SGLT2 Inhibitors in Patients With ADHF During Ventilator Weaning

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age20+
SponsorNational Taiwan University Hospital

About this trial

This study will explore the potential benefits of sodium-glucose cotransporter 2 (SGLT2) inhibitors in preventing cardiac ischemia and cardiopulmonary edema in patients with acute decompensated heart failure during weaning from ventilators.

Eligibility criteria

Qualifiers

Patients aged ≥20 years

Currently hospitalized for the primary diagnosis of acute HF (de novo or decompensated chronic HF) in HFrEF patients (LVEF≤40%)

Patients were intubated for at least 24 hour with ventilator settings allowing to initiate the weaning process [SpO2 > 90% or PaO2/FiO2 ≥ 150 mmHg with a fraction of inspired oxygen (FiO2) ≤ 40% and a positive end-expiratory pressure (PEEP) ≤ 8 cmH2O].

Disqualifiers

Decision to withdraw life support

Cardiogenic shock

Hospitalization for HF (HHF) triggered by acute myocardial infarction (AMI) or pulmonary embolism

Planned or previous (within 30 days) cardiovascular revascularization or major cardiac surgery/intervention/device implantation

Trial design

Treatments tested in this trial

  • SGLT2 inhibitor

Treatment groups

450 Participants
are divided into 3 treatment groups