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
DrugsDapagliflozin 10mg
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.
Investigators
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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