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Study identifier: NCT07572032 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

Delayed Initiation of ARNI and SGLT2i in Heart Failure With Corrected Aetiology (DELAY-HF), Pilot Study

Condition: Heart Failure Due to Coronary Artery Disease · Valvular Cardiomyopathy · Heart Failure  ·  Sponsor: Kyungsub Song

PhasePhase 4
Planned participants80
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

In patients with heart failure due to a reversible underlying cause-such as valvular heart disease or coronary artery disease-surgical or procedural correction of the underlying lesion (valve repair/replacement, TAVI, PCI, or CABG) frequently leads to spontaneous recovery of cardiac function, even without neurohormonal modulators. In this clinical setting, a substantial proportion of patients may not require the full set of guideline-directed medical therapies routinely prescribed for chronic HFrEF. The purpose of this study is to determine whether ARNI (angiotensin receptor-neprilysin inhibitor) and SGLT2 inhibitors are truly necessary in patients whose left ventricular function recovers spontaneously after treatment of a correctable cause of heart failure. The DELAY-HF trial (DELayed initiation of ARNI and SGLT2i in heart failure with corrected aetiologY) is a multi-center, randomized controlled non-inferiority trial evaluating whether a delayed-initiation strategy of ARNI and SGLT2i is non-inferior to immediate initiation in patients with heart failure whose underlying cause has been completely corrected by surgical or procedural intervention. Adults with a preoperative left ventricular ejection fraction (LVEF) ≤40% who have undergone successful correction of a reversible cause of heart failure-either revascularization (PCI or CABG) for ischemic cardiomyopathy or valvular surgery (including TAVI) for left-sided valvular heart disease causing volume overload-will be rando…

This description comes directly from the study's public registry record.

Talk to the study team

Kyungsub Song, MD  ·  82)053-258-7307  ·  chest.songks@gmail.com

Always discuss trial participation with your own doctor first.

Locations (4)

Keimyung University Dongsan HospitalDaegu, Daegu, South KoreaRecruiting
Seoul National University Bundang HospitalSeongnam-si, Gyeonggi-do, South KoreaNot Yet Recruiting
Ajou University HospitalSuwon, Gyeonggi-do, South KoreaNot Yet Recruiting
Korea University Anam HospitalSeoul, Seoul, South KoreaNot Yet Recruiting

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Source record: clinicaltrials.gov/study/NCT07572032