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SGL-TX-GFR SGLT2i safety and efficacy on kidney allograft function in non-diabetic kidney transplant recipients: A randomized, double-blind, placebo controlled, national, multicenter trial.

Conditions
Kidney transplant recipients
Registration Number
2024-518773-33-00
Lead Sponsor
Odense University Hospital
Brief Summary

In this non-inferior randomized controlled clinical trial we determine the safety and efficacy of oral SGLT2i compared with placebo as add-on to standard-of-care on affecting kidney transplant function (eGFR) in non-diabetic kidney transplant recipients.

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised
Sex
Not specified
Target Recruitment
88
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
Not specified
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Chronic eGFR slope (ml/min/1.73m2) measured from week 4, and then every 3 month until 18 month post randomization.
Secondary Outcome Measures
NameTimeMethod
Low-and high-density lipoproteins (LDL and HDL)
Triglycerides
Albumin/creatinine ratio (U-ACR) (mg/g)
Clinical routine Tacrolimus concentration (ug/L)
ALAT (U/L)
Pro-BNP, renin, angiotensin-2, aldosterone
Incidence of: Adverse events, Serious adverse events, Serious adverse reactions, Death – all cause mortality, Major Adverse Cardiac Events (MACE)
Frequence of positive urine cultures
Incidence of kidney transplant rejection (biopsy verified)
Change in Systolic blood pressure (SysBP) (mmHg) and diastolic blood pressure (DiaBP) (mmHg)
Relative incidence of out-of-target measures of clinical routine blood Tacrolimus levels
Urine biomarkers indicative of podocyt and tubular function from selected sites
Incidence of Post Transplant Diabetes Mellitus and prediabetes status
Change in volume status in week 1 of therapy (Weight)
Renal composite outcome (Incidence of graft failure (defined as return to dialysis or retransplantation), Incidence of ESRD (defined as eGFR<15 ml/min/1.73m2), Incidence of > 25% increase in creatinine
Creatinine (umol/L)
Total-Cholesterol
Bilirubin

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