ClinicalTrials.gg
RecruitingNCT07240844EMPACTUpdated Jun 18, 2026

Enavogliflozin for the Management of Patients With Amyloid CardiomyopaThy

A Phase 4 interventional study of Enavogliflozin 0.3mg and Placebo in Amyloid Cardiomyopathy, sponsored by Seoul St. Mary's Hospital. Recruiting at 2 sites in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-06-18.

Sponsored by Seoul St. Mary's Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2026; still recruiting 10 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Where this study stands

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

Among 10 studies in Amyloid Neuropathies, Familial with a site in Korea, Republic of — 4 open to participants now, 5 under way, 2 of them phase 3. Amyloid Neuropathies, Familial · Korea, Republic of.

Started
2026
with 1 other
Phase 4
Only one
of the 10
Registered
9th of 10
by date
Lead sponsor
1 of 10
Seoul St. Mary's Hospital

Among the 10 studies in Amyloid Neuropathies, Familial with a site in Korea, Republic of, this one is one of 2 that started in 2026, is the only one in phase 4, and was the 9th registered.

Amyloid Neuropathies, Familial

188 studies on the registry are indexed under Amyloid Neuropathies, Familial; 94 are open to participants now.

This study's planned enrollment of 68 is above the median of 54 across 90 interventional studies indexed under Amyloid Neuropathies, Familial.

Browse Amyloid Neuropathies, Familial studies →

Open to participants now

4 of the 10 studies in Amyloid Neuropathies, Familial with a site in Korea, Republic of are open now.

All 4 open studies →

A study can be open while its sites in Korea, Republic of have not opened yet or have stopped. Only those recruiting at a site in Korea, Republic of →

Who these studies take

Of the 69 Amyloid Neuropathies, Familial studies recruiting now, 53 (77%) set no upper age limit and 1 (1%) stop at 75 or younger; 7 take children under 18; 9 take healthy volunteers.

This study: 19 Years and older · 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 10 studies in Amyloid Neuropathies, Familial with a site in Korea, Republic of, or all of them as a file.
02

Study summary

This study aims to evaluate the safety and effectiveness of Enavogliflozin 0.3 mg, an SGLT2 inhibitor, in patients with amyloid cardiomyopathy. Participants will take both the study drug and a placebo in two separate periods, with a wash-out period in between. The goal is to determine whether Enavogliflozin is safe and effective for treating amyloid cardiomyopathy.

Read the detailed description

Patients with a confirmed diagnosis of cardiac amyloidosis and symptomatic heart failure (NYHA class II-III) will be recruited.

Participants will be randomized to receive either the study drug or placebo and will undergo baseline and 12-week assessments, including the Kansas City Cardiomyopathy Questionnaire (KCCQ), 6-minute walk test, and cardiopulmonary exercise testing. Following a 4-week washout period, participants will cross over to the alternate treatment arm (study drug or placebo) and repeat the same assessments at baseline and 12 weeks.

The primary endpoint will be the change in KCCQ Clinical Summary Score (KCCQ-CSS).

03

Conditions studied

  • Amyloid Cardiomyopathy

Keywords

  • Amyloid Cardiomyopathy
  • Enavogliflozin
  • Sodium-Glucose Cotransporter 2 Inhibitor
04

Who can participate

Ages eligible
19 Years and older
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. Adults aged 19 years or older
  2. Diagnosed with amyloid cardiomyopathy confirmed by cardiac or non-invasive imaging
  3. Presence of heart failure symptoms corresponding to functional class II-III
  4. Patients on stable oral diuretic use, without dose changes exceeding 50% of the previous dose, for at least 2 weeks prior to study enrollment
  5. Ambulatory (able to walk)
  6. Able to provide written for study participation

Exclusion criteria

Exclusion Criteria:

  1. Pregnant or breastfeeding women
  2. Active infection
  3. Major cardiovascular events (e.g., myocardial infarction, stroke) within the past 6 months
  4. Scheduled for coronary revascularization, CRT-D implantation, atrial flutter/fibrillation ablation, or valve surgery
  5. History of heart transplantation
  6. Estimated (eGFR) \< 60 ml/min/1.73 m² (calculated by CKD-EPI formula)
  7. No history of cancer within the past 5 years at screening (except borderline cancers without recurrence for 2-3 years; multiple myeloma with cardiac involvement is classified as cardiac amyloidosis and is exempt)
  8. Heart failure primarily caused by severe left sided valvular disease or ischemic heart disease (except if valvular disease is corrected)
  9. Type 1 diabetes mellitus or insulin-dependent diabetes
  10. History of ketoacidosis, complicated urinary or genital infections, or kidney stones
  11. Systolic blood pressure \< 80 mmHg or symptomatic hypotension
  12. Major surgery within 90 days prior to enrollment
  13. Known or allergic reaction to the study drug or its components
  14. Moderate to severe liver impairment
  15. Chronic alcohol or substance abuse
  16. Residing in long-term care facilities (e.g., nursing homes)
  17. Unable to understand or comply with study drug, procedures, or follow-up, or who are deemed by the investigator to be unlikely to complete the study
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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
68 participants (estimated)

Study arms

  • Experimental
    Enavogliflozin

    Administer Enavogliflozin 0.3 mg

    Drug: Enavogliflozin 0.3mg

  • Placebo comparator
    Placebo

    Administer placebo

    Drug: Placebo

Interventions

  • Participants will receive Enavogliflozin 0.3 mg orally once daily for 12 weeks. The drug is administered in tablet form and is taken during the first or second treatment period of a crossover design.

  • DrugPlacebo

    Participants will receive placebo orally once daily for 12 weeks. The drug is administered in tablet form and is taken during the first or second treatment period of a crossover design.

06

What researchers measure

Primary outcomes

  1. Change in KCCQ-CSS from baseline to Week 12

    Change in the Clinical Summary Score of the Kansas City Cardiomyopathy Questionnaire (KCCQ-CSS) from baseline to 12 weeks after treatment initiation. The KCCQ-CSS is a patient-reported outcome measure that assesses symptom frequency and physical limitation in patients with heart failure. Scores range from 0 to 100, with higher scores indicating better symptom status and physical function (i.e., better health status). A higher change from baseline reflects an improvement in clinical status.

    Time frame: Baseline and Week 12

Secondary outcomes

  1. Change in 6-Minute Walk Distance

    Change in distance walked in 6 minutes from baseline to Week 12. Higher distance indicates better exercise capacity.

    Time frame: Baseline and Week 12

  2. Change in log-transformed NT-proBNP levels

    Change in log-transformed NT-proBNP levels after 12 weeks of treatment compared to baseline

    Time frame: Baseline and Week 12

  3. Change in Body Weight

    Change in body weight in kilograms from baseline to Week 12

    Time frame: Baseline and Week 12

  4. Change in Body Fat Percentage

    Change in body fat percentage from baseline to Week 12

    Time frame: Baseline and Week 12

  5. Change in Extracellular Water Ratio

    Change in the ratio of extracellular water to total body water from baseline to Week 12

    Time frame: Baseline and Week 12

  6. Incidence of Worsening Heart Failure Events or Death

    Occurrence of worsening heart failure events (defined as emergency outpatient visit or unplanned hospitalization due to heart failure) or death

    Time frame: From baseline to Week 12 during each treatment period (excluding the 4-week washout period)

Other outcomes

  1. Change in maximal oxygen consumption (VO₂ max)

    Change in VO₂ max measured by cardiopulmonary exercise testing (CPET) from baseline to Week 12. Higher values indicate better cardiorespiratory fitness.

    Time frame: Baseline and Week 12

07

Study locations

2 of 2 sites recruiting
08

References and documents

Publications

  • Porcari A, Cappelli F, Nitsche C, Tomasoni D, Sinigiani G, Longhi S, Bordignon L, Masri A, Serenelli M, Urey M, Musumeci B, Cipriani A, Canepa M, Badr-Eslam R, Kronberger C, Chimenti C, Zampieri M, Allegro V, Razvi Y, Patel R, Ioannou A, Rauf MU, Petrie A, Whelan C, Emdin M, Metra M, Merlo M, Sinagra G, Hawkins PN, Solomon SD, Gillmore JD, Fontana M. SGLT2 Inhibitor Therapy in Patients With Transthyretin Amyloid Cardiomyopathy. J Am Coll Cardiol. 2024 Jun 18;83(24):2411-2422. doi: 10.1016/j.jacc.2024.03.429. PubMed 38866445 ↗
  • Packer M, Butler J, Zeller C, Pocock SJ, Brueckmann M, Ferreira JP, Filippatos G, Usman MS, Zannad F, Anker SD. Blinded Withdrawal of Long-Term Randomized Treatment With Empagliflozin or Placebo in Patients With Heart Failure. Circulation. 2023 Sep 26;148(13):1011-1022. doi: 10.1161/CIRCULATIONAHA.123.065748. Epub 2023 Aug 24. PubMed 37621153 ↗

Individual participant data

Plan to share: Yes — After publication of first manuscript and trial results, the de-identified data will be shared by permission of principle investigator, when asked.

Supporting information: Study protocol, Clinical study report

Time frame: After publication of first manuscript and trial results, the de-identified data will be shared by permission of principle investigator, when asked.

Access criteria: After publication of first manuscript and trial results, the de-identified data will be shared by permission of principle investigator, when asked.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2026 (actual). Primary completion is estimated for Apr 2027, 15 months after the start.

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

Registered
Sep 28, 2025
First posted
Nov 21, 2025
StartActual
Jan 6, 2026
Primary completionEst.
Apr 29, 2027
CompletionEst.
May 31, 2027
Last update
Jun 18, 2026
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 Jun 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07240844
Lead sponsor
Seoul St. Mary's Hospital
Responsible party
Jong-Chan Youn, MD, PhD (Professor, Seoul St. Mary's Hospital) — Principal investigator
First posted
Nov 21, 2025
Start date
Jan 6, 2026
Primary completion
Apr 29, 2027 (estimated)
Completion
May 31, 2027 (estimated)
Last update
Jun 18, 2026

Study contacts

Jong-Chan Youn, MD, PhD
Contact
jong.chan.youn@gmail.com
82-2-3147-9853
Maljoung Ahn, RN
Contact
cmccasc@gmail.com
82-2-3147-9853
Jong-Chan Youn, MD, PhD
principal investigator · Seoul St. Mary's Hospital, The Catholic University of Korea

Oversight

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

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Studies of the drug tested here: Enavogliflozin

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