Can a diabetes drug clear fluid from lungs in heart failure?
NCT ID NCT07076615
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This trial tests whether adding dapagliflozin—a drug commonly used for diabetes—to standard diuretic treatment helps adults hospitalized with acute heart failure. The goal is to see if it reduces fluid buildup in the lungs (measured by ultrasound), shortens hospital stays, and improves heart and kidney function. Half of the 100 participants will receive dapagliflozin plus diuretics, while the other half receives diuretics alone. The study aims to find out if this combination can ease symptoms and speed up recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dapagliflozin (an SGLT2 inhibitor) taken as a 10 mg tablet once daily, added to standard intravenous diuretic therapy
- What this could lead to
- If effective, adding dapagliflozin early during a heart failure hospitalization could speed up recovery, reduce lung fluid, and shorten hospital stays.
- What could go wrong
- This is a single-center trial with 100 patients, so results may not apply broadly. Dapagliflozin can cause side effects like dehydration, urinary infections, or kidney issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
100 people
The number who actually took part.
- Started
-
Aug 2025
- Finished
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May 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18 years or older * Acute heart failure as defined by the 2022 American College of Cardiology/American Heart Association (Heidenreich et al., 2022) or 2021 European Society of Cardiology (McDonagh et al., 2021) guidelines, based on typical symptoms and signs of heart failure requiring hospitalization or emergency department visit * Elevated natriuretic peptide levels * Includes heart failure with reduced, mildly reduced, or preserved ejection fraction * Planned use of intravenous diuretic therapy Exclusion Criteria: * Type 1 diabetes mellitus * Urinary tract or genital infection * Hypovolemia * Diabetic ketoacidosis * Serum glucose \< 80 mg/dL at enrollment * Systolic blood pressure \< 90 mmHg at enrollment * History of hypersensitivity to any SGLT2 inhibitor * Pregnant or breastfeeding women * Severe primary valvular lesion requiring intervention * Severe hepatic impairment (Child-Pugh class C) * Estimated glomerular filtration rate \< 25 mL/min/1.73 m² (by MDRD equation)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Cairo University
Cairo, Egypt
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Other studies related to the condition(s) this trial covers.
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