Chronic Heart Failure With Reduced Ejection Fraction (HFrEF)
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Provision of signed informed consent prior to any study specific procedures - Established documented diagnosis of symptomatic HFrEF (NYHA functional class II-IV), which has been present for at least 2 months - LVEF less than 40% - NT-proBNP 600 pg/ml or more - Patients should receive background standard of care for HFrEF - eGFR 30 ml/min/1.73 m2 (CKD-EPI formula) or more at enrolment (visit 1)
Exclusion criteria
Exclusion criteria: - Receiving therapy with an SGLT2 inhibitor within 8 weeks prior to enrolment or previous intolerance of an SGLT2 inhibitor - Type 1 diabetes mellitus - Symptomatic hypotension or systolic BP <95 mmHg - Current acute decompensated HF or hospitalization due to decompensated HF <4 weeks prior to enrolment - MI, unstable angina, stroke or transient ischemic attack within 12 weeks prior to enrolment - Coronary revascularization (percutaneous coronary intervention or coronary artery bypass grafting) or valvular repair/replacement within 12 weeks prior to enrolment or planned to undergo any of these operations after randomization - Implantation of a cardiac CRT within 12 weeks prior to enrolment or intent to implant a CRT device - Previous cardiac transplantation or implantation of a ventricular assistance device or similar device, or implantation expected after randomization - HF due to restrictive cardiomyopathy, active myocarditis, constrictive pericarditis, hypertrophic (obstructive) cardiomyopathy or uncorrected primary valvular disease - Symptomatic bradycardia or second or third degree heart block without a pacemaker - Severe (eGFR <30 mL/min/1.73 m2 by CKD-EPI), unstable or rapidly progressing renal disease at the time of randomization
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| safety efficacy exploratory - | — |
Secondary
| Measure | Time frame |
|---|---|
| safety efficacy exploratory - | — |
Countries
Asia except Japan, Europe, Japan, North America, South America