Effects of SGLT2 Inhibitor on Type 2 Diabetic Patients Undergoing Cardiac Surgery

NCT ID: NCT04340908

Last Updated: 2021-10-07

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

PHASE4

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-01

Study Completion Date

2023-06-01

Brief Summary

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Patients with diabetes have poorer cardiac surgery outcomes compared with non-diabetics. Proper blood glucose management is critical to reduce the morbidity and mortality for diabetic patients after cardiac surgery.

SGLT2 inhibitors including dapagliflozin as a new diabetes drug can reduce heart failure hospitalization rates and overall cardiovascular mortality in patients with cardiovascular disease.

This study is to assess the impact of one year of treatment of SGLT2 inhibitors on cardiac function, postoperative complications and long-term cardiovascular mortality in diabetic patients undergoing cardiac surgery.

The investigators use echocardiography to evaluated cardiac function in diabetic patients during perioperative cardiac surgery.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 2 Cardiac Surgery

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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Treatment

Dapagliflozin 10 mg tablet

Group Type EXPERIMENTAL

Dapagliflozin 10 MG

Intervention Type DRUG

10 mg tablet, oral, once daily, 1-year treatment, postoperation

Control

matching placebo tablet

Group Type PLACEBO_COMPARATOR

Placebos

Intervention Type DRUG

matching placebo tablet, oral, once daily, 1-year treatment, postoperation

Interventions

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Dapagliflozin 10 MG

10 mg tablet, oral, once daily, 1-year treatment, postoperation

Intervention Type DRUG

Placebos

matching placebo tablet, oral, once daily, 1-year treatment, postoperation

Intervention Type DRUG

Other Intervention Names

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Forxiga

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18 years old at index date.
2. Diagnosis of Type 2 Diabetes.
3. Scheduled for cardiac surgery (coronary artery bypass grafting, valve replacement, ventricular assist device, cardiac transplantation, or any other surgery requiring thoracotomy).
4. eGFR ≥ 60 ml/min/1.73 m2.
5. Patients who agree to receive treatment with SGLT2 inhibitors.
6. Patients must be on current stable hemodynamic profile , without dehydration.

Exclusion Criteria

1. Diagnosis of Type 1 Diabetes.
2. eGFR \< 60 ml/min/1.73 m2.
3. Unstable or rapidly progressive renal disease.
4. Hypersensitivity to dapagliflozin or any excipients.
5. Severe hepatic disease.
6. Patients who have participated in any other clinical trial of an investigational medicinal product within the previous 30 days.
7. Any other reason considered by a study physician to be inappropriate for inclusion.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hongchang Guo

OTHER

Sponsor Role lead

Responsible Party

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Hongchang Guo

Attending doctor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Lai, M.D.

Role: STUDY_CHAIR

Beijing Anzhen Hospital

Guo, M.D.

Role: STUDY_DIRECTOR

Beijing Anzhen Hospital

Locations

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Beijing Anzhen Hospital, Capital Mediacal University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wei, M.D.

Role: CONTACT

+86 19800367660

Facility Contacts

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Wei, M.D.

Role: primary

Other Identifiers

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AZ-SGLT2i

Identifier Type: -

Identifier Source: org_study_id

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