Evidence mapPaperPMID 41967085Full record

ArticleESC heart failure2026

Design, rationale, and baseline characteristics of the dapagliflozin in haemodialysis (DAPA-HD) trial.

Thomas A Zelniker, Christopher Paschen, Christopher Mann, Manfred Eigner, Hildegard Hafner-Gießauf, Josef Kletzmayr, Matthias Lorenz, Bernhard Ludvik, Thomas Stulnig, Ingmar Waller and 5 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in ESC heart failure, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT05179668. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05179668 phase2completed

SGLT2 Inhibition (Dapagliflozin) in Diabetic and Non-diabetic Hemodialysis Patients With and Without Residual Urine Volume: a Prospective Randomized, Placebo-controlled, Double-blinded Phase II Trial

Ran2022Enrolled220Registered outcomes11Posted comparisons0ConditionsChronic Kidney Disease, Diabetes Mellitus, Type 2, Hemodialysis, Kidney FailureArmsDapagliflozin 10 mg, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Thomas A ZelnikerDivision of Cardiology, Department of Medicine II, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.ORCID 0000-0002-6444-8598
Christopher PaschenDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.
Christopher MannDivision of Cardiology, Department of Medicine II, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.
Manfred EignerFavoriten Hospital (Klinik Favoriten, 1st Medical Department), Kundratsgasse 3, Wien 1100, Austria.
Hildegard Hafner-GießaufDialyseinstitut Gießauf GmbH, Elisabethstraße 54, Graz 8010, Austria.
Josef KletzmayrDonaustadt Hospital (Klinik Donaustadt, 3rd Medical Department), Langobardenstraße 122, Vienna 1220, Austria.
Matthias LorenzWiener Dialysezentrum, Kapellenweg 37, Vienna 1220, Austria.
Bernhard Ludvik1st Medical Department and Karl Landsteiner Institute for Obesity and Metabolism, Landstrasse Clinic, Juchgasse 25, Vienna 1030, Austria.
Thomas StulnigDepartment of Medicine III and Karl Landsteiner Institute for Metabolic Diseases and Nephrology, Clinic Hietzing, Wolkersbergenstrasse 1, Vienna 1130, Austria.
Ingmar WallerDialyseinstitut Dr. Waller, Feldgasse 28-30, Feldbach 8330, Austria.
Johannes WerzowaHanusch Hospital (Hanusch-Krankenhaus, 1st Medical Department), Heinrich-Collin-Straße 30, Vienna 1140, Austria.
Sebastian HödlmoserDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.
Christian HengstenbergDivision of Cardiology, Department of Medicine II, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.ORCID 0000-0002-8284-2994
Rainer OberbauerDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.ORCID 0000-0001-7544-6275
Manfred HeckingDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.ORCID 0000-0002-8047-2395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSodium-glucose co-transporter 2 inhibitors (SGLT2i) reduce cardiovascular events across a wide range of kidney function, including advanced stages of chronic kidney disease, but evidence for their efficacy in patients with kidney failure on haemodialysis is lacking. The underlying mechanisms remain incompletely understood, and whether cardiovascular benefits depend on residual kidney function is unknown. STUDY

designThe Dapagliflozin in Hemodialysis (DAPA-HD) trial (NCT05179668) is an academic, multicentre, randomized, double-blind, placebo-controlled trial designed to assess the cardiovascular effects of dapagliflozin in 220 patients with kidney failure receiving haemodialysis. Stratified block randomization was based on patient-reported residual urine volume. The primary endpoint is the change in left ventricular mass indexed to body surface area using echocardiography after 6 months of treatment. A prespecified subgroup analysis will compare treatment effects between patients with residual urine output >200 ml/24 h versus ≤200 ml/24 h. Secondary endpoints include additional echocardiographic assessments, changes in biomarker concentrations, quality of life, and clinical events. DISCUSSION: The DAPA-HD trial is the first trial specifically evaluating the cardiovascular and haemodynamic effects of dapagliflozin in patients with kidney failure receiving maintenance haemodialysis with and without residual urine outputs.

Indexed as

Benzhydryl CompoundsGlucosidesKidney Failure, ChronicRenal DialysisDouble-Blind MethodEchocardiographyFemaleHumansMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicSodium-Glucose Transporter 2 InhibitorsBenzhydryl CompoundsdapagliflozinGlucosidesSodium-Glucose Transporter 2 InhibitorsDapagliflozinDialysisKidney failureLeft ventricular hypertrophyRandomized controlled trialSGLT2i

Identifiers

PMID41967085
PMCPMC13189660

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.