Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE4
90 participants
INTERVENTIONAL
2019-10-04
2024-03-31
Brief Summary
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Detailed Description
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New hypoglycemic drugs are required to undergo cardiovascular safety studies for their release. In 2015, EMPA-REG OUTCOME, which was done for empagliflozin´s approval was the first study to provide evidence that an antidiabetic agent could decrease cardiovascular events. The results demonstrated a reduction in the primary outcome (death by cardiovascular causes, nonfatal infarction, and nonfatal stroke), cardiovascular mortality and hospitalization for heart failure in patients with type 2 diabetes at high cardiovascular risk who received empagliflozin in combination with standard treatment. It is noteworthy that the study population was under-optimized clinical treatment with antihypertensives, statin and aspirin and especially it is noteworthy that the difference in the primary outcome over placebo became evident only three months after treatment´s start.
The potential mechanisms underlying the surprising cardiovascular benefits of empagliflozin are not fully understood.
The present project aims to investigate if the empagliflozin has an antiarrhythmic action. Analyzing the T-wave heterogeneity index, a new electrocardiographic risk marker associated with the prediction of cardiovascular risk, in diabetic patients and coronary artery disease, we will verify if empagliflozin is associated with a reduction in electrical instability.
Conditions
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Study Design
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NA
SINGLE_GROUP
DIAGNOSTIC
NONE
Study Groups
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Empagliflozin
Empagliflozin 25 mg once daily for 3 months
Empagliflozin 25 MG
Empagliflozin once daily, for three months
Interventions
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Empagliflozin 25 MG
Empagliflozin once daily, for three months
Eligibility Criteria
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Inclusion Criteria
* Fasting glycemia\> 100 mg/dl or previous diagnosis of type 2 diabetes mellitus;
* Coronary artery disease, defined by one of the following criteria: the antecedent of myocardial infarction; the evidence of significant coronary stenosis in previous coronary angiography; the noninvasive positive test for ischemia (stress electrocardiogram, stress echocardiogram, stress scintigraphy)
* TWH ≥ 80 microvolts
Exclusion Criteria
* Hepatic insufficiency (determined by Child-Pugh, B or C classification);
* Age ≥ 85 years;
* 12-lead resting electrocardiogram with the following changes: intraventricular conduction disorders (bundle branch block), pacemaker rhythm, atrial fibrillation or flutter, artifact stroke distortion or baseline fluctuation
18 Years
85 Years
ALL
No
Sponsors
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University of Sao Paulo
OTHER
Responsible Party
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Bruno Caramelli
Associated Professor of Medicine
Principal Investigators
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Bruno Caramelli, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Sao Paulo
Locations
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InCor
São Paulo, São Paulo, Brazil
Countries
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Other Identifiers
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99613518.9.0000.0068
Identifier Type: -
Identifier Source: org_study_id
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