Coronary disease & ACS

Rationale and design of the DAPA-MI trial: Dapagliflozin in patients without diabetes mellitus with acute myocardial infarction

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients without known DM or established heart failure (HF), presenting with myocardial infarction (MI) and impaired LV systolic function or Q-wave MI
Planned comparison
Dapagliflozin 10 mg once daily vs placebo, in addition to standard of care
Primary endpoint
Hierarchical composite (win-ratio) of death, hospitalization for HF (HHF), nonfatal MI, AF/flutter, new-onset T2DM, NYHA class at last visit, and body weight decrease ≥5% at last visit
Methodological detailsrationale and design, multicentre, parallel-group, registry-based, double-blind, placebo-controlled, phase 3, Planned 4,000 patients for 80% power assuming true win-ratio 1.20, Registry-based framework using national clinical registries (Sweden and UK) for recruitment, randomisation, blinding and data collection
  • Rationale and design
  • Multicentre
  • Parallel-group
  • Registry-based
  • Double-blind
  • Placebo-controlled
  • Phase 3
  • Planned 4,000 patients for 80% power assuming true win-ratio 1.20
  • Registry-based framework using national clinical registries (Sweden and UK) for recruitment, randomisation, blinding and data collection

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

Original publication

Rationale and design of the DAPA-MI trial: Dapagliflozin in patients without diabetes mellitus with acute myocardial infarction. Am Heart J. Published 28 August 2023. doi:10.1016/j.ahj.2023.08.008

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