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A placebo-controlled, randomized, double-blind trial to investigate the impact of dapagliflozin on the development of diabetic ketoacidosis and intermediate metabolism in type 1 diabetes using a dual stable tracer method: A safety study investigating the fuel shift theory in the human model

A placebo-controlled, randomized, double-blind trial to investigate the impact of dapagliflozin on the development of diabetic ketoacidosis and intermediate metabolism in type 1 diabetes using a dual stable tracer method: A safety study investigating the fuel shift theory in the human model - AZ02_Dapa_T1D

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
DRKS
Registry ID
DRKS00021284
Enrollment
16
Registered
2020-04-08
Start date
2020-05-26
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

E10

Interventions

Group 1: Dapaglifozine compared to placebo Group 2: Placebo vs. Dapaglifozin

Sponsors

Medizinische Universität Graz, Universitätsklinik für Innere Medizin, Abteilung für Endokrinologie und Diabetologie
Lead Sponsor

Eligibility

Sex/Gender
Male
Age
18 Years to 55 Years

Inclusion criteria

Inclusion criteria: Men aged 18-55 years (both inclusive) at the time of signing the consent form Diagnosis of type 1 diabetes mellitus. C-peptide (fasting value) = 0.07 ng/ml (= 0.02 nmol/L). Stable insulin therapy for at least 6 months prior to screening by continuous subcutaneous insulin infusion (CSII). Body Mass Index (BMI) between 20.0 and 35.0 kg/m2 (both inclusive) HbA1c = 85,8 mmol/mol (= 10,0 %).

Exclusion criteria

Exclusion criteria: People with muscular symptoms of hyperglycemia (tingling, pain). Known or suspected hypersensitivity to experimental products or other related products. History of severe allergy to medicines or foods or a history of severe anaphylactic reactions. Presence of clinically relevant respiratory, cardiovascular, endocrine (except those related to diabetes mellitus), severe liver dysfunction, or other conditions that the investigator deems could compromise safety or compliance with the protocol. Receipt of an investigational medicinal product (IMP) within one month (or 5 half-life periods, whichever is longer) prior to screening. Uncontrolled hypertension is defined as blood pressure at screening (after 5 min rest) outside the range 90-160 mmHg for systolic or 50-100 mmHg for diastolic. Acute symptomatic (according to the investigator's assessment) urinary tract or genital infection, chronic or recurrent (= 3-year episodes) cystitis. Proliferative retinopathy or maculopathy (requiring treatment) and/or severe neuropathy, especially autonomic neuropathy, as determined by the investigator. Use of medications that may interfere with the interpretation of study results or are known to cause clinically relevant disturbances in insulin action, glucose utilization, or recovery from hypoglycemia (in the investigator's judgment). Hemoglobin 2.5 x ULN. Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m². Positive laboratory result for screening test for HIV, hepatitis B and/or hepatitis C. Surgery or trauma with significant blood loss (more than 500 mL) within the last 3 months before screening. Smoker (defined as a subject who smokes at least five cigarettes or the equivalent product per day) who is unable or unwilling to refrain from smoking or from using nicotine gum or transdermal nicotine patches during the inpatient period Known or suspected alcohol or drug/chemical abuse (as determined by the investigator) or positive result of an alcohol test or positive result of a drug abuse test.

Design outcomes

Primary

MeasureTime frame
To compare the kinetics of DKA development in T1D patients treated with dapagliflozin vs. placebo in an insulin depletion experiment by monitoring bicarbonate.

Secondary

MeasureTime frame
The secondary objective of this trial is to assess the differential effects of dapagliflozin 10 mg treatment compared to placebo on DKA-relevant parameters during an insulin depletion experiment.

Countries

Austria

Contacts

Public ContactEva Svehlikova

Medizinische Universität Graz, Abteilung für Endokrinologie und Diabetologie, Clinical Trials Unit

eva.svehlikova@medunigraz.at+43 316 385 72835

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026