwest Heart and Vascular Specialists
Overland Park, Kansas, 66211
Cardiology Partners Clinical Research Institute
Palm Beach Gardens, Florida, 33410
Valley Clinical Trials, Inc.
Pasadena, California, 91105
Penn Presbyterian Medical Center
Philadelphia, Pennsylvania, 19104
Baylor Scott and White Health
Plano, Texas, 75093
AtlantiCare
Pomona, New Jersey, 08240
Charlotte Heart Group Research Center
Port Charlotte, Florida, 33952
Cardiovascular Research of Knoxville
Powell, Tennessee, 37849
North Carolina Heart and Vascular
Raleigh, North Carolina, 27607
Monument Health
Rapid City, South Dakota, 57701
Reid Physician Associates
Richmond, Indiana, 47374
Roanoke Heart Institute PLC
Roanoke, Virginia, 24014
Shady Grove Adventist Hospital
Rockville, Maryland, 20850
South Texas Cardiovascular Consultants
San Antonio, Texas, 78201
Kaiser Permanente
San Diego, California, 92123
San Diego Cardiac Center
San Diego, California, 92123
Guthrie Medical Group PC
Sayre, Pennsylvania, 18840
Revival Research Institute, LLC.
Sherman, Texas, 75092
Gateway Cardiology, PC
St Louis, Missouri, 63128
St. Louis Heart and Vascular, P.C.
St Louis, Missouri, 63136
Stony Brook University Hospital
Stony Brook, New York, 11794
Cardiovascular Consultants of South Georgia, LLC
Thomasville, Georgia, 31792
The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance, California, 90502
Atlanta Heart Specialists, LLC
Tucker, Georgia, 30084
Cardiology Associates Research, LLC
Tupelo, Mississippi, 38801
Cardiovascular Associates of East Texas, PA
Tyler, Texas, 75701
The Heart House
Vineland, New Jersey, 08360
George Washington University Medical Faculty Associates
Washington D.C., District of Columbia, 20037
Interventional Cardiology Medical Group
West Hills, California, 91307
Michigan Heart, PC
Ypsilanti, Michigan, 48197
Japan29 sites
Kasugai Municipal Hospital
Aichi, Kasugai, 486-8510
Toyota Memorial Hospital
Aichi, Toyota, 471-8513
Chibanishi General Hospital
Chiba, Matsudo, 270-2251
Seikeikai New Tokyo Heart Clinic
Chiba, Matsudo, 271-0077
Saiseikai Fukuoka General Hospital
Fukuoka, Fukuoka, 810-0001
Gifu Prefectural General Medical Center
Gifu, Gifu, 500-8717
Ogaki Municipal Hospital
Gifu, Ogaki, 503-8502
Hiroshima General Hospital
Hatsukaichi, 738-8503
Hiroshima Prefectural Hospital
Hiroshima, Hiroshima, 734-8530
Hyogo Brain and Heart Center
Hyogo, Himeji, 670-0981
Ibaraki Prefectural Central Hospital
Ibaraki, Kasama, 309-1793
Tsuchiura Kyodo General Hospital
Ibaraki, Tsuchiura, 300-0028
Ishikawa Prefectural Central Hospital
Ishikawa, Kanazawa, 920-8530
Juntendo University Shizuoka Hospital
Izunokuni, 410-2295
Tokai University Hospital
Kanagawa, Isehara, 259-1193
Sagamihara Kyodo Hospital
Kanagawa, Sagamihara, 252-5188
Yokohama City University Medical Center
Kanagawa, Yokohama, 232-0024
Fukuoka Tokushukai Hospital
Kasuga, 816-0864
Saiseikai Kumamoto Hospital
Kumamoto, Kumamoto, 861-4193
Japanese Red Cross Kumamoto Hospital
Kumamoto, Kumamoto, 861-8520
Kusatsu General Hospital
Kusatsu, 525-8585
Miyazaki Medical Association Hospital
Miyazaki, 880-2102
Nagano Chuo Hospital
Nagano, Nagano, 380-0814
Osaka Police Hospital
Osaka, Osaka, 543-0035
Kagawa Prefectural Central Hospital
Takamatsu, 760-8557
Tokushima Prefectural Central Hospital
Tokushima, 770-0042
St. Luke's International Hospital
Tokyo, Chuo-ku, 104-8560
Tokyo Bay Urayasu Ichikawa Medical Center
Urayasu, 279-0001
Showa University Fujigaoka Hospital
Yokohama, 227-8501
Canada27 sites
William Osler Health Centre
Brampton, Ontario, L6R 3J7
Heritage Medical Research Clinic
Calgary, Alberta, T2N 4Z6
Royal Alexandra Hospital
Edmonton, Alberta, T5H 3V9
University of Alberta Hospital (University of Alberta)
Edmonton, Alberta, T6G 2B7
QEII Health Sciences Centre
Halifax, Nova Scotia, B3H 3A7
Royal Inland Hospital
Kamloops, British Columbia, V2C 2T1
Queen's University
Kingston, Ontario, K7L 2V7
One Heart Care Ventures
Mississauga, Ontario, L4Y 1M3
GA Research Associates Ltd.
Moncton, New Brunswick, E1G 1A7
Montreal Heart Institute
Montreal, Quebec, H1T 1C8
Centre Hospitalier de l'Universite de Montreal (CHUM)
Montreal, Quebec, H2X 0A9
Montreal General Hospital - McGill University Health Centre
Montreal, Quebec, H3G 1A4
McGill University Health Centre (MUHC)
Montreal, Quebec, H4A 3J1
Southlake Regional Health Centre
Newmarket, Ontario, L3Y 2P7
Oakville Trafalgar Memorial Hospital
Oakville, L6M 0L8
Peterborough Regional Health Centre
Peterborough, Ontario, K9J 7C6
Prairie Vascular Research Inc.
Regina, Saskatchewan, S4P 0W5
IUCPQ (Laval University)
Sainte-Foy, Quebec, G1V 4G5
Heart Health Institute
Scarborough Village, Ontario, M1B 4Z8
CIUSSS de l Estrie-CHUS
Sherbrooke, Quebec, J1H 5N4
Surrey Memorial Hospital
Surrey, British Columbia, V3V 0C6
CSSS du Sud de Lanaudiere - Hopital Pierre-Le Gardeur
Terrebonne (Lachenaie), Quebec, J6V 2H2
Women's College Hospital
Toronto, Ontario, M5S 1B2
CIUSSS de la Mauricie-et-du-Centre-du-Quebec
Trois-Rivières, Quebec, G8Z 3R9
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9
Victoria Heart Institute Foundation
Victoria, British Columbia, V8R 1B2
St. Boniface Hospital
Winnipeg, Manitoba, R2H 2A6
Brazil26 sites
JMF Clinica Do Coracao LTDA
Aracaju - SE, 49055-530
Hospital Santa Isabel
Balneário Camboriú, 88331-085
Hospital Madre Teresa
Belo Horizonte, 30441-070
Hospital do Coracao do Brasil
Brasília, 70390 700
Hospital Angelina Caron
Campina Grande do Sul, 83430-000
Centro Especializado em Cardiol Loema Instituto de Pesq Clin
Campinas, 13010-001
IPECC - Instituto de Pesquisa Clínica de Campinas
Campinas, 13060-080
Hospital de Messejana Dr. Carlos Alberto Studart Gomes
Fortaleza, 60840-285
HC-UFG - Hospital das Clínicas da Universidade Federal de Goiás
Goiânia, 74605-020
Hospital Regional Hans Dieter Schmidt
Joinville, 89227-680
Santa Casa de Misericórdia de Marília
Marília, 17515-000
Hospital São Vicente de Paulo
Passo Fundo, 99010-080
Hospital Sao Lucas da PUCRS
Porto Alegre, 01046 010
Instituto de Cardiologia Rio Grande do Sul
Porto Alegre, 90620-001
Hospital Nossa Senhora da Conceição
Porto Alegre, 91350-200
Hospital Agamenon Magalhaes
Recife, 52051-380
Fundacao de apoio ao ensino e assitencia HCFMRP
Ribeirão Preto, 14051-140
Hospital Copa D'or
Rio de Janeiro, 22031-011
Instituto de Ensino E Pesquisa Do Hospital Da Bahia
Salvador, 41810-011
CEMEC - Centro Multidisciplinar de Estudos Clínicos
São Bernardo do Campo, 09715-090
Hospital de Base - Fac Med de Sao Jose do Rio Preto
São José do Rio Preto, 15090-000
Hospital Samaritano
São Paulo, 01333-030
Hospital Sao Luiz Jabaquara
São Paulo, 04321-120
Hospital Sao Luiz Morumbi
São Paulo, 04544-000
Hospital das Clínicas de Sao Paulo - INCOR
São Paulo, 05403-000
Santa Casa de Votuporanga
Votuporanga, 15500-003
Netherlands22 sites
Jeroen Bosch Ziekenhuis-Hertogenbosch
's-Hertogenbosch, 5223 GZ
Noordwest Ziekenhuisgroep
Alkmaar, 1815 JD
Meander Medisch Centrum
Amersfoort, 3813 TZ
Amsterdam UMC Locatie VUMC
Amsterdam, 1081HV
Onze Lieve Vrouwe Gasthuis
Amsterdam, 1091 HA
Rijnstate Hospital
Arnhem, 6815 AD
Amphia Ziekenhuis
Breda, 4819 EV
IJsselland Ziekenhuis
Capelle aan den IJssel, 2906 ZC
Catharina Ziekenhuis
Eindhoven, 5623 EJ
Medisch Spectrum Twente
Enschede, 7513 ER
Admiraal de Ruyter Ziekenhuis
Goes, 4462 RA
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
Spaarne Ziekenhuis
Haarlem, 2035 RC
Zuyderland Medisch Centrum
Heerlen, 6419 PC
Tergooi Ziekenhuis
Hilversum, 1213 XZ
Vasculair Onderzoek Centrum
Hoorn, 1624 NP
Medisch Centrum Leeuwarden
Leeuwarden, 8934 AD
Leids Universitair Medisch Centrum (LUMC)
Leiden, 2300 RC
Alrijne Ziekenhuis
Leiden, 2334 CK
Ziekenhuis Rivierenland
Tiel, 4002 WP
Tweesteden Ziekenhuis, locatie Tilburg
Tilburg, 5042 AD
Isala Zwolle
Zwolle, 8025 AB
Israel21 sites
Haemek Medical Center
Afula, 18101
Assuta Medical Center
Ashdod, 77000
Barzilai Medical Center
Ashkelon, 78278
Assaf Harofe Medical Center
Beer Yaacov, 70300
Soroka Univ. Medical Center
Beersheba, 8410101
Hillel Yaffe Medical Center, Hadera
Hadera, 38100
Rambam Medical Center
Haifa, 31096
Bnei Zion Medical Center, Haifa
Haifa, 33394
Lady Davis Carmel Medical Center
Haifa, 34362
Hadassah Medical Center, Ein-Karem
Jerusalem, 91000
Shaare Zedek Medical Center, Jerusalem 91031
Jerusalem, 9103102
Hadassah Medical Center, Ein-Karem
Jerusalem, 91120
Meir Medical Center
Kfar Saba, 44281
West.Galilee Med.Cent.Naharia
Nahariya, 22100
Rabin Medical Center Beilinson
Petah Tikva, 49100
Rabin Medical Center Beilinson
Petah Tikva, 4941492
The Chaim Sheba Medical Center Tel HaShomer
Ramat Gan, 52621
Kaplan Medical Center
Rehovot, 76100
Ziv Medical Center
Safed, 13100
Sourasky Medical Center
Tel Aviv, 64239
Baruch Padeh Medical Center
Tiberias, 15208
Poland21 sites
American Heart of Poland
Bełchatów, 97-400
Univ. Clinic Hosp, Bialystok
Bialystok, 15-276
American Heart of Poland Sp. z o.o.
Bielsko-Biala, 43-316
American-Polish Heart Clinic, Lesser Poland Cardiovascular Centre
Chorzów, 32-500
American Heart of Poland Sp. z o.o.
Dąbrowa Górnicza, 41-300
NZOZ Pro-Cordis Sopockie Centrum Bad. Kardiolog.
Gdynia, 81-423
Silesian Medical University in Katowice
Katowice, 40-635
American Heart of Poland Sp. z o.o.
Kędzierzyn-Koźle, 47-200
University Hospital in Krakow
Krakow, 30-688
The John Paul II Hosp.,Dept.of Coronary Heart Disease,Krakow
Krakow, 31-202
Podhalanski Special.Hosp,Intern.Med&Cardiology Dept,Nowy Tag
Nowy Targ, 34-400
Mazowiecki Szpital Specjalistyczny im. dr Jozefa Psarskiego
Ostrołęka, 07-410
Medicome Limited Liability Company
Oświęcim, 32-600
Independent Public Healthcare, Dept. of Cardiology, Pulawy
Puławy, 24-100
American Heart of Poland Sp. z o.o.
Sztum, 82-400
American Heart of Poland Sp. z o.o.
Tychy, 43-100
Dr Alfred Sokołowski Specialist Hospital
Wałbrzych, 58-309
Central Hospital of Medical Academy, Warsaw
Warsaw, 02-097
Instytut Kardiologii, Warszawa
Warsaw, 04-628
Jan Mikulicz-Radecki UnivClinic Hosp,Cardiology Dept,Wroclaw
Wroclaw, 50-556
4. Military Clinical Hospital with Polyclinic SP ZOZ
Wroclaw, 50-981
Argentina20 sites
Instituto Cardiovascular de Buenos Aires
Belgrano, C1428ART
Fundacion Sanatorio Güemes
Ciudad Autonoma Buenos Aires, C1180 AAX
Hospital Italiano de Córdoba
Córdoba, X5000
Sanatorio Allende
Córdoba, X5000
Centro Medico Luquez
Córdoba, X5006CBI
Hospital Privado Centro Medico de Cordoba
Córdoba, X5016KEH
Clinica Privada del Prado
Córdoba, X5020AAA
Centro de Investigacion Clinica Coronel Suarez
Coronel Suárez, B7540GHD
Instituto de Cardiologia de Corrientes
Corrientes, 3400
Fundación Favaloro para la Docencia e Investigación Medica
Montserrat, C1093AAS
Sanatorio Modelo de Quilmes
Quilmes, B1878GEG
Instituto Cardiovascular de Rosario
Rosario, S2000
Sanatorio Delta
Rosario, S2000
Sanatorio Parque
Rosario, S2000
Corporacion Medica de Gral. San Martin S.A.
San Martin, B1650CSP
Centro Privado de Cardiologia
San Miguel de Tucumán, 4000
Clinica U.O.M.
San Nicolás, 2900
Sanatorio Diagnóstico
Santa Fe, 3081
Hospital "Dr. José Maria Cullen"
Santa Fe, S3000EOZ
Clinica Privada Fusavim SRL
Villa María, 5900
Romania20 sites
Emergency Clinical County Hospital, Baia Mare
Baia Mare, 430031
Spitalul Clinic De Urgenta "Prof. Dr. Agrippa Ionescu"
Baloteşti, 077016
Spitalul Judetean de Urgenta Braila
Brăila, 810325
Spitalul Clinic Judetean de Urgenta Brasov
Brasov, 500326
Military Central Clinical Emergency Hospital
Bucharest, 010825
Elias Emergency Hospital, Bucharest
Bucharest, 011461
Prof.C.C.Iliescu Hospital, National Institute of Cardiology
Bucharest, 022328
Emergency Clinical Hospital "Bagdasar-Arseni"
Bucharest, 041915
Emergency University Hospital, Bucharest
Bucharest, 050098
Heart Institute "Niculae Stancioiu", Cluj Napoca
Cluj-Napoca, 400001
Clincal Reabilitation Hospital, Cluj Napoca
Cluj-Napoca, 400347
Spitalul Clinic Judetean, Craiova
Craiova, 200642
Cardiovascular Diseases Institute "Prof. Georgescu", Iasi
Iași, 700503
SC Cardiomed SRL, Iasi
Iași, 700732
SC Endodigest SRL
Oradea, 410151
Sal Med Srl
Piteşti, 110424
Emergency County Clinical Hospital, Sibiu
Sibiu, 550245
Centrul Medical Cardiomed
Târgu Mureş, 540124
Country Clinical Emergency Hospital, Targu-Mures
Târgu Mureş, 540136
Cardiology and Cardiovascular Rehabilitation Clinic
Timișoara, 300310
China19 sites
Beijing Chao-Yang Hospital
Beijing, 100020
Chinese PLA General Hospital
Beijing, 100022
China-Japan Friendship Hospital
Beijing, 100029
Peking University First Hospital
Beijing, 100034
Beijing Luhe Hospital Capital Medical University
Beijing, 101100
Changsha Central Hospital
Changsha, 410007
Xiangya Hospital, Central South University
Changsha, 410008
Guangdong Provincial People's Hospital
Guangzhou, 510100
The First Affiliated Hospital of Harbin Medical University
Haerbin, 150001
Hainan General Hospital
Haikou, 570311
Shulan(Hanghzhou) Hospital
Hangzhou, 310004
Zhejiang Hospital
Hangzhou, 310013
Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine
Hangzhou, 310016
The Second Affiliated Hospital of Lanzhou Medical University
Lanzhou, 730030
Nanjing Drum Tower Hospital
Nanjing, 210008
Zhongshan Hospital Affiliated to Fudan University
Shanghai, 200032
People's Hospital of Liaoning Province
Shenyang, 110016
Peking University Shenzhen Hospital
Shenzhen, 518036
Renmin Hospital of Wuhan University
Wuhan, 430060
Germany19 sites
SLK-Kliniken Heilbronn GmbH
Bad Friedrichshall, 74177
Kerckhoff-Klinik, Bad Nauheim
Bad Nauheim, 61231
Charité - Universitätsmedizin Berlin
Berlin, 12203
Universitätsklinikum Bonn AöR
Bonn, 53127
Bremer Institut für Herz- und Kreislaufforschung (BIHKF) am Klinikum Links der Weser
Bremen, 28277
Klinikum Coburg gGmbH
Coburg, 96450
St. Johannes Hospital Dortmund
Dortmund, 44137
Städtisches Klinikum Dresden
Dresden, 01067
Universitätsklinikum Frankfurt
Frankfurt am Main, 60596
Klinikum Frankfurt Höchst GmbH
Frankfurt am Main, 65929
Universitäts-Herzzentrum Freiburg, Bad Krozingen GmbH
Freiburg I. Breisgau, 79106
Asklepios Kliniken GmbH & Co. KGaA
Hamburg, 22307
Medizinische Hochschule Hannover
Hanover, 30625
Ambulantes Herzzentrum Kassel
Kassel, 34121
Universitätsklinikum Leipzig
Leipzig, 04103
Katholisches Klinikum Mainz
Mainz, 55131
Clemenshospital
Münster, 48153
Kardiologische Praxis Papenburg
Papenburg, 26871
Universitätsklinikum Regensburg
Regensburg, 93053
Ukraine18 sites
Cherkasy Regional Cardiological Center
Cherkasy, 18009
City Joint Emergency Hospital, Dnepropetrovsk
Dnipro, 49006
Ivano-Frankivsk City Central Clinical Hospital
Ivano-Frankivsk, 76005
Clinical Treatment and Diagnostic Center of the Limited Liability Company "SIMEDGROUP"
Ivano-Frankivsk, 76008
L.T. Malaya Institute of Therapy AMS of Ukraine
Kharkiv, 61039
Reg.Clin.Hosp.Non-Commercial Enterprise
Kharkiv, 61058
CI of Healthcare Kharkiv CCH #8, Kharkiv
Kharkiv, 61176
Khmelnytskyi Regional Hospital
Khmelnytskyi, 29007
Kiev City Clinical Hospital No. 5
Kiev, 03115
SI NSC M.D. Strazhesko Institute Cardiology of NAMSU, Kyiv
Kiev, 03680
City Clinical Hospital No. 1, Kiev
Kiev, 2091
Kiev Emergency Care Hospital
Kiev, 2166
Lutsk City Clinical Hospital
Lutsk, 43024
Communal Noncommercial Enterprise of Lviv Regional Council "Lviv Regional Clinical Psychiatric Hospital"
Lviv, 79015
Odesa Regional Clinical Hospital
Odesa, 65025
Regional Clinical Hospital, Ternopil
Ternopil, 46001
Municipal Non-Profit Enterprise "Zakarpattia Regional Clinical Center of Cardiology and Cardiac Surgery" of Zakarpattia Regional Council
Uzhhorod, 88000
Zhytomyr Regional Clinical Hospital, Dept. Endocrinology
Zhytomyr, 10002
Bulgaria17 sites
Multiprofile Hospital For Active Treatment Pulse AD
Blagoevgrad, 2700
Multiprofile Hospital For Active Treatment "Dr. Tota Venkova" AD
Gabrovo, 5300
Multiprofile Hospital for Active Treatment AD Haskovo
Haskovo, 6304
Multiprofile Hospital For Active Treatment - Pazardzhik AD
Pazardzhik, 4400
Specialized Hospital for Active Treatment Sv. Georgi - Pernik
Pernik, 2300
Medical Center Medconsult Pleven LTD
Pleven, 5800
Multiprofile Hospital for Active Treatment Heart and Brain EAD
Pleven, 5804
SHAT in Cardiology EAD, Pleven
Pleven, 5804
Hospital MHAT Plovdiv, AD
Plovdiv, 4003
National Heart Hospital, Sofia
Sofia, 1309
City Clin.Univ.MPHAT EOOD,Clin.of Cardiology, Sofia
Sofia, 1407
University Multiprofile Hospital for Active Treatement "Alexandrovska" EAD
Sofia, 1431
UMHAT "Tsaritsa Yoannalsul"
Sofia, 1527
Medical Military Academy MHAT Sofia
Sofia, 1606
Multiprofile Hospital MHATEM 'Pirogov', Sofia
Sofia, 1606
MHAT Sv.Anna, Clinic of Internal Diseases, Sofia
Sofia, 1750
Hospital Trakia Park
Stara Zagora, 6004
Russia17 sites
First City Clinical Hospital named after E. E. Volosevich
Arkhangelsk, 163001
Regional Clinical Hospital, Kirov
Kirov, 610014
Regional Clinical Hospital No.1 named after Professor. S.V. Ochapovskiy
Krasnodar, 350086
State Healthcare Institution Clinical Hosp. No. 51, Moscow
Moscow, 121309
Reg.Clin.Hosp.n.a.Semashko
Nizhny Novgorod, 603126
Penza Regional Clinical Hospital named after N.N.Burdenko
Penza, 440026
Republic Kareliya Republican Hosp. named after V.A. Baranov
Petrozavodsk, 185019
GUZ Ryazanskiy Regional Clin. Cardiology Dispensary, Ryazan
Ryazan, 390039
Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Saint Petersburg, 192242
Medical Academy named after I. Mechnikov, St. Petersburg
Saint Petersburg, 195067
Samara Regional Clinical Cardiology Clinic, Day Hosp. Dept.
Samara, 443070
Saratov State Med.Univ.n.a.Razumovskogo
Saratov, 410012
Saratov Regional Cardiac Center
Saratov, 410039
Komi Republican Cardiological Dispensary
Syktyvkar, 167981
Regional clinical hospital, Tver
Tver', 170036
Tyumen Cardiology Center, Dept.of Cardiac Arrhythmia
Tyumen, 625026
State Budg.Healthc.Instit Volgograd RegClin.Cardiology Centr
Volgograd, 400062
Hungary16 sites
Lausmed Kft. Outpatient Unit of Internal Medicine
Baja, 6500
Buda Hospital of the Hospitaller Order of Saint John of God
Budapest, 1023
Semmelweis University
Budapest, 1085
St. Imre Hospital, Budapest
Budapest, 1115
Semmelweis University
Budapest, 1122
Magyar Honvedseg Egeszsegugyi Kozpont
Budapest, 1134
Jahn Ferenc Del-Pest Hospital
Budapest, 1204
University Debrecen Hospital
Debrecen, 4032
Csongrad Megyei Eu. Ellato Kozp. Hodmezovasarhely-Mako
Hódmezővásárhely, 6800
Somogy County Kaposi Mor Teaching Hospital
Kaposvár, 7400
Bacs-Kiskun Megyei Onkormanyzat Hospital
Kecskemét, 6000
Pest Megyei Flor Ferenc Hospital
Kistarcsa, 2143
University of Szeged
Szeged, 6720
Fejer County Saint George University Teaching Hospital
Székesfehérvár, 8000
Jasz-Nagykun-Szolnok Megyei Hetenyi G. Korhaz-Rendelointezet
Szolnok, 5000
Zala County Hospital, Zalaegerszeg
Zalaegerszeg, 8900
Serbia15 sites
Institute for Cardiovascular diseases Dedinje
Belgrade, 11000
University Clinical Center of Serbia
Belgrade, 11000
Clinical Hospital Center Dr. Dragisa Misovic
Belgrade, 11040
Clinical Medical Center Zvezdara, Belgrade
Belgrade, 11050
Institute of Cardiovascular Diseases
Kamenitz, 21204
University Clinical Center of Kragujevac
Kragujevac, 34000
General Hospital Leskovac
Leskovac, 16000
University Clinical Center Nis
Niš, 18000
Institute for Treatment and Rehabilitation, Niska Banja
Niška Banja, 18205
General Hospital Pancevo
Pančevo, 26101
General Hospital Sremska Mitrovica
Sremska Mitrovica, 22000
General Hospital Subotica, Internal Medicine
Subotica, 24107
Health Center Uzice
Užice, 31000
Health Centre Zajecar
Zaječar, 19000
General Hospital - Djordje Joanovic
Zrenjanin, 23101
India13 sites
Kamalnayan Bajaj Hospital
Aurangabad, 431 010
Sri Jayadeva Institute of Cardiovascular Sciences & Research
Bangalore, 560069
Narayana Institute of Cardiac Sciences
Bangalore, 560099
KLES Dr.Prabhakar Kore Hospital and Medical Research Centre
Belagavi, 590010
Madras Medical Mission,
Chennai, 600037
Eternal Heart Care Centre & Research Institute Pvt. Ltd.
Jaipur, 302017
KEM Hospital and Seth G S Medical College
Mumbai, 400012
Sion Hospital (Lokmanya Tilak Municipal Hospital)
Mumbai, 400022
Government Medical College & Hospital
Nagpur, 440009
GB Pant Institute of Post Graduate Medical Education and Research
New Delhi, 110002
Max Superspeciality Hospital
New Delhi, 110017
Sir Gangaram Hospital
New Delhi, 110060
Sahyadri Speciality Hospital
Pune, 411004
Australia8 sites
The Prince Charles Hospital
Chermside, Queensland, 4032
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
South Western Sydney Local Health District
Liverpool, New South Wales, 2170
Alfred Hospital
Melbourne, Victoria, 3004
Gold Coast University Hospital
Southport, Queensland, 4215
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Westmead Hospital
Westmead, New South Wales, 2145
France8 sites
HOP Sud Francilien
Corbeil-Essonnes, 91106
HOP CHU de Grenoble
Grenoble, 38043
CHRU Lille
Lille, 59037
Hospital de Saint Joseph et Saint Luc
Lyon, 69007
HOP Bichat
Paris, 75018
CHU Rouen
Rouen, 76031
HOP Trousseau
Tours, 37044
HOP Brabois
Vandœuvre-lès-Nancy, 54511
South Korea7 sites
Bucheon Sejong Hospital
Bucheon-si, 14754
Pusan National Univ. Hosp
Busan, 49241
Chungbuk National University Hospital
Cheongiu, 28644
Chungnam National University Hospital
Daejoen, 35015
Chonnam National University Hospital
Gwangju, 61469
Seoul National University Bundang Hospital
Seongnam, 13620
Yonsei University Wonju Severance Christian Hospital
Wonju-si, Gangwon State, 26426
Denmark6 sites
Aalborg Universitetsshospital
Aalborg, 9000
Aarhus University Hospital
Aarhus N, 8200
Rigshospitalet
Copenhagen, 2100
Frederiksberg Hospital
Frederiksberg, 2000
Herlev and Gentofte Hospital
Herlev, 2730
Slagelse Sygehus
Slagelse, 4200
Spain5 sites
Hospital Germans Trias i Pujol
Badalona, 08916
University Hospital of Bellvitge
Barcelona, 08907
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitari Joan XXIII
Tarragona, 43005
Complejo Hospitalario Universitario de Vigo
Vigo, 36213
About this study
Official title: EMPACT-MI: A Streamlined, Multicentre, Randomised, Parallel Group, Double-blind Placebo-controlled Superiority Trial to Evaluate the Effect of EMPAgliflozin on Hospitalisation for Heart Failure and Mortality in Patients With aCuTe Myocardial Infarction
This is a study in adults who had a heart attack (myocardial infarction). The purpose of this study is to find out whether a medicine called empagliflozin helps to lower the chances of having to go to the hospital for heart failure and whether it lowers the chances of dying from cardiovascular disease.
People who are in hospital may join the study soon after being treated for their heart attack. Participants are put into 2 groups by chance. One group takes 1 empagliflozin tablet a day. The other group takes 1 placebo tablet a day. Placebo tablets look like empagliflozin tablets but do not contain any medicine. All participants continue their standard treatment. Empagliflozin belongs to a class of medicines known as SGLT-2 inhibitors. Empagliflozin is a medicine that helps people with type 2 diabetes to lower their blood sugar. Researchers think that empagliflozin might also help people after heart attack who are at risk for heart failure, whether or not they have diabetes.
Participants are in the study for about 1 to 2 years. During this time, there are about 4 visits inperson, 2 visits are done either by phone or by use of an mobile application. Results between the empagliflozin and placebo groups are compared. The doctors also regularly check the general health of the participants.
- Conditions
- Myocardial Infarction
- Being tested
- Empagliflozin, Placebo
- Medical subject headings
- Myocardial Infarction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EmpagliflozinDrug
Empagliflozin
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Empagliflozin 10 mg | Experimental | Not described Receives: Drug: Empagliflozin |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Composite of Time to First Heart Failure Hospitalisation or All-cause Mortality
The composite of time to first heart failure hospitalization or all-cause mortality is reported as the incidence rate of the first occurrence of hospitalization for heart failure (HHF) or death, whichever is earliest.
The incidence rate was calculated as: the number of patients with an event for hospitalization for heart failure or death by treatment group during time at risk divided by the total time patients were at risk in that treatment group multiplied by 100 (per 100 Pt-years, Pt as abbreviation of patient).
Measured: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Secondary outcomes (5)
Key Secondary Endpoint - Total Number of Hospitalisations for Heart Failure (HHF) or All-cause Mortality
The total number of hospitalisations for heart failure (HHF) or all-cause mortality is reported using the adjusted event rate.
The adjusted event rate is based on a negative binomial model adjusted for treatment and type-2 diabetes at baseline, geographical region, age at baseline, estimated glomerular filtration rate at baseline, left ventricular ejection fraction at baseline, persistent or permanent atrial fibrillation at baseline, prior myocardial infarction at baseline, peripheral artery disease at baseline and smoking at baseline as covariates. The log(observation time) was used as an offset variable.
Measured: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Key Secondary Endpoint - Total Number of Non-elective Cardiovascular (CV) Hospitalisations or All-cause Mortality
The total number of non-elective cardiovascular (CV) hospitalisations or all-cause mortality is reported using the adjusted event rate.
The adjusted event rate is based on a negative binomial model adjusted for treatment and type-2 diabetes at baseline, geographical region, age at baseline, estimated glomerular filtration rate at baseline, left ventricular ejection fraction at baseline, persistent or permanent atrial fibrillation at baseline, prior myocardial infarction at baseline, peripheral artery disease at baseline and smoking at baseline as covariates. The log(observation time) was used as an offset variable.
Measured: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Key Secondary Endpoint - Total Number of Non-elective All-cause Hospitalisations or All-cause Mortality
The total number of non-elective all-cause hospitalisations or all-cause mortality is reported using the adjusted event rate.
The adjusted event rate is based on a negative binomial model adjusted for treatment and type-2 diabetes at baseline, geographical region, age at baseline, estimated glomerular filtration rate at baseline, left ventricular ejection fraction at baseline, persistent or permanent atrial fibrillation at baseline, prior myocardial infarction at baseline, peripheral artery disease at baseline and smoking at baseline as covariates. The log(observation time) was used as an offset variable.
Measured: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Key Secondary Endpoint - Total Number of Hospitalisations for Myocardial Infarction (MI) or All-cause Mortality
The total number of hospitalisations for myocardial infarction (MI) or all-cause mortality is reported using the adjusted event rate.
The adjusted event rate is based on a negative binomial model adjusted for factors for treatment and type-2 diabetes at baseline, geographical region, age at baseline, estimated glomerular filtration rate at baseline, left ventricular ejection fraction at baseline, persistent or permanent atrial fibrillation at baseline, prior myocardial infarction at baseline, peripheral artery disease at baseline and smoking at baseline as covariates. The log(observation time) was used as an offset variable.
Measured: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Time to Cardiovascular (CV) Mortality
The time to cardiovascular (CV) mortality is reported as the incidence rate of cardiovascular (CV) mortality, including deaths of unknown cause.
The incidence rate was calculated as: the number of patients with a cardiovascular death event by treatment group during time at risk divided by the total time patients were at risk in that treatment group multiplied by 100 (per 100 Pt-years, Pt as abbreviation of patient).
Measured: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Aug 2020
- Study start16 Dec 2020
- Primary completion5 Nov 2023
- Study completion5 Nov 2023
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 Myocardial InfarctionStudies 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 6,522 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
- NCT04509674
- Sponsor's protocol ID
- 1245-0202
- Other IDs
- 2019-001037-13, 2019
- Status last verified
- Dec 2024
- First submitted
- 10 Aug 2020
- Last updated
- 7 Jan 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.
Publications
Udell JA, Petrie MC, Jones WS, Anker SD, Harrington J, Mattheus M, Seide S, Amir O, Bahit MC, Bauersachs J, Bayes-Genis A, Chen Y, Chopra VK, Figtree G, Ge J, Goodman SG, Gotcheva N, Goto S, Gasior T, Jamal W, Januzzi JL, Jeong MH, Lopatin Y, Lopes RD, Merkely B, Martinez-Traba M, Parikh PB, Parkhomenko A, Ponikowski P, Rossello X, Schou M, Simic D, Steg PG, Szachniewicz J, van der Meer P, Vinereanu D, Zieroth S, Brueckmann M, Sumin M, Bhatt DL, Hernandez AF, Butler J. Left Ventricular Function, Congestion, and Effect of Empagliflozin on Heart Failure Risk After Myocardial Infarction. J Am Coll Cardiol. 2024 Jun 11;83(23):2233-2246. doi: 10.1016/j.jacc.2024.03.405. Epub 2024 Apr 6.
PubMed 38588929Butler J, Jones WS, Udell JA, Anker SD, Petrie MC, Harrington J, Mattheus M, Zwiener I, Amir O, Bahit MC, Bauersachs J, Bayes-Genis A, Chen Y, Chopra VK, Figtree G, Ge J, Goodman SG, Gotcheva N, Goto S, Gasior T, Jamal W, Januzzi JL, Jeong MH, Lopatin Y, Lopes RD, Merkely B, Parikh PB, Parkhomenko A, Ponikowski P, Rossello X, Schou M, Simic D, Steg PG, Szachniewicz J, van der Meer P, Vinereanu D, Zieroth S, Brueckmann M, Sumin M, Bhatt DL, Hernandez AF. Empagliflozin after Acute Myocardial Infarction. N Engl J Med. 2024 Apr 25;390(16):1455-1466. doi: 10.1056/NEJMoa2314051. Epub 2024 Apr 6.
PubMed 38587237Hernandez AF, Udell JA, Jones WS, Anker SD, Petrie MC, Harrington J, Mattheus M, Seide S, Zwiener I, Amir O, Bahit MC, Bauersachs J, Bayes-Genis A, Chen Y, Chopra VK, A Figtree G, Ge J, G Goodman S, Gotcheva N, Goto S, Gasior T, Jamal W, Januzzi JL, Jeong MH, Lopatin Y, Lopes RD, Merkely B, Parikh PB, Parkhomenko A, Ponikowski P, Rossello X, Schou M, Simic D, Steg PG, Szachniewicz J, van der Meer P, Vinereanu D, Zieroth S, Brueckmann M, Sumin M, Bhatt DL, Butler J. Effect of Empagliflozin on Heart Failure Outcomes After Acute Myocardial Infarction: Insights From the EMPACT-MI Trial. Circulation. 2024 May 21;149(21):1627-1638. doi: 10.1161/CIRCULATIONAHA.124.069217. Epub 2024 Apr 6.
PubMed 38581389
Study at a glance
From the registry record, last updated by the sponsor on 7 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- EMPACT-MI: A Streamlined, Multicentre, Randomised, Parallel Group, Double-blind Placebo-controlled Superiority Trial to Evaluate the Effect of EMPAgliflozin on Hospitalisation for Heart Failure and Mortality in Patients With aCuTe Myocardial Infarction
- ClinicalTrials.gov ID
- NCT04509674
- Acronym / sponsor ID
- 1245-0202
- Conditions
- Myocardial Infarction
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 6,522 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Study start
- 16 Dec 2020 (actual)
- Primary completion
- 5 Nov 2023 (actual)
- Study completion
- 5 Nov 2023 (actual)
- First posted
- 12 Aug 2020 (actual)
- Results
- Posted 7 Jan 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a study in adults who had a heart attack (myocardial infarction). The purpose of this study is to find out whether a medicine called empagliflozin helps to lower the chances of having to go to the hospital for heart failure and whether it lowers the chances of dying from cardiovascular disease.
People who are in hospital may join the study soon after being treated for their heart attack. Participants are put into 2 groups by chance. One group takes 1 empagliflozin tablet a day. The other group takes 1 placebo tablet a day. Placebo tablets look like empagliflozin tablets but do not contain any medicine. All participants continue their standard treatment. Empagliflozin belongs to a class of medicines known as SGLT-2 inhibitors. Empagliflozin is a medicine that helps people with type 2 diabetes to lower their blood sugar. Researchers think that empagliflozin might also help people after heart attack who are at risk for heart failure, whether or not they have diabetes.
Participants are in the study for about 1 to 2 years. During this time, there are about 4 visits inperson, 2 visits are done either by phone or by use of an mobile application. Results between the empagliflozin and placebo groups are compared. The doctors also regularly check the general health of the participants.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Empagliflozin 10 mg | Experimental | Drug: Empagliflozin |
| Placebo | Placebo 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 (21 listed)
- Of full age of consent (according to local legislation, at least ≥ 18 years) at screening.
- Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
- Male or female patients. Women of childbearing 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.
- Diagnosis of spontaneous Acute Myocardial Infarction (AMI): ST-Elevation Myocardial Infarction (STEMI) or Non-ST Elevation Myocardial Infarction (NSTEMI) with randomisation to occur no later than 14 calendar days after hospital admission. For patients with an in-hospital Myocardial Infarction (MI) as qualifying event, randomization must still occur within 14 days of hospital admission.
- High risk of HF, defined as EITHER
Key exclusion criteria (8 listed)
- Diagnosis of chronic Heart Failure (HF) prior to index MI.
- Systolic blood pressure < 90 mmHg at randomisation.
- Cardiogenic shock or use of i.v. inotropes in last 24 hours before randomisation.
- Coronary Artery Bypass Grafting planned at time of randomisation.
- Current diagnosis of Takotsubo cardiomyopathy.
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 |
|---|---|---|
| EmpagliflozinEmpagliflozin | Drug | Empagliflozin 10 mg |
| PlaceboPlacebo | Drug | Placebo |
Primary outcome
Composite of Time to First Heart Failure Hospitalisation or All-cause Mortality
Time frame: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
The composite of time to first heart failure hospitalization or all-cause mortality is reported as the incidence rate of the first occurrence of hospitalization for heart failure (HHF) or death, whichever is earliest. The incidence rate was calculated as: the number of patients with an event for hospitalization for heart failure or death by treatment group during time at risk divided by the total time patients were at risk in that treatment group multiplied by 100 (per 100 Pt-years, Pt as abbreviation of patient).
5 secondary outcomes
Key Secondary Endpoint - Total Number of Hospitalisations for Heart Failure (HHF) or All-cause Mortality
Time frame: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Key Secondary Endpoint - Total Number of Non-elective Cardiovascular (CV) Hospitalisations or All-cause Mortality
Time frame: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Key Secondary Endpoint - Total Number of Non-elective All-cause Hospitalisations or All-cause Mortality
Time frame: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Key Secondary Endpoint - Total Number of Hospitalisations for Myocardial Infarction (MI) or All-cause Mortality
Time frame: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Time to Cardiovascular (CV) Mortality
Time frame: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38588929Udell JA, Petrie MC, Jones WS, Anker SD, Harrington J, Mattheus M, Seide S, Amir O, Bahit MC, Bauersachs J, Bayes-Genis A, Chen Y, Chopra VK, Figtree G, Ge J, Goodman SG, Gotcheva N, Goto S, Gasior T, Jamal W, Januzzi JL, Jeong MH, Lopatin Y, Lopes RD, Merkely B, Martinez-Traba M, Parikh PB, Parkhomenko A, Ponikowski P, Rossello X, Schou M, Simic D, Steg PG, Szachniewicz J, van der Meer P, Vinereanu D, Zieroth S, Brueckmann M, Sumin M, Bhatt DL, Hernandez AF, Butler J. Left Ventricular Function, Congestion, and Effect of Empagliflozin on Heart Failure Risk After Myocardial Infarction. J Am Coll Cardiol. 2024 Jun 11;83(23):2233-2246. doi: 10.1016/j.jacc.2024.03.405. Epub 2024 Apr 6.
- Derived from this study: PubMed 38587237Butler J, Jones WS, Udell JA, Anker SD, Petrie MC, Harrington J, Mattheus M, Zwiener I, Amir O, Bahit MC, Bauersachs J, Bayes-Genis A, Chen Y, Chopra VK, Figtree G, Ge J, Goodman SG, Gotcheva N, Goto S, Gasior T, Jamal W, Januzzi JL, Jeong MH, Lopatin Y, Lopes RD, Merkely B, Parikh PB, Parkhomenko A, Ponikowski P, Rossello X, Schou M, Simic D, Steg PG, Szachniewicz J, van der Meer P, Vinereanu D, Zieroth S, Brueckmann M, Sumin M, Bhatt DL, Hernandez AF. Empagliflozin after Acute Myocardial Infarction. N Engl J Med. 2024 Apr 25;390(16):1455-1466. doi: 10.1056/NEJMoa2314051. Epub 2024 Apr 6.
- Derived from this study: PubMed 38581389Hernandez AF, Udell JA, Jones WS, Anker SD, Petrie MC, Harrington J, Mattheus M, Seide S, Zwiener I, Amir O, Bahit MC, Bauersachs J, Bayes-Genis A, Chen Y, Chopra VK, A Figtree G, Ge J, G Goodman S, Gotcheva N, Goto S, Gasior T, Jamal W, Januzzi JL, Jeong MH, Lopatin Y, Lopes RD, Merkely B, Parikh PB, Parkhomenko A, Ponikowski P, Rossello X, Schou M, Simic D, Steg PG, Szachniewicz J, van der Meer P, Vinereanu D, Zieroth S, Brueckmann M, Sumin M, Bhatt DL, Butler J. Effect of Empagliflozin on Heart Failure Outcomes After Acute Myocardial Infarction: Insights From the EMPACT-MI Trial. Circulation. 2024 May 21;149(21):1627-1638. doi: 10.1161/CIRCULATIONAHA.124.069217. Epub 2024 Apr 6.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.
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Stroke Recurrence, Myocardial Infarction
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Routine Versus Provisional Distal Perfusion Catheter Placement in Patients Undergoing Mechanical Circulatory Support
Cardiogenic Shock, Acute Myocardial Infarction of Inferior Wall
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Optimal Timing of Staged Complete Revascularization in STEMI With Multivessel Disease (OPTION-STEMI2)
Myocardial Infarction (MI)
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Pilot Study to Determine the Optimal Protocol for Preoperative Transcutaneous Vagal Neurostimulation
Atrial Fibrillation (AF), Cerebral Vascular Accident (CVA)
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.
439 sites in 22 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 Myocardial Infarction, run by Boehringer Ingelheim at 439 sites in 22 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 21 inclusion and 8 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 7 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 439 sites in United States, Japan, Canada, Brazil, Netherlands and 17 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. Some participants in this study may receive a placebo. 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 7 Jan 2025). 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?
Composite of Time to First Heart Failure Hospitalisation or All-cause Mortality (time frame: From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.). 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 NCT04509674, 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 7 Jan 2025.