Pulmonary arterial hypertension. Primary pulmonary hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age > or = 18 PAH, class of 1 & 4 based on guideline In the case of group 4 PH, the patient should not be candidate for endarterectomy or balloon angioplasty during project NYHA Functional Class >1 Clinically stable patients on pulmonary vasodilator treatment and treatment duration of at least four weeks. Clinical stability defined as stable symptoms without progression as assessed by treating clinician and without the need for unplanned hospital admissions due to worsening PAH within three months of screening. Literacy Informed consent
Exclusion criteria
Exclusion criteria: Allergy to SGLT2i treatment with SGLT2i in last 6 months PAH 2, 3, 5 eGFR <30 Severe liver dysfunction (Child-Pugh Class C) Lung transplant candidate Type 1 diabetes Severe Urinary or vaginal infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pro- Brain natriuretic peptide (Pro-BNP). Timepoint: First day, 3 months later at the randomization time. Method of measurement: Laboratory data (Blood Sample). | — |
Secondary
| Measure | Time frame |
|---|---|
| The 6-minute walk test (6MWT) test. Timepoint: First day, 3 months later at the randomization time. Method of measurement: Treadmill.;New York Heart Association (NYHA) functional class. Timepoint: First day, 3 months later at the randomization time. Method of measurement: Taking History approved by physician.;Health Related Quality of Life. Timepoint: First day, 3 months later at the randomization time. Method of measurement: EmPHasis-10 Health Related Quality of life questionnaire.;Pulmonary arterial pressure (PAP). Timepoint: First day, 3 months later at the randomization time. Method of measurement: Echocardiography.;Tricuspid annular plane systolic excursion (TAPSE). Timepoint: First day, 3 months later at the randomization time. Method of measurement: Echocardiography.;Tricuspid annular plane systolic excursion (TAPSE) / Pulmonary arterial pressure (PAP). Timepoint: First day, 3 months later at the randomization time. Method of measurement: Echocardiography.;Right ventricle (RV) Size. Timepoint: First day, 3 months later at the randomization time. Method of measurement: Echocardiography.;Pericardial effusion. Timepoint: First day, 3 months later at the randomization time. Method of measurement: Echocardiography. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahid Beheshti University of Medical Sciences