Acetazolamide in combination with SGLT2i in patients with volume overload and acute heart failure

2024-513799-16-00 Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 30
Countries 1
Sites 1

Acute Heart Failure

Improvement in natriuresis

Key facts

Sponsor
Ziekenhuis Oost Limburg
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Decision date (initial)
2025-01-15
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-513799-16-00
EudraCT number
2023-000167-31

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Improvement in natriuresis

Secondary objectives 3

  1. Improvement in diuresis
  2. Changes in different indices of congestion
  3. Weight change

Conditions and MedDRA coding

Acute Heart Failure

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. 18 years or older
  2. Heart Failure
  3. Maintenance therapy with loop diuretics of at least 40mg of furosemide or equivalents
  4. Deemed volume overloaded by treating cardiologist warranting the addition of SGLT2i and IV loop diuretic therapy

Exclusion criteria 3

  1. Kidney function impairment with an eGFR <20ml/min/1.73m² (result within last 6 months)
  2. Inability to collect 24h urine collections
  3. Systolic blood pressure below 90mmHg

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. 24-hour sodium excretion

Secondary endpoints 6

  1. 24-hour volume output
  2. Weight change
  3. Congestion assessment according to the ADVOR protocol
  4. Plasma volume changes
  5. Changes in neurohormonal stimulation (renin, aldosterone)
  6. Changes in POCUS (Heart, IVC, lung, abdomen, JVP)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

DIAMOX parenteraal 500 mg poeder voor injectievloeistof

PRD1167631 · Product

Active substance
Acetazolamide
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
S01EC01 — ACETAZOLAMIDE
Marketing authorisation
RVG 00644
MA holder
AMDIPHARM LIMITED
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Jardiance 10 mg film-coated tablets

PRD1594848 · Product

Active substance
Empagliflozin
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
10 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
A10BK03 — -
Marketing authorisation
EU/1/14/930/010
MA holder
BOEHRINGER INGELHEIM INTERNATIONAL GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Forxiga 10 mg film-coated tablets

PRD2427550 · Product

Active substance
Dapagliflozin
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
10 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
A10BK01 — -
Marketing authorisation
EU/1/12/795/009
MA holder
ASTRAZENECA AB
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Ziekenhuis Oost Limburg

Sponsor organisation
Ziekenhuis Oost Limburg
Address
Synaps Park 1
City
Genk
Postcode
3600
Country
Belgium

Scientific contact point

Organisation
Ziekenhuis Oost Limburg
Contact name
Clinical Trial Unit

Public contact point

Organisation
Ziekenhuis Oost Limburg
Contact name
Clinical Trial Unit

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Authorised, recruitment pending 30 1
Rest of world 0

Investigational sites

Belgium

1 site · Authorised, recruitment pending
Ziekenhuis Oost Limburg
Cardiology, Synaps Park 1, 3600, Genk

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol 1
Recruitment arrangements (for publication) Recruitment arrangements 1
Subject information and informed consent form (for publication) IFC_COMBO-HF Finaal 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_acetazolamide 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_dapagliflozine 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_jardiance 1
Synopsis of the protocol (for publication) PROTOCOL-SUMMARY 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-17 Belgium Acceptable
2025-01-15
2025-01-15