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Evaluation of SGLT2-i Effectivness and Safety in Elderly Type 2 Diabetes Patients

Conditions
Type2Diabetes
Registration Number
NCT05477017
Lead Sponsor
University of Milan
Brief Summary

The aim of the study is to evaluate the benefits, documented in experimental settings, of treatment with SGLT2-i in subjects with type 2 diabetes and older than 70 years in normal clinical practice.

The type of study does not involve immediate risks or direct benefits for the subjects taking part in it. The potential benefits for clinicians and healthcare systems are: greater knowledge of diabetic disease and the study of new treatment options. However, the analysis of the data will allow us to better identify which patients benefit most from treatment with glycosurics.

Detailed Description

Sodium-glucose co-transporter-2 inhibitors (SGLT2i) may have important benefits for the elderly with type 2 diabetes (T2D), however some safety concerns still limit their use in patients over 70 years of age. The SOLD study (SGLT2-i in Older Diabetic patients) aim to evaluate which basal characteristics of the patients are more frequently related to the suspension of treatment with SGLT2-i in a real-life setting.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
800
Inclusion Criteria
  • Informed consent issued before any other activity related to the study (i.e. any activity related to data collection according to the study protocol);
  • Diagnosis of type II diabetes mellitus, according to ADA indications for at least 3 months
  • Males or females > 70 years old
  • Stable therapy for at least 3 months with oral hypoglycemic agents / insulin
  • Prescription of SGLT2 inhibitors, in accordance with normal clinical practice and local drug prescription / reimbursement guidelines.
Exclusion Criteria
  • Mental incapacity, unavailability or language barriers that preclude adequate understanding or cooperation;
  • Diagnosis of type 1 diabetes mellitus, MODY (maturity-onset diabetes of the young), LADA (latent autoimmune diabetes in adults), gestational diabetes mellitus, secondary diabetes mellitus or any other hyperglycemic state other than T2D;
  • Previous participation in the study. Participation is defined by having given informed consent to the study;
  • Participation in another clinical study on T2D that includes any clinical intervention or administration of an investigational drug within 3 months prior to enrollment in the study

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Variation in HbA1c values (% -point)From Baseline to 12 months

Variation in HbA1c values (% -point) from baseline to 12 months from enrollment

Secondary Outcome Measures
NameTimeMethod
Evaluation of fasting glycemic controlFrom Baseline to 12 months

Evaluation of fasting glycemic control (mg/dl)

Evaluation of the weightFrom Baseline to 12 months

Evaluation of the weight (Kg)

Evaluation of the BMIFrom Baseline to 12 months

Evaluation of the BMI (Kg/m2)

Evaluation of the heart rateFrom Baseline to 12 months

Evaluation of the heart rate (bpm)

Evaluation of the maintenance of glycemic compensationFrom Baseline to 12 months

Evaluation of the maintenance of glycemic compensation after the initiation of glycosuric therapy in clinical practice

Evaluation of the systolic and diastolic pressureFrom Baseline to 12 months

Evaluation of the systolic and diastolic pressure (mmHg)

Evaluation of the waist circumferenceFrom Baseline to 12 months

Evaluation of the waist circumference (cm)

Evaluation of the serum creatinineFrom Baseline to 12 months

Evaluation of the serum creatinine (mg/dl)

Evaluation of the main side effects and the withdrawal rateFrom Baseline to 12 months

Evaluation of the main side effects and the withdrawal ratein the first year of treatment. It will be evalueted through scheduled clinical visit

Evaluation of the e-GFRFrom Baseline to 12 months

Evaluation of the e-GFR (mL/min/1.73m2)

Trial Locations

Locations (1)

ASST FBF Sacco

🇮🇹

Milan, Italy

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