Therapy to Maintain Remission in Dilated Cardiomyopathy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-85
SponsorImperial College London

About this trial

One third of patients diagnosed with heart failure demonstrate left ventricular reverse remodelling and recovery of cardiac function following a period of medical therapy. The TRED-HF trial investigated the impact of therapy withdrawal in this cohort and found that 40% of patients relapsed within 6 months of stopping treatment. In this follow-on study, the investigators will investigate the safety of therapy withdrawal of sodium cotransporter 2 inhibitors (SGLT2i) and mineralocorticord receptor anatagonists (MRAs) in patients with a previous diagnosis of heart failure and recovered cardiac function, in a randomised controlled trial to assess whether this maintains remission in this population.

Eligibility criteria

Qualifiers

a diagnosis of dilated cardiomyopathy,

previous left ventricular ejection fraction (LVEF) <40% (on echocardiography or cardiovascular magnetic resonance [CMR]),

current LVEF >50% with normal left ventricular end-diastolic volume (LVEDV),

plasma NT-pro-BNP<250ng/L,

Disqualifiers

Atrial fibrillation,

prior sustained ventricular tachycardia or fibrillation,

a known likely pathogenic or pathogenic variant in LMNA/DSP/FLNC/RBM20,

sudden cardiac or heart failure death in a first degree relative <50 years,

Trial design

Treatments tested in this trial

  • Other

Treatment groups

50 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Imperial College London

Lead sponsor

Royal Brompton & Harefield NHS Foundation Trust

Collaborator