Dapagliflozin in Non Alcoholic Fatty Liver Disease Associated Cirrhosis and Its Role in Preventing Development of Chronic Kidney Disease.
1 other identifier
interventional
144
1 country
1
Brief Summary
The role of Dapagliflozin in the improvement in CKD in both diabetic and non-diabetic patients has been evaluated in the past. SGLT2i have also been found to be beneficial in NAFLD patients in improving the liver function parameters. It is also known that cirrhotic patients are at a higher risk of developing CKD at 1 year when compared to non cirrhotics. With this study we aim to study the role Dapagliflozin in cirrhotic patients in reducing the development of CKD, its impact on cirrhotic cardiomyopathy and its role in improvement of metabolic profile and liver related outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2023
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
March 27, 2023
CompletedFirst Posted
Study publicly available on registry
May 8, 2023
CompletedStudy Start
First participant enrolled
May 15, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
March 30, 2024
CompletedMay 8, 2023
March 1, 2023
11 months
March 27, 2023
May 5, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Number of participants developing Chronic Kidney Disease at 1 yr defined as per KDIGO guidelines.
1 year
Secondary Outcomes (12)
Number of participants developing Chronic Kidney Disease.
3 months
Number of participants developing Chronic Kidney Disease.
6 months
Improvement in eGlomerular filtration rate (eGFR) at 3 months.
3 months
Change in eGlomerular filtration rate (eGFR) at 6 months.
6 months
Change in eGlomerular filtration rate (eGFR) at 12 months.
12 months
- +7 more secondary outcomes
Study Arms (2)
Dapagliflozin+Standard of Care
EXPERIMENTALDapagliflozin
Standard of Care
ACTIVE COMPARATORStandard of Care
Interventions
Eligibility Criteria
You may qualify if:
- Age \> 18 years \<70years
- Patient with NAFLD associated cirrhosis and moderate ascites
- Stable eGFR-(\>60 ml/min/1.73m2) calculated using MDRD-6 equation: eGFR (ml/min/1.73 m2) = 198 × \[serum creatinine (mg/dL)\]-0. 858 × \[age\]-0. 167 × \[0.822 if patient is female\] × \[serum urea nitrogen concentration (mg/dL)\]-0.
- Valid Informed written consent
You may not qualify if:
- Hospitalized patients
- CTP-C patients
- Intrinsic/structural kidney disease, obstructive uropathy, ADPKD, Anatomic urologic defects that predispose to urinary tract infection
- History of organ transplantation
- Refractory Ascites
- Type 1 DM
- History of hypoglycemic symptoms in the last 2 months
- Recurrent UTI
- Patient with HCC or portal vein thrombosis
- Receiving therapy with an SGLT2 inhibitor within 8 weeks prior to enrolment or previous intolerance of an SGLT2 inhibitor
- History of fracture in the preceding year
- Severe Hyponatremia (Na \<125 MEq/L)
- Pregnancy or Lactating mother
- Receiving cytotoxic therapy, immunosuppressive therapy or other immunotherapy for primary or secondary renal disease within 6 months prior to enrolment
- MI, unstable angina, stroke or transient ischemic attack (TIA) within 12 weeks prior to enrolment
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Institute of Liver & Biliary Sciences
New Delhi, National Capital Territory of Delhi, 110070, India
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 27, 2023
First Posted
May 8, 2023
Study Start
May 15, 2023
Primary Completion
March 30, 2024
Study Completion
March 30, 2024
Last Updated
May 8, 2023
Record last verified: 2023-03