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Not yet recruitingNCT07883512EMBRACEUpdated Oct 20, 2026

EMBRACE (EMPA in BReast Cancer for Activity and Cardiac ProtEction)

A Phase 2 interventional study of Empagliflozin in Breast Cancer and Supportive Care in Cancer, sponsored by Virginia Commonwealth University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by Virginia Commonwealth University · Phase 2, Interventional, and Supportive care

Updated Oct 20, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The primary objective of this pilot study is to evaluate the feasibility and acceptability of a clinical trial protocol investigating 10 mg/day empagliflozin in breast cancer patients receiving anthracycline-based chemotherapy.

Read the detailed description

This is a prospective, single-arm pilot study designed to evaluate the feasibility of treating breast cancer patients receiving potentially cardiotoxic chemotherapy with empagliflozin 10 mg daily to prevent heart failure progression. Participants will undergo study assessments at baseline and again approximately 3 months later. The study will collect clinical, imaging, functional, and biomarker data to inform the design of future, larger clinical trials

02

Conditions studied

  • Breast Cancer
  • Supportive Care in Cancer

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03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's planned enrollment of 10 is below the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Virginia Commonwealth University is the lead sponsor of 648 studies on the registry; 82 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 64 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

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

  • Stage I-III breast cancer (including inflammatory and newly diagnosed, or locally recurrent but not metastatic breast cancer being treated with curative intent)
  • 18-85 years old
  • Scheduled to receive anthracycline based chemotherapy with or without estrogen antagonist aromatase inhibitors (anastrozole [Arimidex], letrozole [Femara], exemestane [Aromasin]).
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 - 2
  • Able to walk at least 2 blocks without chest pain, dyspnea or fainting
  • Participants in other ongoing clinical trials are eligible for this study
  • Participants must be able to speak, read, and understand English sufficiently to provide informed consent and complete all study-related procedures and assessments.

Exclusion criteria

Exclusion Criteria:

  • Uncontrolled hypertension (systolic blood pressure >190 mm Hg or diastolic blood pressure >100 mm Hg)
  • A recent history of alcohol or drug abuse
  • Inflammatory conditions such as lupus or inflammatory bowel disease, or another medical condition that might compromise safety or successful completion
  • Type I diabetes
  • Contraindications to Magnetic resonance imaging (MRI) (example: iron-based metal implants, cerebral aneurysm clip)
  • Current treatment with empagliflozin at the time of screening or enrollment
  • Significant ventricular arrhythmias (PVC) (>20 PVCs/min due to gating difficulty)
  • Atrial fibrillation with uncontrolled ventricular response (>130 bpm)
  • Acute myocardial infarction within 28 days
  • Claustrophobia
  • Pregnancy
  • Those unable to provide informed consent
  • Moving within 6 mos. of enrollment
  • Individuals who are unable to speak, read, or understand English sufficiently to provide informed consent and complete study procedures will be excluded.
05

Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Empagliflozin

    Empagliflozin 10 mg oral tablet

    Drug: Empagliflozin

Interventions

  • Empagliflozin 10 milligrams (mg) taken by mouth once daily.

06

What researchers measure

Primary outcomes

  1. Evaluate the feasibility of investigating 10 mg/day empagliflozin in breast cancer patients receiving anthracycline-based chemotherapy, including participant recruitment

    The number of participants enrolled

    Time frame: Day 1 (Estimated enrollment period of 6 months)

  2. Evaluate the acceptability of a clinical trial protocol investigating 10 mg/day empagliflozin in breast cancer patients receiving anthracycline-based chemotherapy, including medication adherence

    The number of participants that complete the protocol defined intervention and follow-up

    Time frame: 45 Days (+/- a week)

  3. Evaluate the acceptability of a clinical trial protocol investigating 10 mg/day empagliflozin in breast cancer patients receiving anthracycline-based chemotherapy including medication adherence

    The number of participants that adhere to the medication intervention

    Time frame: 45 Days (+/- a week)

  4. Evaluate the safety of 10 mg/day empagliflozin by evaluating medication tolerance

    The number of adverse events related to empagliflozin

    Time frame: Baseline, through 3-month follow-up (45 days following treatment initiation (+/-) one week)

  5. Evaluate the safety of 10 mg/day empagliflozin by evaluating medication safety and tolerance

    Safety and tolerance will also be assessed by the number of participants requiring discontinuation of empagliflozin due to adverse events

    Time frame: Baseline, through 3-month follow-up (45 days following treatment initiation (+/-) one week)

Secondary outcomes

  1. Collect measures of cardiac function, and to assess the variability of these measures to inform sample size calculations and power analyses for future studies.

    Collect preliminary measures of cardiac function, including left ventricular ejection fraction (LVEF). LVEF is the percentage of blood pumped out of the left ventricle with each heartbeat. 55-69%: Normal, 45-54%: Mildly reduced, 30-44%: Moderately reduced, \<30%: Severely reduced

    Time frame: Baseline, and 3-month follow-up (45 days following treatment initiation (+/-) one week)

  2. Collect measures of cardiac function and to assess the variability of these measures to inform sample size calculations and power analyses for future studies.

    Collect preliminary measures of cardiac function, including cardiac output (CO). CO is the total volume of blood pumped by the heart per minute, measured by cardiovascular magnetic resonance imaging (CMR).

    Time frame: Baseline, and 3-month follow-up (45 days following treatment initiation (+/-) one week)

  3. Collect measures of cardiac function, and to assess the variability of these measures to inform sample size calculations and power analyses for future studies.

    Collect preliminary measures of cardiac function, including 6 minute walk distance. The six-minute walk test (6MWT) is a validated, submaximal exercise test that measures the distance a patient can walk on a flat, hard surface in six minutes. The 6MWT evaluates how well the cardiopulmonary, musculoskeletal, and metabolic systems work together during physical activity

    Time frame: Baseline, and 3-month follow-up (45 days following treatment initiation (+/-) one week)

  4. Collect measures inflammatory biomarkers, and circulating ceramides, and to assess the variability of these measures to inform sample size calculations and power analyses for future studies.

    Collect preliminary measures of cardiac function, including collecting blood samples for inflammatory biomarker analyses.

    Time frame: Baseline, and 3-month follow-up (45 days following treatment initiation (+/-) one week)

07

Study locations

1 site
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
08

References and documents

Individual participant data

Plan to share: No — Any datasets shared with other researchers would contain only de-identified data.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2026; primary completion for Sep 2027, 9 months later.

Of 983 non-industry phase 2 interventional studies under Breast Neoplasms, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 85. This study's planned 9 months is below that.

Counting every sponsor, half of 1,201 studies reached it within 49 months; a quarter within 31 and three quarters within 80.

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

Registered
Oct 12, 2026
First posted
Oct 20, 2026
StartEst.
Dec 1, 2026
Primary completionEst.
Sep 30, 2027
CompletionEst.
Sep 30, 2027
Last update
Oct 20, 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.
Registered
First appeared on the registry. No changes since
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07883512
Responsible party
Sponsor
First posted
Oct 20, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Sep 30, 2027 (estimated)
Completion
Sep 30, 2027 (estimated)
Last update
Oct 20, 2026

Study contacts

Pamela Grizzard
Contact
pamela.grizzard@vcuhealth.org
804-628-6234
Elisa Palladino, Ph.D
principal investigator · Virginia Commonwealth University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Empagliflozin

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