Heart failure & cardiomyopathies

DAPAgliflozin for renal protection in heart transplant recipients. Rationale and design of the randomized controlled DAPARHT trial

Am Heart JPublished investigator initiated, double blind, randomized, placebo-controlled trial

Study context

Population
Adults heart transplanted at least one year prior to randomization; exclusion criteria include estimated glomerular filtration rate (eGFR) <25 mL/min/1.73 m², diabetes type I, and contraindication to study medicationplanned randomization, as of December 18, 2024, 300 patients were enrolled
Participants
Four hundred and thirty participants
Planned comparison
dapagliflozin 10 mg o.d. or placebo
Primary endpoint
chronic slope of the eGFR
Follow-up
From two weeks to 12 months after starting randomized treatment
Methodological detailsrationale and design, 1:1 randomization, 12 months blinded treatment followed by 24-months open-label treatment
  • Rationale and design
  • 1:1 randomization
  • 12 months blinded treatment followed by 24-months open-label treatment

No results yet. This paper sets out the design of a trial; its results are to come.

Baseline

Enrolment status · As of December 18, 2024

Enrolment began
June 2022
Patients enrolled
300
Estimated last patient visit
September, 2028

Baseline kidney function (enrolled patients)

Mean baseline creatinine
104 ± 28 µmol/L
eGFR
66 ± 22 mL/min/1.73 m²

Original publication

DAPAgliflozin for renal protection in heart transplant recipients. Rationale and design of the randomized controlled DAPARHT trial. Am Heart J. Published 19 August 2025. doi:10.1016/j.ahj.2025.08.010

Summarised from the published abstract; every number is checked against it

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