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临床试验/NCT06284850
NCT06284850招募中不适用

Red Blood Cell 2,3-biphosphoglycerate Levels in Patients Treated With Empagliflozin. A Prospective Cohort Study.

Aristotle University Of Thessaloniki1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2023年11月30日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
状态
招募中
入组人数
40
试验地点
1
主要终点
Mean change in red blood cell 2,3-biphosphoglycerate levels (μmol/ml)

研究概览

简要总结

The aim of this study is to investigate the hypothesis that treatment with empagliflozin may have an impact on red blood cell 2,3-biphosphoglycerate levels affecting tissue oxygen supply and thus mediating part of the cardio- and reno- protective effect of SGLT-2 inhibitors.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients>18 year-old and at least one of the following
  • Type 2 Diabetes Mellitus and HbA1c: 6.5-9.0% or HbA1c <6.5% and history of Coronary Artery Disease or Stroke not treated with GLP-1RA
  • Heart Failure defined as Ejection Fraction<40% or NT-proBNP>300pg/ml or Atrial fibrillation and NT-proBNP>900pg/ml
  • Chronic Kidney Disease defined as eGFR<60ml/min/1.73m2 (CKPD- EPI) or/and UACR>200mg/g Initiating treatment with empagliflozin 10mg once daily as add on treatment

排除标准

  • Patients already treated with an SGLT-2 inhibitor
  • Patients with Hb<11gr/dl or>16gr/dl
  • Patients with history of inherited or acquired hemoglobin disease
  • Patients with history of hemolytic anemia
  • Patients with history of hematologic malignancy or myelodysplastic syndrome or myeloproliferative syndrome
  • Patients treated within the last 6 months for anemia due to iron, B12 or folate deficiency
  • Patients with history of major hemorrhage or major operation leading to RBC transfusion within the last 3 months.
  • Patients planning major operation or revascularization procedure within the 12 following weeks
  • Patients treated with erythropoietin
  • Patients with Chronic Kidney Disease and GFR<30ml/min/1.73m2
  • Pregnancy
  • Women of childbearing age not receiving appropriate contraception measures

研究组 & 干预措施

treatment with empagliflozin 10mg od

empagliflozin 10mg OD

干预措施: Empagliflozin10Mg Tab (Drug)

结局指标

主要结局

Mean change in red blood cell 2,3-biphosphoglycerate levels (μmol/ml)

时间窗: 12 weeks

Mean change in red blood cell 2,3-biphosphoglycerate levels (μmol/ml)

次要结局

  • HbA1c (%, mmol/mol),(12 weeks)
  • RBC (x1000000/μl)(12 weeks)
  • Hb (mg/dl)(12 weeks)
  • eGFR (ml/min/1.73m2),(12 weeks)
  • erythropoietin (mU/ml)(12 weeks)
  • Mean change in Hct (%)(12 weeks)
  • MCV (fl),(12 weeks)
  • Urine Albumin to Creatinine Ratio (mg/g)(12 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Christina Trakatelli

Assistant Professor Of Internal Medicine

Aristotle University Of Thessaloniki

研究点 (1)

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