The Effect of empagliFlozin on Platelet Function profilEs in diabetiC patienTs - The EFFECT Study.

NCT ID: NCT04342819

Last Updated: 2024-09-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-01

Study Completion Date

2021-12-31

Brief Summary

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The mechanistic effects of empagliflozin on platelet function profiles have not yet been ascertained.

Detailed Description

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Sodium GLucose Transport 2 inhibitors (SGLT2I), including empagliflozin, reduce the likelihood of hospitalization for heart failure and death in persons with type 2 diabetes, of which the mechanism has not been fully elucidated. The mechanistic effects of empagliflozin on platelet function profiles have not yet been ascertained. It remains unclear if this reduction in cardiovascular death is mediated by decreased platelet reactivity.

Conditions

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Platelet Dysfunction Due to Drugs

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The study will be of a prospective, single-arm, crossover trial design over a 2-year period. Patients at the Eric Williams Medical Sciences Complex (EWMSC), Mt. Hope, Trinidad and Tobago.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Open-Label

Study Groups

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SGLT2i

Empagliflozin 25 mg per oral once daily

Group Type EXPERIMENTAL

SGLT2 inhibitor

Intervention Type DRUG

Sodium-Glucose Like Transporter 2 Inhibitor

Interventions

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SGLT2 inhibitor

Sodium-Glucose Like Transporter 2 Inhibitor

Intervention Type DRUG

Other Intervention Names

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Empagliflozin

Eligibility Criteria

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Inclusion Criteria

1. between 18 and 74 years of age,
2. have stable coronary artery disease and diabetes mellitus, already on DAPT with aspirin and clopidogrel for at least 6 months,

Exclusion Criteria

1. presence of active internal bleeding or history of bleeding diathesis or clinical findings associated with an increased risk of bleeding,
2. history of ischemic or hemorrhagic stroke, transient ischemic attack, intracranial neoplasm, arteriovenous malformation, or aneurysm,
3. history of clinical and/or hemodynamic instability,
4. within 1 month of placement of a bare metal stent,
5. within 30 days of coronary artery bypass graft surgery or PCI without a stent placed,
6. planned coronary revascularization,
7. treatment with fibrin-specific fibrinolytic therapy \<24 h or non-fibrin-specific fibrinolytic therapy \<48 h,
8. use of an oral anticoagulation agent or international normalized ratio \>1.5,
9. body weight \<60 kg,
10. age \>75 years,
11. hemoglobin \<10 g/dL,
12. platelet count \<100×106/μL,
13. creatinine \>2 mg/dL,
14. hepatic enzymes \>2.5 times the upper limit of normal,
15. pregnancy and/or lactation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The University of The West Indies

OTHER

Sponsor Role lead

Responsible Party

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Naveen Seecheran

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Eric Williams Medical Sciences Complex

Port of Spain, North, Trinidad and Tobago

Site Status

Countries

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Trinidad and Tobago

References

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Seecheran N, Ramdeen A, Debideen N, Ali K, Grimaldos K, Grimaldos G, Karan A, Seecheran R, Seecheran V, Persad S, Abdullah H, Peram L, Giddings S, Motilal S, Tello-Montoliu A, Schneider D. The Effect of Empagliflozin on Platelet Function Profiles in Patients with Stable Coronary Artery Disease in Trinidad: The EFFECT Pilot Study. Cardiol Ther. 2021 Jun;10(1):189-199. doi: 10.1007/s40119-020-00208-0. Epub 2020 Dec 11.

Reference Type DERIVED
PMID: 33306161 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CREC-SA.0054/10/2019

Identifier Type: -

Identifier Source: org_study_id

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