Effect of Dapagliflozin on Microvascular and Macrovascular Circulation and Total Body Sodium Content
Dapa
Randomized, Placebo Controlled, Crossover Clinical Study to Analyse the Effect of Dapagliflozin on Microvascular and Macrovascular Circulation and Total Body Sodium Content
1 other identifier
interventional
59
1 country
1
Brief Summary
Dapagliflozin leads to improved vascular function in the micro- and macrocirculation by action on various cardiovascular risk factors, in particular by effectively controlling hyperglycemia, arterial hypertension and reducing whole sodium content amongst others.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 diabetes-mellitus-type-2
Started Mar 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2014
CompletedFirst Submitted
Initial submission to the registry
July 24, 2014
CompletedFirst Posted
Study publicly available on registry
March 9, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2015
CompletedMay 11, 2018
May 1, 2018
1.6 years
July 24, 2014
May 9, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Microcirculation
To analyse the effects after 6 weeks of treatment with dapagliflozin on retinal capillary flow (given as AU) as the key measurement of vascular remodeling in the microcirculation compared to placebo.
6 weeks
Secondary Outcomes (1)
Macrovascular circulation
6 weeks
Study Arms (2)
Dapagliflozin
ACTIVE COMPARATORDapagliflozin, 10 mg/day, oral administration, 6 weeks
Placebo
PLACEBO COMPARATORPlacebo, oral administration, 6 weeks
Interventions
Eligibility Criteria
You may qualify if:
- Type 2 diabetes
- HbA1c \> 6.5%
- age \> 18 years
- male and females
You may not qualify if:
- age \> 75 years
- HbA1c \> 10 %,
- reduced renal function (eGFR \< 60 ml/min/1.73 m²).
- insulin therapy, or any antidiabetic medication other than metformin.
- uncontrolled hypertension (\> 180/\>110 mmHg)
- cardiovascular event within the last 3 months
- Use of loop diuretics
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Erlangen-Nuernberg
Erlangen, 91054, Germany
Related Publications (6)
Karg MV, Bosch A, Kannenkeril D, Striepe K, Ott C, Schneider MP, Boemke-Zelch F, Linz P, Nagel AM, Titze J, Uder M, Schmieder RE. SGLT-2-inhibition with dapagliflozin reduces tissue sodium content: a randomised controlled trial. Cardiovasc Diabetol. 2018 Jan 4;17(1):5. doi: 10.1186/s12933-017-0654-z.
PMID: 29301520RESULTStaef M, Ott C, Kannenkeril D, Striepe K, Schiffer M, Schmieder RE, Bosch A. Determinants of arterial stiffness in patients with type 2 diabetes mellitus: a cross sectional analysis. Sci Rep. 2023 Jun 2;13(1):8944. doi: 10.1038/s41598-023-35589-4.
PMID: 37268640DERIVEDGessner A, Gemeinhardt A, Bosch A, Kannenkeril D, Staerk C, Mayr A, Fromm MF, Schmieder RE, Maas R. Effects of treatment with SGLT-2 inhibitors on arginine-related cardiovascular and renal biomarkers. Cardiovasc Diabetol. 2022 Jan 6;21(1):4. doi: 10.1186/s12933-021-01436-x.
PMID: 34991562DERIVEDKannenkeril D, Jung S, Harazny J, Striepe K, Ott C, Dahlmann A, Kopp C, Schiffer M, Linz P, Nagel AM, Uder M, Schmieder RE. Tissue sodium content correlates with hypertrophic vascular remodeling in type 2 diabetes. J Diabetes Complications. 2021 Dec;35(12):108055. doi: 10.1016/j.jdiacomp.2021.108055. Epub 2021 Sep 29.
PMID: 34620556DERIVEDKannenkeril D, Bosch A, Harazny J, Karg M, Jung S, Ott C, Schmieder RE. Early vascular parameters in the micro- and macrocirculation in type 2 diabetes. Cardiovasc Diabetol. 2018 Sep 19;17(1):128. doi: 10.1186/s12933-018-0770-4.
PMID: 30231923DERIVEDOtt C, Jumar A, Striepe K, Friedrich S, Karg MV, Bramlage P, Schmieder RE. A randomised study of the impact of the SGLT2 inhibitor dapagliflozin on microvascular and macrovascular circulation. Cardiovasc Diabetol. 2017 Feb 23;16(1):26. doi: 10.1186/s12933-017-0510-1.
PMID: 28231831DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Roland Schmieder, Prof.
Department of Medicine 4, University of Erlangen-Nuernberg
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. Dr. Roland E. Schmieder
Study Record Dates
First Submitted
July 24, 2014
First Posted
March 9, 2015
Study Start
March 1, 2014
Primary Completion
October 1, 2015
Study Completion
October 1, 2015
Last Updated
May 11, 2018
Record last verified: 2018-05