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Adult Congenital Heart Disease International EValuation of the Effectiveness of SGLT2i Registry

Sponsor: Leiden University Medical Center

NCT ID: NCT06932081

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
SGLT2 inhibitors (drug)
How long the study runs
Study runs about 59 months (dates as stated)
About the drug or intervention
SGLT2 inhibitors — drug: Treatment with any type and dose of sodium-glucose cotransporter 2 inhibitor.
Patient visit burden
Not specified by the sponsor

In plain English

This registry collects information from adults born with a heart problem (called congenital heart disease) who have started taking a type of medicine called an SGLT2i (sodium-glucose co-transporter 2 inhibitor). The study team wants to find out how well this medicine works in this group of people. It includes people with conditions such as transposition of the great arteries (TGA), congenitally corrected transposition of the great arteries, a single ventricle, Fontan circulation, a systemic right ventricle and tetralogy of Fallot (TOF), and it is run by Leiden University Medical Center.

Who can take part

  • Adults aged 18 or over
  • People born with a heart problem (a congenital heart defect)
  • People who have started taking an SGLT2i (sodium-glucose co-transporter 2 inhibitor) medicine

Who may not be able to

  • People who do not agree (give consent) for their information to be collected

What taking part involves

  • • Taking an SGLT2i (sodium-glucose co-transporter 2 inhibitor) medicine, which you must have already started to join
  • • Letting the study team collect your health information for the registry

Time commitment: Not stated — ask the trial team how long it lasts, whether any visits are needed, and what taking part involves.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Observing health over time
Ages
18 Years and over
Who
All
Number of participants
400
Started
2023-01-01
Last checked
2026-02

Plain English Summary

What is this study?

  • • Testing a new treatment for adult congenital heart disease
  • • Clinical study - 400 participants
  • • This real-world, international registry aims to evaluate the current experience with sodium-glucose cotransporter 2 inhibitors (SGLT2i) in adult congenital heart disease (ACHD) patients by investigating the prescription patterns, safety, tolerability, and potential beneficial effects on heart failure-related outcomes

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with adult congenital heart disease

Where?

  • • Cardiff - University Hospital of Wales
  • • Glasgow - Golden Jubilee University National Hospital
  • • London - Barts Heart Centre

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

This real-world, international registry aims to evaluate the current experience with sodium-glucose cotransporter 2 inhibitors (SGLT2i) in adult congenital heart disease (ACHD) patients by investigating the prescription patterns, safety, tolerability, and potential beneficial effects on heart failure-related outcomes.

More detail

In the adult congenital heart disease (ACHD) population, heart failure currently represents the main cause of morbidity and mortality. The etiology of ACHD-related heart failure is heterogenous, and there is limited evidence for pharmacological treatment options for this population. Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are a novel pillar in the treatment of conventional LV heart failure. SGLT2i have been shown to reduce the risk of worsening heart failure and cardiovascular-related death in patients with LV heart failure. While the exact mechanisms of action are still to be elucidated, SGLT2i seem to address heart failure by targeting several pathways. These include but are not limited to; a decrease in renin-angiotensin and sympathetic nervous system activation, a decrease in pressure overload-induced myocardial fibrosis, reverse cardiac remodeling, and improvement in myocardial energetics. Given the compelling evidence on the effectiveness of SGLT2i over a broad range of cardiac dysfunction and initial promising reports of its utilization in the field of ACHD, SGLT2i deserve further exploration in the group of ACHD patients. This real-world, international registry aims to evaluate the current experience with SGLT2i in ACHD patients by investigating the prescription patterns, safety, tolerability, and potential beneficial effects on heart failure-related outcomes. Project design: Data of all ACHD patients who were started on an SGLT2i will be collected in a real-world, international registry. Only data resulting from routine clinical care will be collected from the electronic health records at the participating centers, and participants will not undergo any interventions for this project. Data will be collected from 1 year before starting with the SGLT2i to most recent follow-up after starting with the SGLT2i, to evaluate if SGLT2i therapy halts the progression of clinical deterioration in ACHD patients with heart failure and can improve heart failure-related outcomes.

Adult Congenital Heart DiseaseCongenital Heart DiseaseSystemic Right VentricleTransposition of the Great ArteriesCongenitally Corrected Transposition of the Great ArteriesFontanSingle VentricleTetralogy of Fallot (TOF)

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓Congenital heart defect.
  • ✓Age ≥ 18 years.
  • ✓Initiated on treatment with an SGLT2i.

Who cannot take part

  • ✗\- No consent for data collection.
See the full criteria
Inclusion Criteria: * Congenital heart defect. * Age ≥ 18 years. * Initiated on treatment with an SGLT2i. Exclusion Criteria: \- No consent for data collection.

Where Is This Study? (3 UK sites)

University Hospital of Wales

Cardiff, United Kingdom

Recruiting
Site contact (verified)
Simon T. MacDonald, MD DPhilPrincipal Investigator

Golden Jubilee University National Hospital

Glasgow, United Kingdom

Recruiting
Site contact (verified)
Niki L. Walker, MBChB PhDPrincipal Investigator

Barts Heart Centre

London, United Kingdom

Recruiting
Site contact (verified)
Filip Zemrak, MD PhDPrincipal Investigator

How to Get in Touch

Ralph M.L. Neijenhuis, MD

Sponsor contact

CONTACT

+31 71 5262020 r.m.l.neijenhuis@lumc.nl

Björn N. Westdorp, MD

Sponsor contact

CONTACT

+31 71 5262020 b.n.westdorp@lumc.nl
Data sourced from ClinicalTrials.gov · Last verified: 2026-02