Big data vs. big trials: can claims records match Gold-Standard results?
NCT ID NCT07599345
First seen Jun 26, 2026 · Last updated Jul 10, 2026 · Updated 2 times
Summary
This study uses healthcare claims data from nearly 24,000 people to see if it can reproduce the results of the EMPEROR-Reduced trial, which tested the diabetes drug empagliflozin against sitagliptin in heart failure patients. The goal is not to test a new treatment, but to learn whether real-world data can reliably mimic clinical trials. If it works, it could pave the way for faster, cheaper research using existing health records.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Empagliflozin and sitagliptin
- What this could lead to
- If successful, this could show that analyzing real-world data can reliably reproduce results from expensive clinical trials, making future research faster and cheaper.
- What could go wrong
- This is an observational study, not a controlled experiment, so results may be biased or not match the original trial. It only looks at existing records, not new treatments.
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.
- Participants
-
23,955 people
The number who actually took part.
- Started
-
Oct 2024
- Finished
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Jun 2026
- Lead sponsor
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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.
Who is studied
Individuals aged 18 years or older with chronic heart failure and reduced ejection fraction
- Ages
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18 years and older
- Sex
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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.
Optum: Study period between 1st August 2014 - 31st December 2024. Marketscan: Study period between 1st August 2014 - 30th September 2022. Medicare: Study period between 1st August 2014 - 30th September 2022. Inclusion Criteria: * At least 18 years of age * Heart failure with reduced ejection fraction * Type 2 diabetes mellitus * Use of oral diuretics * Use of appropriate medical therapy for HF Exclusion Criteria: * Concurrent use of both study drugs on cohort entry date * MI, CABG or other major cardiovascular surgery, GI surgery or disorder, stroke or TIA * Implantable cardiac defibrillator * Hypotension * Major surgery * GI surgery or disorder * Cancer * Heart transplant * LVAD * Liver disease * Atrial fibrillation * Hypertension * Impaired renal function * Anemia * Ketoacidosis * Pregnancy * Ventricular arrhythmia * Heart block * Cardiomyopathy * Valvular heart disease * Chronic pulmonary disease * Combined comorbidity score * Chronic alcohol and or drug abuse * Noncompliance * Acute decompensated HF * Use of SGLT2i or DPP4i
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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
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Brigham and Women's Hospital
Boston, Massachusetts, 02120, United States
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