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
Sponsors and collaborators
Imperial College London
Lead sponsor
Royal Brompton & Harefield NHS Foundation Trust
Collaborator