EMPagliflozin outcomE tRial in Patients With chrOnic heaRt Failure With Reduced Ejection Fraction (EMPEROR-Reduced)

  • Interventional
  • Recruiting
  • NCT03057977
Eligibility Details Visit Clinicaltrials.gov

A Phase III Randomised, Double-blind Trial to Evaluate Efficacy and Safety of Once Daily Empagliflozin 10 mg Compared to Placebo, in Patients With Chronic Heart Failure With Reduced Ejection Fraction (HFrEF)

The aim of the study is to investigate the safety and efficacy of empagliflozin versus placebo on top of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction.


Age Group
18 Years and up

Accepting Healthy Volunteers?

Inclusion criteria:

         - Male or female patient age >= 18 years at screening. For Japan only: Age >= 20 years at screening

         - Patients with chronic HF (Chronic Heart Failure) NYHA (New York Heart Association Classification) class II-IV and reduced EF (Ejection Fraction) (LVEF (Left Ventricular Ejection Fraction) <=40%) and elevated NT-proBNP (N-terminal of the prohormone brain natriuretic peptide)

             - If EF >= 36% to <= 40%: NT-proBNP >= 2500 pg/ml or patients without AF (atrial fibrillation/atrial flutter) and NT-proBNP >= 5000 pg/ml for patients with AF

             - If EF >= 31% to <= 35%: NT-proBNP >= 1000 pg/ml for patients without AF and NT-proBNP >=2000 pg/ml for patients with AF

             - If EF<= 30%: NT-proBNP >= 600 pg/ml for patients without AF and NT-proBNP >=1200 pg/ml for patients with AF

             - EF ≤ 40% and hospitalization for heart failure in the past 12 months: NTproBNP ≥ 600 pg/ml for patients without AF and NT-proBNP >= 1200 pg/ml for patients with AF

         - Appropriate dose of medical therapy for HF consistent with prevailing local and international CV (Cardiovascular) guidelines, stable for at least 1 week prior to Visit 1

         - Appropriate use of medical devices such as cardioverter defibrillator (ICD) or a cardiac resynchronization therapy (CRT) consistent with prevailing local or international CV guidelines

         - Signed and dated written ICF (Informed Consent Form)

         - Further inclusion criteria apply

        Exclusion criteria:

         - Myocardial infarction, coronary artery bypass graft surgery, or other major cardiovascular surgery, stroke or TIA (Transient Ischaemic Attack) in past 90 days prior to Visit 1

         - Heart transplant recipient, or listed for heart transplant

         - Acute decompensated HF

         - Systolic blood pressure (SBP) >= 180 mmHg at Visit 2.

         - Symptomatic hypotension and/or a SBP < 100 mmHg

         - Indication of liver disease

         - Impaired renal function, defined as eGFR (Estimated Glomerular Filtration Rate) < 20 mL/min/1.73 m2 (CKD-EPI (Chronic Kidney Disease - Epidemiology Collaboration Equation)) or requiring dialysis

         - History of ketoacidosis

         - Current use or prior use of a SGLT (Sodium-glucose co-transporter)-2 inhibitor or combined SGLT-1 and 2 inhibitor

         - Currently enrolled in another investigational device or drug study

         - Known allergy or hypersensitivity to empagliflozin or other SGLT-2 inhibitors

         - Women who are pregnant, nursing, or who plan to become pregnant while in the trial

         - Further exclusion criteria apply

At a Glance

National Government IDNCT03057977


Lead SponsorBoehringer Ingelheim

Lead PhysicianGene Kim


18 Years and up