ClinicalTrials.gg
Status unknownNCT05241431DAPASUpdated Feb 15, 2022

Effect of Dapagliflozin on Myocardial and Renal Function Following Aortic Valve Stenosis Intervention

A Phase 2/3 interventional study of SGLT2 inhibitor and Placebo in Aortic Stenosis and Left Ventricle Hypertrophied, sponsored by University of Aarhus. Status unknown at 1 site in Denmark. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2022-02-15.

Sponsored by University of Aarhus · Phase 2/3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2/3
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 73 studies in Aortic Valve Stenosis with a site in Denmark — 13 open to participants now, 28 under way, none of them phase 3. Aortic Valve Stenosis · Denmark.

Planned enrollment
27th of 40
106 · median 214
Started
2022
the only one that year
Phase 2/3
Only one
of the 73
Registered
53rd of 73
by date
Lead sponsor
3 of 73
University of Aarhus

Among the 73 studies in Aortic Valve Stenosis with a site in Denmark, this one is the 27th largest by planned enrollment of the 40 interventional ones that give a count, is the only one that started in 2022, is the only one in phase 2/3, and was the 53rd registered.

Aortic Valve Stenosis

1,025 studies on the registry are indexed under Aortic Valve Stenosis; 293 are open to participants now.

This study's planned enrollment of 106 is below the median of 126 across 554 interventional studies indexed under Aortic Valve Stenosis.

Browse Aortic Valve Stenosis studies →

Open to participants now

13 of the 73 studies in Aortic Valve Stenosis with a site in Denmark are open now, in 12 countries. Each count lists the studies.

All 13 open studies →

Who these studies take

Of the 209 Aortic Valve Stenosis studies recruiting now, 163 (78%) set no upper age limit and 9 (4%) stop at 75 or younger; 25 take children under 18; 14 take healthy volunteers.

This study: 18 Years to 85 Years · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 73 studies in Aortic Valve Stenosis with a site in Denmark, or all of them as a file.
02

Study summary

Randomized, double-blinded, placebo-controlled study in AS patients with subclinical or clinical heart failure undergoing treatment with TAVR.

Read the detailed description

This is a randomized, double-blinded, placebo-controlled study in AS patients with subclinical or clinical heart failure undergoing treatment with TAVR. It evaluates the effect of Dapagliflozin versus placebo, given once daily in addition to background standard medical therapy. Patients who are scheduled for TAVR at Aarhus University Hospital (AUH) will be informed about the project and invited to participate if they fulfill the inclusion criteria prior to the TAVR procedure.

Patients will be randomized 1:1 in blocks of 6 patients to either Dapagliflozin 10 mg daily or placebo within 1 months prior to the scheduled TAVR therapy.

The total treatment period is 13 months with 6 scheduled outpatient clinic visits at baseline (before TAVR) and at 1, 3, 6, 9, 12 months after TAVR.

Cardiac magnetic resonance imaging (CMRI) is performed at baseline and 12 months follow-up. Echocardiography is performed at baseline, 1- and 12 months. 24-hour ambulatory blood pressure is measured at baseline and 12-months post-TAVR. Clinical status, HF questionnaire and blood samples will be performed at each visit. Drug accountability and adherence to the protocol is evaluated at each visit.

A sub study in 40 of the included patients (20 treated with Dapagliflozin and 20 placebo) is planned. This will include additional endomyocardial biopsies taken at baseline and 12-months follow-up for high resolution respirometry (mitochondrial function) and electron microscopy (mitochondrial structure and interstitial fibrosis) supplemented by right heart catherization (RHC) for hemodynamic assessment.

03

Conditions studied

  • Aortic Stenosis
  • Left Ventricle Hypertrophied
04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Signed
  2. Scheduled TAVR for significant symptomatic AS according to current guidelines
  3. Age ≥ 18 years and \< 85 years.
  4. *

    • ≥ 40% and ≤ 50 % or LVEF ≥ 50% with at least one of the following:
    • LV GLS ≤ 15% by TTE
    • LV septum or posterior wall thickness ≥ 12mm by TTE or LV mass index ≥108/131 g/m2 for females/males (mild LVH)
    • LVEF ≥ 50 % and Nt-proBNP > 600/900 ng/l (sinus rhythm/atrial fibrillation)
  5. > 30 mL/min/1.73 m2

Exclusion criteria

Exclusion Criteria:

  1. Medically treated type 1 or type 2 diabetes mellitus
  2. Ongoing treatment with an SGLT2-inhibitor or intolerance to SGLT2-inhibitors
  3. \< 12 months
  4. Symptomatic hypotension or persistent SBP \< 100 mmHg
  5. to CMRI
  6. HF due to restrictive or infiltrative cardiomyopathy, active myocarditis, constrictive pericarditis or hypertrophic obstructive cardiomyopathy
  7. Additional other untreated severe valvular disease
  8. Liver failure
  9. Women who are pregnant or plan to be within the study period.
  10. Allergy to any substance in the project medicine, both placebo and active medicine.
  11. Previous renal transplantation.
  12. Chronic dialysis treatment.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
106 participants (estimated)

Study arms

  • Active comparator
    Intervention group

    10 mg (oral) SGLT-2 inhibitor once daily

    Drug: SGLT2 inhibitor

  • Placebo comparator
    Control group

    Placebo tablet encapsulated as the active treatment.

    Drug: Placebo

Interventions

  • 10 mg orally once daily in addition to standard medical treatment.

  • DrugPlacebo

    Placebo tablets similar to active treatment.

06

What researchers measure

Primary outcomes

  1. Composite endpoint of changes in LV mass, systolic function, eGFR, and serum Nt-proBNP

    Changes from baseline to 12 months of follow-up in at least 2 out of 4 well-known parameters is required to reach the primary endpoint: * LVMi (grams) reduction of 10 % point (by CMRI) * LV GLS (percent) absolute increase of 2.0 % point (by TTE) * A decrease in serum Nt-proBNP (ng/L) of more than 25% * Relative increase of 10% in eGFR (ml/min/1.73m\^2) If 2 or more of the 4 outcome measures are reached at 12-months follow-up, the patient has fulfilled the primary end-point.

    Time frame: Baseline assesment to 12-months follow-up post-TAVR

Secondary outcomes

  1. Difference in the change in eGFR

    Difference between active treatment and placebo at 12-months follow-up

    Time frame: baseline to 12-months

  2. Difference in eGFR

    Difference between active treatment and placebo at 12-months follow-up

    Time frame: 12-months

  3. The number of patients with a relative difference of 10 % of myocardial interstitial fibrosis evaluated by the biomarker extracellular volume (ECV) by late enhancement gadolinium by CMR

    Difference between active treatment and placebo.

    Time frame: Baseline to 12-months

  4. The number of patients with a >10% decrease in cardiac fibrosis when assessed by histology and quantified by stereology (sub study)

    Difference between active treatment and placebo.

    Time frame: Baseline to 12-months

  5. The number of patients with an increase in the respiratory control ratio (RCR) by ≥10% measured by High Resolution Respirometry (HRR) (sub study)

    Difference between active treatment and placebo.

    Time frame: Baseline to 12-months

  6. Composite endpoint of worsening HF with hospitalization or urgent outpatient clinical visit due to HF, and all-cause mortality.

    Difference between active treatment and placebo in the incidence rate of hospitalization due to worsening heart failure or urgent clinical visit due to heart failure and all-cause mortality (using dates of the events to assess the incidence rates in the two groups: active treatment and placebo.

    Time frame: 12-months post-TAVR

  7. All-cause mortality

    Difference between active treatment and placebo.

    Time frame: Baseline to 12-months post-TAVR

  8. Worsening HF with hospitalization or urgent outpatient clinical visit due to HF

    Difference between active treatment and placebo.

    Time frame: 12-months post-TAVR

  9. Difference in the change in urinary albumin/creatinine ratio

    Difference between active treatment and placebo.

    Time frame: Baseline to 12-months

  10. Difference in ACR at 12-months follow-up

    Difference between active treatment and placebo.

    Time frame: 12-months follow-up

  11. 24-hour ambulatory blood pressure changes

    Difference between active treatment and placebo in both systolic and diastolic blood pressure.

    Time frame: baseline to 12 months

  12. Change from baseline to 12-months follow-up in the Kansas City Cardiomyopathy questionnaire

    Change from baseline in KCCQ will be reported. The KCCQ is a 23-item, self-administered questionnaire with score range of 0 to 100, and higher scores indicating better health. Difference in score for active treatment vs. placebo.

    Time frame: Baseline to 12-months

  13. Change from baseline to 12-months follow-up in New York Heart Association-class (NYHA)

    The NYHA functional classification categorizes the extent of heart failure by placing subjects in one of four (I, II, III, IV) categories based on how much they are limited during physical activity and symptoms of shortness of breath and/or angina. Shift in NYHA-class between active treatment group and placebo.

    Time frame: baseline to 12-months.

  14. LVMi reduction of 10 % point (by CMRI)

    Difference between active treatment and placebo.

    Time frame: baseline to 12-months.

  15. LV GLS absolute increase of 2.0 % point (by TTE)

    Difference between active treatment and placebo.

    Time frame: Baseline to 12-months follow-up

  16. A decrease in serum Nt-proBNP of more than 25% follow-up

    Difference between active treatment and placebo.

    Time frame: baseline to 12-months follow-up.

  17. Relative increase of 10% in eGFR

    Difference between active treatment and placebo.

    Time frame: Baseline to 12-months follow-up

07

Study locations

1 of 1 sites recruiting
  • Aarhus University Hospital
    Aarhus, 8200, Denmark
    Recruiting
    • Anders Lehmann Dahl Pedersen, MD · Contact
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2022 (actual). Primary completion is estimated for Mar 2024, 24 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 18, 2022
First posted
Feb 15, 2022
StartActual
Feb 12, 2022
Primary completionEst.
Mar 1, 2024
CompletionEst.
Apr 1, 2024
Last update
Feb 15, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 15, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05241431
Responsible party
Sponsor
First posted
Feb 15, 2022
Start date
Feb 12, 2022
Primary completion
Mar 1, 2024 (estimated)
Completion
Apr 1, 2024 (estimated)
Last update
Feb 15, 2022

Study contacts

Anders Lehmann Dahl Pedersen, MD
Contact
anlepe@rm.dk
0045 2785 2009
Steen Hvitfeldt Poulsen
principal investigator · Aarhus University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: SGLT2 inhibitors

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