Stable AnginaNCT05911724
Association Between Inflammatory Biomarkers in CVD Patients on Empagliflozin.
An observational study of Stable Angina and Heart Failure, run by Damanhour University at 1 site in Egypt.
Trial summary
The association of novel inflammatory biomarkers with cardiovascular diseases is still obscure. The present study aimed to investigate the relationship of various inflammatory biomarkers with the existence as well as the extent of heart failure (HF) and coronary artery disease (CAD), suggesting a link between… Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Stable Angina, Heart Failure
- What is being tested?
- Group I Healthy, CAD-Empagliflozin 10 mg once daily for 6 months before the beginning of the study and HF-Empagliflozin 10 mg once daily for 6 months before the beginning of the study
- How many people
- 180 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Mar 2023to 30 Sep 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Group I: 60 Healthy Subjects. Group II: 60 Patients with Stable Angina (asyptomatic CAD), on empagliflozin 10 mg once daily for 6 months before the beginning of the study. Group III: 60 Patients with Heart Failure, on empagliflozin 10 mg once daily for 6 months before the beginning of the study.
Who may be able to join
- Either sex, aged 18 years or older.
- new-onset AHF or acute decompensation of chronic HF,
- CAD (including previous myocardial infarction, previous percutaneous or surgical coronary revascularization, or angiographic evidence that one or more major coronary arteries had narrowed by 50% or more).
- On empagliflozin 10 mg once daily for 6 months before the beginning of the study.
Who cannot join
- severe liver/
- kidney dysfunction;
- severe systemic disease (such as the diseases of respiratory system/ digestive system/ nervous system etc.);
- malignant tumor;
- acute/ chronic infectious diseases;
- autoimmune disease or connective tissue disease;
- major trauma or surgical operation over the past three months.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Diagnostic and Prognostic Roles of Inflammatory Biomarkers in Coronary Heart Disease and Heart Failure Patients Treated With Empagliflozin.
The association of novel inflammatory biomarkers with cardiovascular diseases is still obscure. The present study aimed to investigate the relationship of various inflammatory biomarkers with the existence as well as the extent of heart failure (HF) and coronary artery disease (CAD), suggesting a link between inflammation and cardiovascular diseases and all-cause 30- and -90 day of hospital readmission. Methods: We enrolled a total of 120 patients with HF, asymptomatic CAD and 60 healthy controls (HC) without cardiovascular diseases.
Read the detailed description
- The present study aimed to investigate the relationship of various inflammatory biomarkers with the existence as well as the extent of heart failure (HF) and coronary artery disease (CAD), suggesting a link between inflammation and cardiovascular diseases and all-cause 30- and -90 day of hospital readmission in patients on empagliflozin 10 mg once daily for 6 months before the beginning of the study.
- We enrolled a total of 60 patients with HF, 60 asymptomatic CAD patients and 60 healthy controls (HC) without cardiovascular diseases.
Group I: 60 Healthy Subjects. Group II: 60 Patients with Stable Angina (asymptomatic CAD). Group III: 60 Patients with Heart Failure.
- Clinical parameters, glycemic and lipid profile, vaspin, visfatin, high-sensitivity C-reactive protein, sortilin, homocysteine, troponin I, fetuin A and lipoprotein A levels were assayed.
- Patients will be followed up to assess all-cause 30- and -90 day of hospital readmission.
- Conditions
- Stable Angina, Heart Failure
- Being tested
- Group I Healthy, CAD-Empagliflozin 10 mg once daily for 6 months before the beginning of the study, HF-Empagliflozin 10 mg once daily for 6 months before the beginning of the study
- Keywords
- vaspin, visfatin, lipoprotein A, high-sensitivity C-reactive protein, sortilin, homocysteine, troponin I, fetuin A
- Medical subject headings
- Angina, Stable, Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Group I HealthyOther
Healthy Subjects
CAD-Empagliflozin 10 mg once daily for 6 months before the beginning of the studyDrug
Also called Empa- CAD
Group II: Stable Angina Patients
HF-Empagliflozin 10 mg once daily for 6 months before the beginning of the studyDrug
Also called Empa-HF
Group III: Heart Failure Patients
| Study group | Role | What they receive |
|---|---|---|
| Group I | 60 Healthy Subjects. Receives: Other: Group I Healthy | |
| Group II | 60 Patients with Stable Angina on empagliflozin 10 mg once daily for 6 months before the beginning of the study. Receives: Drug: CAD-Empagliflozin 10 mg once daily for 6 months before the beginning of the study | |
| Group III | 60 Patients with Heart Failure on empagliflozin 10 mg once daily for 6 months before the beginning of the study. Receives: Drug: HF-Empagliflozin 10 mg once daily for 6 months before the beginning of the study |
What is being measured
The primary outcome is the main question the study is designed to answer.
All Cause 30 day hosptial admission
Number of patients admited to hospital during 1 month.
Measured: 1 month
All Cause 90 day hosptial admission
Number of patients admited to hospital during 3 month.
Measured: 3 months
vaspin (ng/ml)
vaspin blood concentration
Measured: 1 month
visfatin (ng/ml)
visfatin blood concentration
Measured: 1 month
Sortillin (pg/ml)
Sortillin blood concentration
Measured: 1 month
Homocystien(umol/L)
Homocystien blood concentration
Measured: 1 Month
Troponin.I (ng/ml)
Troponin.I blood concentration
Measured: 1 Month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2023
- Study start1 Mar 2023
- Primary completion20 Sep 2024
- Study completion30 Sep 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Stable AnginaStudies of the same condition, open and under way.
- 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
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 180 participants (actual)
Sponsor and investigators
- Lead sponsor
- Damanhour University
- Sponsor type
- University, hospital or other
- Collaborators
- Tanta University
- Responsible party
- Principal investigator, Rehab Werida, Damanhour University
- Investigators
- Ibtsam Khairat, Ass. Prof., Study director, Tanta UniversityAhmed A. El-Sherbeni, Lecturer, Principal investigator, Tanta University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05911724
- Sponsor's protocol ID
- inflammatory biomarkers in CVD
- Status last verified
- Jan 2025
- First submitted
- 10 Jun 2023
- Last updated
- 7 Jan 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Konig P, Mayer O, Bruthans J, Seidlerova J, Materankova M, Gelzinsky J, Rychecka M, Karnosova P, Wohlfahrt P, Cifkova R, Filipovsky J. The prognostic importance of subclinical heart failure in stable coronary heart disease patients. Acta Cardiol. 2020 Aug;75(4):329-336. doi: 10.1080/00015385.2019.1590958. Epub 2019 Apr 3.
PubMed 30942129Eisen A, Benderly M, Behar S, Goldbourt U, Haim M. Inflammation and future risk of symptomatic heart failure in patients with stable coronary artery disease. Am Heart J. 2014 May;167(5):707-14. doi: 10.1016/j.ahj.2014.01.008. Epub 2014 Feb 22.
PubMed 24766981Held C, White HD, Stewart RAH, Budaj A, Cannon CP, Hochman JS, Koenig W, Siegbahn A, Steg PG, Soffer J, Weaver WD, Ostlund O, Wallentin L; STABILITY Investigators. Inflammatory Biomarkers Interleukin-6 and C-Reactive Protein and Outcomes in Stable Coronary Heart Disease: Experiences From the STABILITY (Stabilization of Atherosclerotic Plaque by Initiation of Darapladib Therapy) Trial. J Am Heart Assoc. 2017 Oct 24;6(10):e005077. doi: 10.1161/JAHA.116.005077.
PubMed 29066452Papaioannou V, Pneumatikos I, Maglaveras N. Association of heart rate variability and inflammatory response in patients with cardiovascular diseases: current strengths and limitations. Front Physiol. 2013 Jul 10;4:174. doi: 10.3389/fphys.2013.00174. eCollection 2013.
PubMed 23847549Williams ES, Shah SJ, Ali S, Na BY, Schiller NB, Whooley MA. C-reactive protein, diastolic dysfunction, and risk of heart failure in patients with coronary disease: Heart and Soul Study. Eur J Heart Fail. 2008 Jan;10(1):63-9. doi: 10.1016/j.ejheart.2007.11.003. Epub 2007 Dec 21.
PubMed 18160340El-Sherbeni AA, Khedr NF, Khairat I, Werida RH. Diagnostic and Prognostic Roles of Inflammatory Biomarkers in Patients With Coronary Heart Disease and Heart Failure Treated With Empagliflozin. Clin Ther. 2025 Aug;47(8):e1-e11. doi: 10.1016/j.clinthera.2025.04.019. Epub 2025 May 24.
PubMed 40413121
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
- Diagnostic and Prognostic Roles of Inflammatory Biomarkers in Coronary Heart Disease and Heart Failure Patients Treated With Empagliflozin.
- ClinicalTrials.gov ID
- NCT05911724
- Acronym / sponsor ID
- inflammatory biomarkers in CVD
- Conditions
- Stable Angina, Heart Failure
- Keywords
- vaspin, visfatin, lipoprotein A, high-sensitivity C-reactive protein, sortilin, homocysteine, troponin I, fetuin A
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 180 participants (actual)
- Lead sponsor
- Damanhour UniversityUniversity, hospital or other
- Collaborators
- Tanta University
- Study start
- 1 Mar 2023 (actual)
- Primary completion
- 20 Sep 2024 (actual)
- Study completion
- 30 Sep 2024 (actual)
- First posted
- 22 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The association of novel inflammatory biomarkers with cardiovascular diseases is still obscure. The present study aimed to investigate the relationship of various inflammatory biomarkers with the existence as well as the extent of heart failure (HF) and coronary artery disease (CAD), suggesting a link between inflammation and cardiovascular diseases and all-cause 30- and -90 day of hospital readmission. Methods: We enrolled a total of 120 patients with HF, asymptomatic CAD and 60 healthy controls (HC) without cardiovascular diseases.
Detailed description
- The present study aimed to investigate the relationship of various inflammatory biomarkers with the existence as well as the extent of heart failure (HF) and coronary artery disease (CAD), suggesting a link between inflammation and cardiovascular diseases and all-cause 30- and -90 day of hospital readmission in patients on empagliflozin 10 mg once daily for 6 months before the beginning of the study.
- We enrolled a total of 60 patients with HF, 60 asymptomatic CAD patients and 60 healthy controls (HC) without cardiovascular diseases.
Group I: 60 Healthy Subjects. Group II: 60 Patients with Stable Angina (asymptomatic CAD). Group III: 60 Patients with Heart Failure.
- Clinical parameters, glycemic and lipid profile, vaspin, visfatin, high-sensitivity C-reactive protein, sortilin, homocysteine, troponin I, fetuin A and lipoprotein A levels were assayed.
- Patients will be followed up to assess all-cause 30- and -90 day of hospital readmission.
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Group I | – | Other: Group I Healthy60 Healthy Subjects. |
| Group II | – | Drug: CAD-Empagliflozin 10 mg once daily for 6 months before the beginning of the study60 Patients with Stable Angina on empagliflozin 10 mg once daily for 6 months before the beginning of the study. |
| Group III | – | Drug: HF-Empagliflozin 10 mg once daily for 6 months before the beginning of the study60 Patients with Heart Failure on empagliflozin 10 mg once daily for 6 months before the beginning of the study. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Group I: 60 Healthy Subjects. Group II: 60 Patients with Stable Angina (asyptomatic CAD), on empagliflozin 10 mg once daily for 6 months before the beginning of the study. Group III: 60 Patients with Heart Failure, on empagliflozin 10 mg once daily for 6 months before the beginning of the study.
Key inclusion criteria (4 listed)
- Either sex, aged 18 years or older.
- new-onset AHF or acute decompensation of chronic HF,
- CAD (including previous myocardial infarction, previous percutaneous or surgical coronary revascularization, or angiographic evidence that one or more major coronary arteries had narrowed by 50% or more).
- On empagliflozin 10 mg once daily for 6 months before the beginning of the study.
Key exclusion criteria (7 listed)
- severe liver/
- kidney dysfunction;
- severe systemic disease (such as the diseases of respiratory system/ digestive system/ nervous system etc.);
- malignant tumor;
- acute/ chronic infectious diseases;
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 |
|---|---|---|
| Group I HealthyHealthy Subjects | Other | Group I |
| CAD-Empagliflozin 10 mg once daily for 6 months before the beginning of the studyAlso: Empa- CADGroup II: Stable Angina Patients | Drug | Group II |
| HF-Empagliflozin 10 mg once daily for 6 months before the beginning of the studyAlso: Empa-HFGroup III: Heart Failure Patients | Drug | Group III |
Primary outcome
All Cause 30 day hosptial admission
Time frame: 1 month
Number of patients admited to hospital during 1 month.
All Cause 90 day hosptial admission
Time frame: 3 months
Number of patients admited to hospital during 3 month.
vaspin (ng/ml)
Time frame: 1 month
vaspin blood concentration
visfatin (ng/ml)
Time frame: 1 month
visfatin blood concentration
Sortillin (pg/ml)
Time frame: 1 month
Sortillin blood concentration
Homocystien(umol/L)
Time frame: 1 Month
Homocystien blood concentration
Troponin.I (ng/ml)
Time frame: 1 Month
Troponin.I blood concentration
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2025.
- Background: PubMed 30942129Konig P, Mayer O, Bruthans J, Seidlerova J, Materankova M, Gelzinsky J, Rychecka M, Karnosova P, Wohlfahrt P, Cifkova R, Filipovsky J. The prognostic importance of subclinical heart failure in stable coronary heart disease patients. Acta Cardiol. 2020 Aug;75(4):329-336. doi: 10.1080/00015385.2019.1590958. Epub 2019 Apr 3.
- Background: PubMed 24766981Eisen A, Benderly M, Behar S, Goldbourt U, Haim M. Inflammation and future risk of symptomatic heart failure in patients with stable coronary artery disease. Am Heart J. 2014 May;167(5):707-14. doi: 10.1016/j.ahj.2014.01.008. Epub 2014 Feb 22.
- Background: PubMed 29066452Held C, White HD, Stewart RAH, Budaj A, Cannon CP, Hochman JS, Koenig W, Siegbahn A, Steg PG, Soffer J, Weaver WD, Ostlund O, Wallentin L; STABILITY Investigators. Inflammatory Biomarkers Interleukin-6 and C-Reactive Protein and Outcomes in Stable Coronary Heart Disease: Experiences From the STABILITY (Stabilization of Atherosclerotic Plaque by Initiation of Darapladib Therapy) Trial. J Am Heart Assoc. 2017 Oct 24;6(10):e005077. doi: 10.1161/JAHA.116.005077.
- Background: PubMed 23847549Papaioannou V, Pneumatikos I, Maglaveras N. Association of heart rate variability and inflammatory response in patients with cardiovascular diseases: current strengths and limitations. Front Physiol. 2013 Jul 10;4:174. doi: 10.3389/fphys.2013.00174. eCollection 2013.
- Background: PubMed 18160340Williams ES, Shah SJ, Ali S, Na BY, Schiller NB, Whooley MA. C-reactive protein, diastolic dysfunction, and risk of heart failure in patients with coronary disease: Heart and Soul Study. Eur J Heart Fail. 2008 Jan;10(1):63-9. doi: 10.1016/j.ejheart.2007.11.003. Epub 2007 Dec 21.
- Derived from this study: PubMed 40413121El-Sherbeni AA, Khedr NF, Khairat I, Werida RH. Diagnostic and Prognostic Roles of Inflammatory Biomarkers in Patients With Coronary Heart Disease and Heart Failure Treated With Empagliflozin. Clin Ther. 2025 Aug;47(8):e1-e11. doi: 10.1016/j.clinthera.2025.04.019. Epub 2025 May 24.
- Individual participant dataSharing planned: No
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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.
Ibtsam Khairat, Ass. Prof. study director
Tanta University
Ahmed A. El-Sherbeni, Lecturer principal investigator
Tanta University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Stable Angina and Heart Failure, run by Damanhour University at 1 site in Egypt.
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 4 inclusion and 7 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 1 site in Egypt. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
All Cause 30 day hosptial admission (time frame: 1 month). The study lists 7 primary outcomes in all. 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 NCT05911724, which also lists 6 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.