The Effects of Empagliflozin on Proteinuria in Kidney Transplantation Patients: A Randomized Controlled Trial
- Conditions
- Kidney transplant recipients with significant proteinuriaSGLT2 inhibitor, Empagliflozin, proteinuria, kidney transplant
- Registration Number
- TCTR20240406005
- Lead Sponsor
- Division of Nephrology, King Chulalongkorn Memorial Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 110
1. Kidney transplantation more than 6 months, 2.Age more than 18 year old, 3.Significant proteinuria Urine 24-hour protein more than 300 mg per day or Urine 24-hour albumin more than 200 mg per day or Urine protein to creatinine ratio more than 0.3 g per gCr or Urine albuminuria to creatinine ratio more than 200 mg per gCr, 4. eGFR (CKD-EPI) more than 20 mL per min per 1.73m2 and stable kidney function, 5. No immunosuppressive regimen adjustment in 3 months
1. Active local or systemic infection, 2. Asymptomatic bacteriuria, 3. Recurrent UTI, 4. Acute rejection or have been treated within 3 months, 5. Type 1 diabetes mellitus, 6. Poor controlled diabetic mellitus, 7. Treated with SGLT-2 inhibitor within 8 weeks or history of SGLT-2 inhibitor intolerance, 8. Hepatic impairment, 9. Pregnancy or breast feeding, 10. Multiorgan transplantation
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method rine protein at 6 months after end of the intervention Urine protein creatinine index (UPCI), urine albumin creatinine ratio (UACR), 24 hour urine protein and albumin
- Secondary Outcome Measures
Name Time Method estimated glomerular filtration rate (eGFR) decline at 6 months after end of the intervention estimated glomerular filtration rate (eGFR) (Chronic Kidney Disease Epidemiology Collaboration, CKD-EPI),Body weight change at 6 months after end of the intervention body weight,Blood pressure change at 6 months after end of the intervention office blood pressure,Blood sugar change at 6 months after end of the intervention Fasting plasma glucose (FPG), Hemoglobin A1c (HbA1c),Lipid profile at 6 months after end of the intervention Lipid profile,Immunosuppressive dose at 6 months after end of the intervention Concentration to dose ratio,Adverse effect Along 6 months of study period Events of adverse effect