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Clinical Trials/NCT04330079
NCT04330079
Terminated
Phase 4

Effects of dapaglifloziN Therapy on Myocardial Perfusion Reserve in Prediabetic Patients With Stable coronarY Artery Disease (ENTRY Trial)

CHEOL WHAN LEE, M.D., Ph.D1 site in 1 country2 target enrollmentMay 21, 2020

Overview

Phase
Phase 4
Intervention
Dapagliflozin 10mg
Conditions
Coronary Artery Disease
Sponsor
CHEOL WHAN LEE, M.D., Ph.D
Enrollment
2
Locations
1
Primary Endpoint
Percent change in global myocardial perfusion reserve (MPR) index
Status
Terminated
Last Updated
3 years ago

Overview

Brief Summary

The purpose of this study is to investigate the effects of dapagliflozin therapy on myocardial perfusion reserve (MPR) using dynamic SPECT examination in prediabetic patients with stable CAD.

Dapagliflozin therapy versus lifestyle modification improves myocardial perfusion reserve in prediabetic patients with stable CAD.

Registry
clinicaltrials.gov
Start Date
May 21, 2020
End Date
April 8, 2021
Last Updated
3 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
CHEOL WHAN LEE, M.D., Ph.D
Responsible Party
Sponsor Investigator
Principal Investigator

CHEOL WHAN LEE, M.D., Ph.D

Professor

Asan Medical Center

Eligibility Criteria

Inclusion Criteria

  • Men or women at least 18 years of age
  • Prediabetes by ADA criteria (fasting glucose 100-125mg/dl, or HbA1C 5.7-6.4%)
  • Stable coronary artery disease
  • Global myocardial perfusion reserve (MPR) index \< 2.0
  • The patient or guardian agrees to the study protocol and the schedule of clinical and dynamic SPECT follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.

Exclusion Criteria

  • Contraindications to dapagliflozin
  • Significant renal disease manifested by eGFR\<30 ml/min/1.73m²
  • Unstable or rapidly progressing renal disease
  • Acute coronary syndrome, or any other major cardiovascular events within the previous 6 months
  • Stent placement, or coronary artery bypass graft surgery within the previous 6 months
  • Planned revascularization within 6 months
  • Significant disease (diameter stenosis \>70% by coronary CT angiography) in major epicardial coronary arteries
  • Heart failure requiring loop diuretics
  • Hepatic disease or biliary tract obstruction, or significant hepatic enzyme elevation (ALT or AST \> 3 times upper limit of normal).
  • Contraindication to adenosine stress test

Arms & Interventions

Dapagliflozin

Intervention: Dapagliflozin 10mg

Lifestyle modification

Intervention: Lifestyle modification

Outcomes

Primary Outcomes

Percent change in global myocardial perfusion reserve (MPR) index

Time Frame: 6months

Secondary Outcomes

  • Percent change in regional myocardial perfusion reserve (MPR) index(6months)
  • Change in body weight(6months)
  • absolute changes in global MPR index(6months)
  • absolute changes in regional MPR index(6months)
  • Change in blood pressure(systolic, diastolic both )(6months)

Study Sites (1)

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