Effects of Dapagliflozin and Metformin on Vascular Function in Newly-Diagnosed Treatment-Naive Type 2 Diabetes (DMVascular)

T

Tan Tock Seng Hospital

Status and phase

Enrolling
Phase 4

Conditions

Diabetes

Treatments

Drug: Dapagliflozin
Drug: MetFORMIN 500 Mg Oral Tablet
Drug: Dapagliflozin / metFORMIN Pill

Study type

Interventional

Funder types

Other

Identifiers

NCT05440591
DMV001

Details and patient eligibility

About

Trial Design: This is a 12 week randomised controlled open label trial comparing the impact of Dapagliflozin, Metformin and combination therapy on vascular function in newly diagnosed T2DM patients.

Full description

Trial Design: This is a 12 week randomised controlled open label trial comparing the impact of Dapagliflozin, Metformin and combination therapy on vascular function in newly diagnosed T2DM patients. Trial Participants: Approximately 150 newly diagnosed T2DM patients with randomization 1:1:1 to Metformin XR 500mg twice daily, Dapagliflozin 10 mg daily or Metformin XR 500/Dapagliflozin 5 mg daily Primary Aim : To evaluate the influence of intervention on vascular function. Secondary Aims: To evaluate the influence on other parameters of vascular function and beds. To evaluate the haemodynamics involving blood pressure regulation. To evaluate the effects of SGLT2i versus Metformin on endothelial interactions (vascular permeability) and leukocyte-endothelial interactions (leukocyte rolling, adherence), endothelial regenerative capacity and other endothelial related pathways.

Enrollment

150 estimated patients

Sex

All

Ages

30 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

1. Ability to give informed consent 2. Age 30-65 years 3. Newly diagnosed (within the past 1 - 2 years) to have T2DM and not started on diabetes medications, HbA1c 6.4% to 10% (both inclusive) and/or OGTT 0 min glucose ≥7.0mmol/L and/or 120 min glucose ≥11.8mmol/L OR Recently diagnosed to have T2DM and treated with Metformin for not more than 5 years, HbA1c ≤ 8% 4. No recent change in medications or new medications 5. eGFR\>60mL/min/1.73m2 6. Patient is otherwise well with no acute systemic illness in the last 2 weeks. 7. Female participants of child bearing potential and male participants whose partner is of child bearing potential must be willing to ensure that they or their partner use effective contraception during the trial

Exclusion criteria

1. History of ketoacidosis or any other conditions causing acidosis e.g. Alcohol dependence 2. Has a history of urinary tract infections or is at risk for urinary tract infections (e.g prostatomegaly, vesicoureteric reflux, kidney stones) 3. Patients on corticosteroids or immunosuppressive agents 4. Patients known to have HIV infection and/or on anti-retroviral agents 5. Patients with typical clinical features suggestive of T1DM (young onset with no family history of diabetes or first presentation as DKA were excluded). The endocrinologist (PI or co-I) will look at the patient profile to confirm diagnosis of T2DM. 6. Has severe liver dysfunction 7. Considered inappropriate by investigators due to any other reason. 8. Female participant who is pregnant, lactating or planning pregnancy during the course of the trial. 9. Significant renal impairment. 10. Scheduled elective surgery or other procedures requiring general anaesthesia during the trial. 11. Participants who have participated in another research trial involving an investigational product in the past 12 weeks. 12. Participants who have a history of Peripheral Arterial Disease or peripheral vascular disease or complains of lower limb claudication pain. -

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

150 participants in 3 patient groups

Metformin
Active Comparator group
Description:
Metformin XR 500 mg tablets - up-to twice daily orally.
Treatment:
Drug: MetFORMIN 500 Mg Oral Tablet
Dapagliflozin
Experimental group
Description:
Dapagliflozin 10 mg tablets - once daily
Treatment:
Drug: Dapagliflozin
MetforminXR 500/Dapagliflozin 5mg
Experimental group
Description:
MetforminXR 500/Dapagliflozin 5mg , tablets- once daily
Treatment:
Drug: Dapagliflozin / metFORMIN Pill

Trial contacts and locations

1

Loading...

Central trial contact

Siti Zaidah; Rinkoo Dalan, MBBS

Data sourced from clinicaltrials.gov

Clinical trials

Find clinical trialsTrials by location
© Copyright 2024 Veeva Systems