A Clinical Study Comparing Effects of Empagliflozin Versus Vildagliptin on Inflammatory Biomarkers, and Atrial Function in Coronary Artery Disease Patients With Type 2 Diabetes: EMBA-VILDA-Response Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Sortilin (ng/ml)
研究概览
简要总结
We compared the cardioprotective effects of empagliflozin, an SGLT2 inhibitor, with those of vildagliptin, a dipeptidyl peptidase-4 (DPP-4) inhibitor, focusing on various inflammatory biomarkers lipid profile, and cardiac function, in patients with type 2 diabetes mellitus (T2DM).
详细描述
This was a prospective, randomized, double-dummy, parallel-group trial that enrolled 120 patients with T2DM. The patients were randomized 1: 1 for 6 months administration of empagliflozin or vildagliptin. by using consecutive ascending randomization numbers in the treatment blocks allocated to each study site. The randomization was stratified by the presence or absence of statin and oral antidiabetic therapy. The randomization list was produced using an automated random number generator.
Clinical parameters, assessment of atrial myocardial function, LVEF%, LA diameter, glycemic and lipid profile, adiponectin, high-sensitivity C-reactive protein, and Sortilin levels will be determined at baseline and after the 6 months of treatment period.
Patient compliance was evaluated by the counting of pills by a physician at selected time-points. In addition, patients were provided with individual diary cards to record administration of the study medication on a daily basis. These cards were checked regularly by site staff.
The study will be approved by the local ethics committee and was conducted in accordance with the Declaration of Helsinki and its amendments. All included patients provided written informed consent.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 40 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •T2DM patients with chronic stable angina.
- •patients with glycated hemoglobin (HbA1c) levels of 6.0-10.0%.
- •patients aged 20-80 years.
- •patients with a body mass index of ≥ 22 kg/m
- •patients who provided written informed consent.
排除标准
- •patients with type 1 diabetes mellitus or secondary diabetes mellitus.
- •patients with renal dysfunction (estimated glomerular filtration rate < 45 mL/min/1.73 m2).
- •patients with left ventricular ejection fraction (LVEF) < 30%.
- •patients with untreated cancer.
- •patients with hepatic cirrhosis.
- •patients with liver failure that was virus-, autoimmune- or drug-induced.
- •patients with alcoholism.
- •pregnant or breastfeeding patients, or those planning to become pregnant during the course of the study.
- •patients allergic to empagliflozin or vildagliptin.
- •patients with anemia (hemoglobin < 12 g/dL).
研究组 & 干预措施
Empagliflozin
Eligible subjects were randomly and equally assigned to the empagliflozin add-on group (empagliflozin 10 mg/ day).
干预措施: Empagliflozin 10 MG (Drug)
Vildagliptin
60 patients recieved vildagliptin as add-on group (vildagliptin 50 mg/day as the initial dose).
干预措施: Vildagliptin 50 MG (Drug)
结局指标
主要结局
Sortilin (ng/ml)
时间窗: 6 months
Serum Biomarkers
LVEF %
时间窗: 6 months
echocardiographic measurements
LDL (mg/dl)
时间窗: 6 months
Lipid profile
次要结局
- HbA1c %(6 months)
- FBG (mg/dl)(6 Months)
- hsCRP (mg/L)(6 months)
研究者
Rehab Werida
Associate Professor
Damanhour University
