SGLT2 Inhibition and Stimulation of Endogenous Glucose Production: Protocol 2
Protocol 2: Elucidation of Mechanisms Responsible for the Increase in EGP Following SGLT2 Inhibition: Decrease in Plasma Glucose Conc or Change in Islet Hormone (Glucagon/Insulin) Secretion
2 other identifiers
interventional
30
1 country
1
Brief Summary
In Protocol 2, the investigators will determine the role of pancreatic hormones (increase in plasma glucagon and decrease in plasma insulin concentration) in the stimulation of EGP following SGLT2 inhibition.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Oct 2015
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 14, 2015
CompletedStudy Start
First participant enrolled
October 23, 2015
CompletedFirst Posted
Study publicly available on registry
October 30, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2019
CompletedResults Posted
Study results publicly available
December 18, 2019
CompletedSeptember 17, 2020
September 1, 2020
2.9 years
October 14, 2015
November 13, 2019
September 15, 2020
Conditions
Outcome Measures
Primary Outcomes (2)
Change in Plasma Glucose Concentration
Change from baseline to the last hour of the study (240-300 minutes) in plasma glucose concentration
Baseline to 240-300 minutes
Change in Endogenous Glucose Production (EGP)
The change in endogenous glucose production is measured from baseline until the last hour of the study
Baseline to 240-300 minutes
Secondary Outcomes (2)
Change in Plasma Insulin During Measurement of EGP
Baseline to 240-300 minutes
Change in Glucagon During EGP Measurement
Baseline to 240-300 minutes
Study Arms (2)
Dapagliflozin
ACTIVE COMPARATOR20 subjects will receive dapagliflozin 10mg
Placebo
PLACEBO COMPARATOR10 subjects will receive placebo
Interventions
Eligibility Criteria
You may qualify if:
- T2DM subjects
- yrs old
- BMI = 25-45 kg/m2
- Must be on a stable dose (more than 3 months) of monotherapy or combination therapy with metformin and/or a sulfonylurea
- HbA1c \<10.0%
- Stable body weight (± 3 lbs) over preceding 3 months
- Do not participate in excessively heavy exercise
You may not qualify if:
- Subjects taking drugs known to affect glucose metabolism (other than metformin and sulfonylurea)
- Individuals with evidence of proliferative diabetic retinopathy, plasma creatinine \>1.4 females or \>1.5 males, or 24-hour urine albumin excretion \> 300 mg
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229, United States
Related Publications (1)
Alatrach M, Laichuthai N, Martinez R, Agyin C, Ali AM, Al-Jobori H, Lavynenko O, Adams J, Triplitt C, DeFronzo R, Cersosimo E, Abdul-Ghani M. Evidence Against an Important Role of Plasma Insulin and Glucagon Concentrations in the Increase in EGP Caused by SGLT2 Inhibitors. Diabetes. 2020 Apr;69(4):681-688. doi: 10.2337/db19-0770. Epub 2020 Jan 8.
PMID: 31915153DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Ralph DeFronzo
- Organization
- University of Texas Health San Antonio
Study Officials
- PRINCIPAL INVESTIGATOR
Ralph A. DeFronzo, MD
The University of Texas Health Science Center at San Antonio
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 14, 2015
First Posted
October 30, 2015
Study Start
October 23, 2015
Primary Completion
October 1, 2018
Study Completion
October 31, 2019
Last Updated
September 17, 2020
Results First Posted
December 18, 2019
Record last verified: 2020-09