Semaglutide in patients with heart failure with reduced ejection fraction: safety and effectiveness – a target trial emulation

10/11/2025
10/11/2025
EU PAS number:
EUPAS1000000809
Study
Planned
Study summary
No information provided.
Study identification

EU PAS number

EUPAS1000000809

Study ID

1000000809

Official title and acronym

Semaglutide in patients with heart failure with reduced ejection fraction: safety and effectiveness – a target trial emulation

DARWIN EU® study

No

Study countries

France
Netherlands
Portugal
Sweden

Study description

Efficacy and safety of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) such as semaglutide in patients with heart failure with reduced ejection fraction (HFrEF) remain unclear. Existing evidence is limited to post-hoc analyses or observational studies, often with uncertain validity of the HFrEF diagnosis.
While the ongoing FIT-HF trial in HFrEF focuses on peak oxygen uptake as the primary outcome, no trial is currently addressing efficacy and safety.
We aim to fill this gap by conducting a high-quality target trial emulation using the Swedish national quality and administrative registries.

Study status

Planned
Research institutions and networks

Institutions

Karolinska Institutet
Sweden
First published:
01/02/2024
Institution Educational Institution
Centre for Research Epidemiology and Statistics (Paris, France)

Networks

More-EUROPA (Horizon Europe)

Contact details

Laura Rodwell 0000-0002-5635-4997

Primary lead investigator
ORCID number:
0000-0002-5635-4997

Study timelines

Date when funding contract was signed

Planned:
Actual:

Study start date

Planned:

Data analysis start date

Planned:

Date of final study report

Planned:
Sources of funding
EU institutional research programme

More details on funding

More Effectively Using Registries to suppOrt PAtient-centered Regulatory and HTA decision-making (More-EUROPA), Grant agreement ID: 101095479, Horizon Europe programme
Regulatory

Was the study required by a regulatory body?

No

Is the study required by a Risk Management Plan (RMP)?

Not applicable