MedPath

Semaglutide vs Dulaglutide on Epicardial Adipose Tissue

Completed
Conditions
Epicardial Fat
Registration Number
NCT04200625
Lead Sponsor
University of Miami
Brief Summary

Epicardial Fat (EAT), the visceral fat depot of the heart, is a modifiable cardio-metabolic risk factor and therapeutic target. EAT expresses GLP-1 receptors (GLP-1R). GLP-1 receptor agonist liraglutide is known to significantly decrease EAT thickness. However, the effects of GLP-1 receptor agonists semaglutide and dulaglutide on EAT thickness are unknown

Detailed Description

This is a retrospective, observational, case control study. Data were obtained from retrospective review of the electronic medical records.

Patients were treated with either semaglutide, dulaglutide or metformin as standard of care, during routine clinical practice, regardless of the study. Each patient underwent routine labs and an onsite ultrasound measurement of EAT thickness at baseline and at the routine 12-week follow up visit, as standard of care.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Type 2 diabetes,
  • BMI β‰₯27 kg/m2,
  • Age β‰₯ 18 years old
Exclusion Criteria
  • Type 1 diabetes
  • Concurrent use of dipeptidyl peptidase 4 (DPP-4) inhibitors or other GLP-1 agonist receptors
  • History of diabetic ketoacidosis
  • Known contraindications to GLP-1 receptor agonists such as previous history of pancreatitis or medullary thyroid carcinoma, personal or family history of multiple endocrine neoplasia type 2
  • Acute infective diseases, cancer or chemotherapy
  • Use of systemic corticosteroids within the 3 months prior this study
  • Known or suspected allergy to semaglutide or dulaglutide excipients or related products
  • Pregnancy, breastfeeding or the intention of becoming pregnant

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Epicardial Fat thickness12 weeks

Ultrasound measured Epicardial Fat thickness

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Miami

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

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