Clinical trial • Cardiology|Endocrinology|Nephrology

empagliflozin for Cardiac surgery-associated acute kidney injury|Acute kidney injury

Clinical trial of empagliflozin for Cardiac surgery-associated acute kidney injury|Acute kidney injury.

Overview

Trial Therapeutic Area
Cardiology|Endocrinology|Nephrology
Trial Disease
Cardiac surgery-associated acute kidney injury|Acute kidney injury
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
09-12-2024
First CTIS Authorization Date
16-01-2025

Trial design

Microcrystalline cellulose (placebo) film-coated tablet (product name: MICROCRYSTALLINE CELLULOSE). Described as 'Placebo'; each film-coated tablet includes 248.75 mg of microcrystalline cellulose; route oral. No explicit dose/schedule for placebo arm stated in the record (placebo matches Jardiance 10 mg tablets).-controlled trial across 1 site in Spain.

Comparator
Microcrystalline cellulose (placebo) film-coated tablet (product name: MICROCRYSTALLINE CELLULOSE). Described as 'Placebo'; each film-coated tablet includes 248.75 mg of microcrystalline cellulose; route oral. No explicit dose/schedule for placebo arm stated in the record (placebo matches Jardiance 10 mg tablets).
Target Sample Size
608
Trial Duration For Participant
90

Eligibility

Recruits 608 No vulnerable populations selected. Inclusion requires participants be able to understand the aim of the study and provide written informed consent; no assent or paediatric consent procedures are specified (paediatric subjects excluded by age ≥18)..

Pregnancy Exclusion
Pregnant or lactating women
Vulnerable Population
No vulnerable populations selected. Inclusion requires participants be able to understand the aim of the study and provide written informed consent; no assent or paediatric consent procedures are specified (paediatric subjects excluded by age ≥18).

Inclusion criteria

  • {"criterion_text":"- 1) ≥18 years of age\n- 2) Requiring elective cardiac surgery with ECC\n- 3) Able to understand the aim of the study and to provide written informed consent"}

Exclusion criteria

  • {"criterion_text":"- 1) Emergent surgery\n- 2) Endocarditis\n- 3) Patients awaiting heart transplantation\n- 4) Planned use of intra-aortic balloon pump\n- 5) Type 1 diabetes\n- 6) Chronic kidney disease with eGFR <30 mL/min/1.73 m2\n- 7) Severe liver dysfunction (ALT or AST >3 times above the upper limit of normality)\n- 8) Active cancer\n- 9) Active treatment with any SGLT2i\n- 10) Known allergy to empagliflozin, any other SGLT2i or any of its excipients\n- 11) Solid organ transplant recipients\n- 12) Pregnant or lactating women\n- 13) Patients who are participating in another clinical trial"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Composite endpoint of worsening of renal function, defined as a decline in estimated glomerular filtration rate (eGFR) of ≥25%, renal replacement therapy initiation or death during the first 90 days following surgery","definition_or_measurement_approach":"Worsening of renal function defined as a decline in eGFR of ≥25%, initiation of renal replacement therapy, or death during the first 90 days following surgery."}

Recruitment

Planned Sample Size
608
Recruitment Window Months
34
Consent Approach
Participants must provide written informed consent; inclusion criterion: 'Able to understand the aim of the study and to provide written informed consent'. A subject information and informed consent form document is listed ('CEIm CONSENTIMIENTO INFORMADO CON MUESTRAS'). No assent procedures or age-specific consent documents are specified. Language specifics not stated.

Geography

Total Number Of Sites
1
Total Number Of Participants
608

Spain

Earliest CTIS Part Ii Submission Date
03-01-2025
Latest Decision Or Authorization Date
16-01-2025
Processing Time Days
13
Number Of Sites
1
Number Of Participants
608

Sites

Site Name
Hospital Clinico Universitario De Valladolid
Department Name
Nephrology
Principal Investigator Name
Armando Coca
Principal Investigator Email
acoca@saludcastillayleon.es
Contact Person Name
Armando Coca
Contact Person Email
acoca@saludcastillayleon.es

Sponsor

Primary sponsor

Full Name
Hospital Clinico Universitario De Valladolid
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
Jardiance 10 mg film-coated tablets
Active Substance
empagliflozin
Modality
Small molecule
Routes Of Administration
ORAL
Route
Oral
Authorisation Status
Authorised (marketing authorisation EU/1/14/930/014)
Starting Dose
10 mg
Frequency
Once daily (perioperative)
Maximum Dose
10 mg per day
Investigational Product Name
MICROCRYSTALLINE CELLULOSE
Active Substance
microcrystalline cellulose
Modality
Other
Routes Of Administration
ORAL
Route
Oral
Authorisation Status
Placebo (no marketing authorisation number; marketingAuthNumber='-')
Starting Dose
248.75 mg per tablet
Maximum Dose
248.75 mg per tablet