SGLT2 Inhibitors As First Line Therapy to Prevent Renal Decline in Type 2 Diabetes

NCT ID: NCT05345327

Last Updated: 2024-12-20

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

994 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-01

Study Completion Date

2026-06-30

Brief Summary

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The aim of the trial is to evaluate the effects of the SGLT2 inhibitor, dapagliflozin, compared to metformin on annual decline in eGFR when used as first line therapy in people with Type 2 Diabetes.

Detailed Description

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This study is a randomised, double blinded clinical trial and will be undertaken in primary care and community sites across Australia and tertiary care centres in Sri Lanka. Following a 4-week active run-in period, eligible participants will be randomised to either dapagliflozin 10mg daily, or metformin XR 2000mg daily in a 1:1 ratio.

Conditions

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Type 2 Diabetes

Keywords

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Diabetes Renal decline Metformin Sodium Glucose Co-Transporter 2 inhibitor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Dapagliflozin 10mg

1x over-encapsulated Dapagliflozin 10mg tablet and 2x Metformin placebo tablets, taken orally once daily for 2 years

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

SGLT2 inhibitor

Metformin XR 2000mg

2x Metformin XR 1000mg tablets and 1x over-encapsulated Dapagliflozin placebo, taken orally once daily for 2 years

Group Type ACTIVE_COMPARATOR

Metformin

Intervention Type DRUG

Metformin

Interventions

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Dapagliflozin

SGLT2 inhibitor

Intervention Type DRUG

Metformin

Metformin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of T2D;
* Aged ≥18 years;
* Body mass index \> 18.5 kg/m2;
* Drug naïve, or managed with metformin monotherapy and willing to be randomised to either dapagliflozin or metformin;
* eGFR ≥45 ml/min/1,73m2; and
* Signed informed consent.

Exclusion Criteria

* Have an immediate need for rapid intensification of glucose lowering therapy due to marked hyperglycaemia; or
* There is a definite indication for, or contraindication to, either metformin or SGLT2 inhibitor; or
* They have clearly documented coronary artery disease (defined as a previous acute coronary syndrome, coronary stent or bypass surgery) or clearly documented heart failure (defined on the basis of a hospital admission, specialist diagnosis or an echocardiogram or other imaging modality); or
* Pregnant or breast-feeding.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The University of New South Wales

OTHER

Sponsor Role collaborator

Monash University

OTHER

Sponsor Role collaborator

University of Sydney

OTHER

Sponsor Role collaborator

The George Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bruce Neal

Role: STUDY_CHAIR

The George Institute for Global Health (Sydney, Australia)

Clare Arnott

Role: STUDY_CHAIR

The George Institute for Global Health (Sydney, Australia)

Locations

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The George Institute for Global Health

Sydney, New South Wales, Australia

Site Status RECRUITING

The George Institute for Global Health

Brisbane, Queensland, Australia

Site Status RECRUITING

Monash University

Melbourne, Victoria, Australia

Site Status RECRUITING

National Hospital - Galle

Galle, Southern Province, Sri Lanka

Site Status NOT_YET_RECRUITING

National Hospital of Sri Lanka 1

Colombo, , Sri Lanka

Site Status RECRUITING

National Hospital of Sri Lanka 2

Colombo, , Sri Lanka

Site Status NOT_YET_RECRUITING

Jaffna Teaching Hospital

Jaffna, , Sri Lanka

Site Status RECRUITING

Kandy National Hospital

Kandy, , Sri Lanka

Site Status RECRUITING

Countries

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Australia Sri Lanka

Central Contacts

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Emma Zhang

Role: CONTACT

Phone: +61 2 8052 4337

Email: [email protected]

Sarah Stanton

Role: CONTACT

Email: [email protected]

Facility Contacts

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Emma Zhang

Role: primary

Sarah Stanton

Role: backup

Emma Zhang

Role: primary

Sarah Stanton

Role: backup

Simone Spark

Role: primary

Zachary Flanagan

Role: backup

Muditha Weerakkody

Role: primary

Manilka Sumanatilleke

Role: primary

Uditha Bulugahapitiya

Role: primary

Mahalingam Ararinthan

Role: primary

Charles Antonypillai

Role: primary

Other Identifiers

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P01148

Identifier Type: -

Identifier Source: org_study_id