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RecruitingCirrhosisLiver Failure

Empagliflozin in Patients With Cirrhosis and Ascites

Eligible age

18+ yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

A proof-of-concept placebo-controlled trial to explore the acute and 14-day effects of empagliflozin on natriuresis and total body water in patients with cirrhosis and ascites. We will additionally investigate its effect on neurohumoral activation, and renal hemodynamics.

Sponsor: Yale University

You may qualify if…

  • 1. Patients with cirrhosis and ascites on a stable dose of diuretics (spironolactone +/- loop-diuretics based on AASLD guidelines)10 and who do not require large volume paracenteses
  • 2. eGFR \>= 30mL/min/1.73 m2
  • 3. \>=18 years old

You may not qualify if…

  • 1. Hospitalization due to a complication of cirrhosis in the previous 8 weeks (e.g. variceal hemorrhage, encephalopathy, acute kidney injury, spontaneous bacterial peritonitis)
  • 2. Direct bilirubin \>=3 mg/dL
  • 3. Systolic blood pressure \< 100 mmHg
  • 4. Active malignancy including hepatocellular carcinoma undergoing treatment
  • 5. History of bladder dysfunction, incontinence, pyelonephritis, urosepsis, or frequent urinary tract infections
  • 6. Use of SGLT-2 inhibitors in the last 10 days, or previous use with intolerance
  • 7. Type 1 diabetes
  • 8. History of frequent hypoglycemic episodes

Where it's recruiting

Connecticut

New Haven

Source: ClinicalTrials.gov · NCT05726032 · last updated 2026-02-19