Dapagliflozin vs Empagliflozin on Flow Mediated Dilation in Type 2 Diabetes Mellitus

NCT ID: NCT04195243

Last Updated: 2019-12-11

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-02

Study Completion Date

2020-12-30

Brief Summary

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Type 2 diabetes mellitus (T2DM) is a considered one of the main global health challenges; the vascular endothelium plays an important role in vascular dysfunction in DM; Hyperglycemia induced by it is recognized as the main factor for the development of vascular complications of the disease, secondary to a reduction in nitric oxide production; "flow-mediated dilation" is the most commonly used technique for the evaluation of endothelial function, being the non-invasive method most widely used. It has been reported that with the use of SGLT2 inhibitors the development of cardiovascular complications in patients with T2DM is a decrease, as well the arterial stiffness, endothelial dysfunction and increasing on the shear stress and blood viscosity; and experimentally.

Detailed Description

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The objective of this study, is to evaluate the acute effect of the administration of dapagliflozin in comparison with the administration of empagliflozin on endothelial disfunction in individuals with T2DM; we will conduct a double-blind, randomized, placebo-controlled, trial with 3 groups, each group of 24 male and female patients, between 40-65 years of age with T2DM, without hypertension, treated with insulins or thiazide diuretics. Randomization will determine who will receive the intervention during 7-days trial (Empagliflozin 25 mg 1 time daily 5 minutes or Dapagliflozin 10 mg before the first bite of each meal or approved placebo capsules), the patients will also continue with their usual treatment. The clinical findings and laboratory test and laboratory test include a metabolic profile and biosafety, baseline and at 7 days. Body weight, body fat, body mass index (BMI) and blood pressure will be determined during the initial and final visit, likewise, hemodynamics parameters of endothelial disfunction by flow mediate dilation with a high-resolution UNEX EF38G® ultrasound. Adverse events to treatment will be documented. Statistical analysis: Mann-Whitney U Test and Wilcoxon exact test. A p \<0.05 will be considered statistically significant.

Conditions

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Type 2 Diabetes Mellitus

Keywords

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Dapagliflozin Empagliflozin FMD T2DM Endothelial disfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Dapagliflozin

Individuals with T2DM controlled with metformin; with no hypertension neither treated with insulin.

Dapagliflozin capsules, 10 mg 1 time daily 5 minutes before the first meal

Group Type EXPERIMENTAL

Dapagliflozin Pill

Intervention Type DRUG

The patient will take one pill, every 24 hr, during 7 days

Empagliflozin

Individuals with T2DM controlled with metformin; with no hypertension neither treated with insulin.

Empagliflozin capsules, 25 mg 1 time daily 5 minutes before the first meal

Group Type EXPERIMENTAL

Empagliflozin Pill

Intervention Type DRUG

The patient will take one pill, every 24 hr, during 7 days

Placebo

Individuals with T2DM controlled with metformin; with no hypertension neither treated with insulin.

Dapagliflozin capsules, 400 mg 1 time daily 5 minutes before the first meal

Group Type PLACEBO_COMPARATOR

Placebo pill

Intervention Type DRUG

The patient will take one pill, every 24 hr, during 7 days

Interventions

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Dapagliflozin Pill

The patient will take one pill, every 24 hr, during 7 days

Intervention Type DRUG

Empagliflozin Pill

The patient will take one pill, every 24 hr, during 7 days

Intervention Type DRUG

Placebo pill

The patient will take one pill, every 24 hr, during 7 days

Intervention Type DRUG

Other Intervention Names

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Forxiga Dapagliflozin Jardiance Empagliflozin Calcined magnesia

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of T2DM
* HbA1c \> 7 y \< 10
* BMI 25 - 34.9 kg/m2
* Signature of consent under information

Exclusion Criteria

* Hypertension
* Treated with insulin and / or loop diuretics and thiazides
* T1DM
* Hypotension
* With any autoimmune disease
* Liver disease
* Women who do not have a safe method of contraception
* Women who are taking oral contraceptives or under treatment with hormone replacement therapy
* Woman pregnant or breastfeeding
* Untreated thyroid disease
* Patients with a cardiovascular disease that contraindicates the use of this pharmacological class
* Glomerular filtration rate \<60ml/min (Cockcroft-Gault)
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centro Universitario de Ciencias de la Salud, Mexico

OTHER

Sponsor Role lead

Responsible Party

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Fernando Grover Paez

Investigador Principal

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fernando Grover Paez, PhD

Role: STUDY_DIRECTOR

Institute of Experimental and Clinical Therapeutics (INTEC), CUCS

Locations

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Institute of Experimental and Clinical Therapeutics (INTEC), CUCS, University of Guadalajara

Guadalajara, Jalisco, Mexico

Site Status

Countries

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Mexico

Central Contacts

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Fernando Grover Paez, PhD

Role: CONTACT

Phone: (33) 10585200

Email: [email protected]

Facility Contacts

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Fernando Grover Paez, PhD

Role: primary

Fernando Grover Paez, PhD

Role: backup

Other Identifiers

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CUCS-INTEC-MV-HADES-001

Identifier Type: -

Identifier Source: org_study_id