Trial Outcomes & Findings for SGLT2 Inhibition and Stimulation of Endogenous Glucose Production: Protocol 2 (NCT NCT02592421)

NCT ID: NCT02592421

Last Updated: 2020-09-17

Results Overview

Change from baseline to the last hour of the study (240-300 minutes) in plasma glucose concentration

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

30 participants

Primary outcome timeframe

Baseline to 240-300 minutes

Results posted on

2020-09-17

Participant Flow

Participant milestones

Participant milestones
Measure
Dapagliflozin
Subjects will receive dapagliflozin 10mg Dapagliflozin: SGLT2 inhibitor (dapagliflozin)
Placebo
Subjects will receive placebo Placebo: Placebo Comparator
Study 1
STARTED
20
10
Study 1
COMPLETED
20
10
Study 1
NOT COMPLETED
0
0
Study 2: Glucose Clamp Conditions
STARTED
20
10
Study 2: Glucose Clamp Conditions
COMPLETED
20
10
Study 2: Glucose Clamp Conditions
NOT COMPLETED
0
0
Study 3: Pancreatic Clamp Conditions
STARTED
20
10
Study 3: Pancreatic Clamp Conditions
COMPLETED
20
10
Study 3: Pancreatic Clamp Conditions
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

SGLT2 Inhibition and Stimulation of Endogenous Glucose Production: Protocol 2

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dapagliflozin
n=20 Participants
Subjects will receive dapagliflozin 10mg Dapagliflozin: SGLT2 inhibitor (dapagliflozin)
Placebo
n=10 Participants
Subjects will receive placebo Placebo: Placebo Comparator
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
54 Years
STANDARD_DEVIATION 2 • n=5 Participants
53 Years
STANDARD_DEVIATION 2 • n=7 Participants
53.5 Years
STANDARD_DEVIATION 2 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
7 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=5 Participants
4 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
10 participants
n=7 Participants
30 participants
n=5 Participants
Body Mass Index (BMI)
32.6 kg/m^2
STANDARD_DEVIATION 0.7 • n=5 Participants
31.4 kg/m^2
STANDARD_DEVIATION 1.3 • n=7 Participants
32 kg/m^2
STANDARD_DEVIATION 2.85 • n=5 Participants
Diabetes Duration
6.9 years
STANDARD_DEVIATION 1.3 • n=5 Participants
5.9 years
STANDARD_DEVIATION 1.5 • n=7 Participants
6.4 years
STANDARD_DEVIATION 1.4 • n=5 Participants
Free Plasma Glucose (FPG)
148 mg/dL
STANDARD_DEVIATION 8 • n=5 Participants
127 mg/dL
STANDARD_DEVIATION 8 • n=7 Participants
137 mg/dL
STANDARD_DEVIATION 8 • n=5 Participants
HBA1c (3 month blood glucose level measure)
7.5 Percentage of glycated hemoglobin
STANDARD_DEVIATION 0.2 • n=5 Participants
7.5 Percentage of glycated hemoglobin
STANDARD_DEVIATION 0.1 • n=7 Participants
7.5 Percentage of glycated hemoglobin
STANDARD_DEVIATION 0.15 • n=5 Participants
Glomerular Filtration Rate (eGFR)
97 ml/min
STANDARD_DEVIATION 3 • n=5 Participants
97 ml/min
STANDARD_DEVIATION 3 • n=7 Participants
97 ml/min
STANDARD_DEVIATION 3 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 240-300 minutes

Change from baseline to the last hour of the study (240-300 minutes) in plasma glucose concentration

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=20 Participants
Subjects will receive dapagliflozin 10mg Dapagliflozin: SGLT2 inhibitor (dapagliflozin)
Placebo
n=10 Participants
Subjects will receive placebo Placebo: Placebo Comparator
Change in Plasma Glucose Concentration
Study 1
-29.7 mg/dl
Standard Deviation 3
-17.2 mg/dl
Standard Deviation 2.9
Change in Plasma Glucose Concentration
Study 2 with glucose clamp
3.1 mg/dl
Standard Deviation 0.9
0.9 mg/dl
Standard Deviation 1.1
Change in Plasma Glucose Concentration
Study 3 with pancreatic clamp
-30.3 mg/dl
Standard Deviation 3.5
-2.3 mg/dl
Standard Deviation 6.1

PRIMARY outcome

Timeframe: Baseline to 240-300 minutes

The change in endogenous glucose production is measured from baseline until the last hour of the study

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=20 Participants
Subjects will receive dapagliflozin 10mg Dapagliflozin: SGLT2 inhibitor (dapagliflozin)
Placebo
n=10 Participants
Subjects will receive placebo Placebo: Placebo Comparator
Change in Endogenous Glucose Production (EGP)
Study 1
0.1 mg/kg.min
Standard Deviation 0.1
-0.56 mg/kg.min
Standard Deviation 0.1
Change in Endogenous Glucose Production (EGP)
Study 2 with glucose clamp
-0.57 mg/kg.min
Standard Deviation 0.12
-1.28 mg/kg.min
Standard Deviation 0.17
Change in Endogenous Glucose Production (EGP)
Study 3 with pancreatic clamp
-0.23 mg/kg.min
Standard Deviation 0.09
-0.48 mg/kg.min
Standard Deviation 0.05

SECONDARY outcome

Timeframe: Baseline to 240-300 minutes

Measurement of change in plasma insulin concentration during measurement of of EGP from baseline to last hour of the study

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=20 Participants
Subjects will receive dapagliflozin 10mg Dapagliflozin: SGLT2 inhibitor (dapagliflozin)
Placebo
n=10 Participants
Subjects will receive placebo Placebo: Placebo Comparator
Change in Plasma Insulin During Measurement of EGP
Study 1
5 microUnits/mL
Standard Deviation 1
3 microUnits/mL
Standard Deviation 1
Change in Plasma Insulin During Measurement of EGP
Study 2 with glucose clamp
0 microUnits/mL
Standard Deviation 1
0 microUnits/mL
Standard Deviation 1
Change in Plasma Insulin During Measurement of EGP
Study 3 with pancreatic clamp
2 microUnits/mL
Standard Deviation 1
0 microUnits/mL
Standard Deviation 1

SECONDARY outcome

Timeframe: Baseline to 240-300 minutes

Measurement of change in glucagon during EGP measurement from baseline to the last hour of the study

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=20 Participants
Subjects will receive dapagliflozin 10mg Dapagliflozin: SGLT2 inhibitor (dapagliflozin)
Placebo
n=10 Participants
Subjects will receive placebo Placebo: Placebo Comparator
Change in Glucagon During EGP Measurement
Study 1
5 ng/ml
Standard Deviation 2
-1 ng/ml
Standard Deviation 2
Change in Glucagon During EGP Measurement
Study 2 with glucose clamp
-6 ng/ml
Standard Deviation 2
-7 ng/ml
Standard Deviation 3
Change in Glucagon During EGP Measurement
Study 3 with pancreatic clamp
-1 ng/ml
Standard Deviation 1
-2 ng/ml
Standard Deviation 2

Adverse Events

Dapagliflozin

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dapagliflozin
n=20 participants at risk
Subjects will receive dapagliflozin 10mg Dapagliflozin: SGLT2 inhibitor (dapagliflozin)
Placebo
n=10 participants at risk
Subjects will receive placebo Placebo: Placebo Comparator
Gastrointestinal disorders
Nausea
20.0%
4/20 • Number of events 4 • Adverse events were collected during the study procedure, from baseline to 300 minutes
0.00%
0/10 • Adverse events were collected during the study procedure, from baseline to 300 minutes

Additional Information

Ralph DeFronzo

University of Texas Health San Antonio

Phone: 210-567-6691

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place