Novel Therapeutics and Endothelial Dysfunction in T1DM Patients

NCT ID: NCT05857085

Last Updated: 2023-05-12

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

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-15

Study Completion Date

2023-04-20

Brief Summary

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The aim of study is impact of additional treatment with new antidiabetic drugs (semaglutide or empagliflozine) compared to control group in T1DM patients - impact on endothelial function measured by FMD and FPF, arterial stiffness - measured by PWV, inflammatory biomarkers, markers of oxidative stress and endothelial progenitor cells (CD 34+/VDRL2, CD 133+/VDRL2) and correlation with glucovariability or time in range, measured with CGM system.

Detailed Description

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Conditions

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Endothelial Dysfunction Diabetes Mellitus, Type 1 Biomarkers Endothelial Progenitor Cells SGLT 2 Inhibitors Incretins Glucose Excursions FMD FPF Arterial Stiffness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

2 therapeutic arms - adding empagliflozin or semaglutide to basic insulin treatment and control arm in type 1 diabetic patients
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GLP 1 agonist

semaglutide in titrating doses 0,25 to 1,0 mg - duration of treatment12 weeks adding to insulin sheme (MDI or CII)

Group Type ACTIVE_COMPARATOR

Semaglutide Pen Injector [Ozempic]

Intervention Type DRUG

GLP 1 agonist

SGLT 2 inhibitor

empagliflozin 25 mg - duration of treatment 12 weeks adding to insulin sheme (MDI or CII or hybride system)

Group Type ACTIVE_COMPARATOR

Empagliflozin 10 MG

Intervention Type DRUG

SGLT 2 inhibitor

comparator

continuing treatment only with insulin sheme (MDI or CII or hybride system)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Semaglutide Pen Injector [Ozempic]

GLP 1 agonist

Intervention Type DRUG

Empagliflozin 10 MG

SGLT 2 inhibitor

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* T1DM
* HbA1C\<=9%
* prone to CGM system
* 20 - 70 years

Exclusion Criteria

* HbA1C \>9%,
* BMI\<22,
* pregnancy or lactation,
* known hypersensitivity to study drug,
* malignant disease ( excluded \>5 years disease free, bazocellular or planocellular ca of skin),
* liver cirrhosis child C,
* eGFR\<60 ml/min,
* chronic inflammatory disease,
* proliferative diabetic rethinopathy,
* MEN or medullary thyroid cancer in familly,
* concomitant drugs with influence on glycemia and antiinflammatory influence (corticosteroids, immunosupresive therapy),
* Major cardiovascular event last 2 months ( stroke, MI)
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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General and Teaching Hospital Celje

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrej Janez, prof PhD

Role: STUDY_CHAIR

General and teaching hospital Celje and UKC Ljubljana/Maribor

Locations

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General Hospital Celje

Celje, , Slovenia

Site Status

Countries

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Slovenia

Other Identifiers

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0120-63-2020

Identifier Type: -

Identifier Source: org_study_id

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