Acute Heart Failure Clinical Trial
Official title:
Functional Impact of GLP-1 for Heart Failure Treatment
The primary objective is to test the hypothesis that, compared with placebo, therapy with Subcutaneous (SQ) GLP-1 agonist in the post-Acute Heart Failure Syndrome (AHFS) discharge period will be associated with greater clinical stability at six months as assessed by a composite clinical endpoint.
Hospitalization for AHFS identifies individuals at increased risk of death and
re-hospitalization following discharge. This increased risk justifies intervention with
novel therapy during the vulnerable post-discharge period to enhance clinical stability and
prevent early HF mortality and readmissions.
As heart failure (HF) progresses, impairments in metabolism render the heart substrate
constrained, limiting cardiac metabolism. Glucagon-like peptide-1 (GLP-1) is a naturally
occurring incretin peptide that enhances cellular glucose uptake by stimulating insulin
secretion and insulin sensitivity in target tissues. Preclinical and early-phase clinical
data support GLP-1 as an effective therapy for advanced HF while use of GLP-1 receptor
agonists in large numbers of patients with diabetes reveal a good safety profile and
reductions in adverse cardiac outcomes.
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