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Empagliflozin is a drug given to lower glucose. It is used in the treatment of diabetes. However, it was shown to improve symptoms and survival of patients who are suffering from heart failure. The exact mechanism of this effect is currently not clearly understood.
He hypothesize that empagliflozin has other properties than glucose lowering, that can explain its efficacy. One of these properties, is an anti-inflammatory effect.
To document this, we are using a model of inflammation following percutaneous coronary scenting. We know that patients who get a stent will develop inflammation following stenting. This is documenting by a higher level of C-Reactive Protein 24 hours after the procedure.
Patients who will participate in the study, will receive empagliflozin or a placebo tablet for 3 days prior to the revascularisation procedure. CRP and other inflammatory markers will be measured before intervention and 24 hours later. The goal is to demonstrate a lower rise in CRP following intervention in patients treated with empagliflozin vs. those who have received a placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| empagliflozin | Active Comparator | Patients who will receive empagliflozin |
|
| Placebo | Placebo Comparator | Placebo control |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Empagliflozin (SGLT2i) | Drug | Patient will receive 10 mg of empagliflozin PO per day, starting at least 2 days before planned PCI and on the day of PCI. Patient will thus receive at least 3 doses of empagliflozin prior to intervention |
| Measure | Description | Time Frame |
|---|---|---|
| CRP change | High sensitivity CRP will be measured immediately before and 18-24 hours after PCI | baseline and 18-24 hours after pci |
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Inclusion Criteria:
Exclusion Criteria:
• Patients who have been taking an SGLT-2 inhibitor during the last month
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rabih R Azar, MD, MPH | Contact | +9613590999 | razarmd@hotmail.com | |
| Georges G Hage, MD | Contact | +9613284724 | georgesjuniorhage@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Rabih R Azar, MD, MPH | Hotel Dieu de Frace | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hotel Dieu de France | Recruiting | Beirut | Beirut | 00000 | Lebanon |
We can share all patients data: demographics, characteristics of intervention, markers levels before and after the procedure
At end of study and for at least 3 years after completion
Investigators, journal editors. They can contact us via email
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| C570240 | empagliflozin |
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| Placebo | Drug | Patient will receive a matching placebo PO 1 tab per day, starting at least 2 days before planned PCI and on the day of PCI. Patient will thus receive at least 3 doses of empagliflozin prior to intervention |
|
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |