Effects of SGLT2i on the Cognitive Function in T2DM Patient (ESCDP)

NCT ID: NCT04304261

Last Updated: 2024-05-30

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-01

Study Completion Date

2024-04-30

Brief Summary

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Type 2 diabetes is associated with diabetic cognopathy, the prevalence of Alzheimer's Disease(AD) in T2DM patients is 1.5 to 2.5 times higher than the general population. Cognitive impairment seriously affects the health and quality of life of the elderly. Prevention and treatment measures for cognitive decline in persons with T2DM has not been well studied.

Sodium-glucose transporter-2 (SGLT-2) inhibitors, which lower serum glucose by inhibiting SGLT2-mediated glucose reabsorption in renal proximal tubules, could be neuroprotective. It was recently reported that the SGLT-2 inhibitor improved cognitive function and ameliorated oxidative stress via attenuating mitochondrial dysfunction, insulin resistance, inflammation, and apoptosis in mice or HFD-induced obese rats, that means SGLT-2 inhibitor may provide neuroprotection in the diabetic brain. Hence, Invokana (Canagliflozin) might act as a potent dual inhibitor of AChE and SGLT2. Since the development of diabetes is associated with AD, the design of new AChE inhibitors based on antidiabetic drug scaffolds would be particularly beneficial. Moreover, the present computational study reveals that Invokana (Canagliflozin) is expected to form the basis of a future dual therapy against diabetes associated neurological disorders.

The overall goal of this study is to explore the effects of SGLT2 inhibitor on the cognitive function in patients with type 2 diabetes mellitus and make further contribution to the improvement of cognitive function.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 2 Cognitive Functions Confusion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Canagliflozin

12 weeks of Canagliflozin(100mg/day) treatment, randomly

Group Type EXPERIMENTAL

Canagliflozin

Intervention Type DRUG

12 weeks of Canagliflozin(100mg/day) treatment

Sitagliptin

12 weeks of Sitagliptin (100mg/day) treatment, randomly

Group Type EXPERIMENTAL

Sitagliptin

Intervention Type DRUG

12 weeks of Sitagliptin (100mg/day) treatment

Interventions

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Canagliflozin

12 weeks of Canagliflozin(100mg/day) treatment

Intervention Type DRUG

Sitagliptin

12 weeks of Sitagliptin (100mg/day) treatment

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Newly onset type 2 diabetes within 3 months
* 7%\<HbA1c\<10%

Exclusion Criteria

* Type 2 diabetes with acute diabetic complications.
* Type1 diabetes.
* Thyroid dysfuncition.
* Any surgical or medical conditions that significantly influence absorption, distribution, metabolism or excretion of the intervention drugs.
* History of cardio-cerebral vascular events, such as congestive heart failure, myocardial infarction or stroke within 3 months.
* Hepatic insufficiency (AST or AST is twice higher than the upper limit) or history of hepatitis or cirrhosis, hepatic encephalopathy.
* Renal insufficiency (serum creatinine 1.5 times higher than the upper limit) or history of dialysis and nephritic syndrome.
* Acute infections, tumor, severe arrhythmia.
* Alcohol or medicine addiction, psychoactive substance abuse.
* Other diseases affecting cognitive function (congenital dementia, brain trauma, parkinson's diseases, toxicencephacopathy,epilepsy, mental disorders, severe lungdy sfunction, epilepsy, severe hypoglycemic coma, cerebrovascular disease, ischemic heart disease, etc.)
* Fertile woman without contraceptives.
* Allergic to or have contraindication to the intervention drugs.
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Third Military Medical University

OTHER

Sponsor Role lead

Responsible Party

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Zhiming Zhu

Director of the Department of Hypertension & Endocrinology, Daping Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Zhiming Zhu

Chongqing, Chongqing Municipality, China

Site Status

Countries

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China

Other Identifiers

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ESCDP

Identifier Type: -

Identifier Source: org_study_id

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