Type 2 diabetes MedDRA version: 21.1 Level: LLT Classification code 10045242 Term: Type II diabetes mellitus System Organ Class: 100000004861
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Over 18 years of age • eGFR > 60 ml/min • Type 2 diabetes diagnosed at least 1 year before inclusion and in stable Medical antidiabetic treatment for at least 3 months • HbA1c 48 – 70 mmol/mol • Fertile women are to use safe contraception Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: • Type 1 diabetes • Alcohol or substance abuse • Pregnancy or breastfeeding • Anamnestic or clinical signs of heart- or liver failure • Active cancers, aside from skin cancers (spinocellular or basocellular carcinomas) • BMI > 35 • Allergies or unacceptable side effects to the experimental treatment or background treatment • If investigator finds the participant unfit to complete the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To examine the effects of SGLT2-inhibition versus placebo on renal hemodynamics in patients with typ2 diabetes and preserved kidney function;Secondary Objective: To examine the effects of SGLT2-inhibition versus placebo on systemic hemodynamics, water- and sodium balance, tubular sodium transporters, vasoactive hormones and calcium-phosphate metabolism in patients with typ2 diabetes and preserved kidney function ;Primary end point(s): Renal Blood Flow ;Timepoint(s) of evaluation of this end point: At the end of the trial, when all participants have completed the trial | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. GFR 2. Renal Vascular Resistance (RVF), Filtration Fraction (FF), Afferent and Efferent Renal Arteriolar Resistance (Ra and Re) 3. systemic hemodynamics: Brachial blood pressure, central blood pressure, Heart rate, pulse wave velocity and arterial stiffness. 4. Water and salt excretion: urinary sodium, Water clearence, urinary glucose, fractional sodium-excretion, urinary excretion of tubular transporter proteins (AQP2, ENaC og NCC, NKCC), Extracellular Body Water (EBW), Total Body Water (TBW), Intracellular Body Water (IBW), Adipose Tissue Mass. 5. Renin, angiotensin II, aldosterone, vasopressin, BNP 6. The NO-system measured by nitate, nitrit, cGMP and pletysmography 7. HbA1C og blood glucose 8. PTH, phosphate, calcium, FGF23, alkalic phosphatase and urinary phosphate excretion 9. Beta-hydroxybutyrate and urate 10. Urinary excretion of CL-K1 og CL-L1 11. Urinary excretion of Adenosin, NGAL, KIM-1 og IL-6 ;Timepoint(s) of evaluation of this end point: At the end of the trial, when all participants have completed the trial | — |
Countries
Denmark
Contacts
University Clinic of Nephrology and Hypertension, Regional Hospital Holstebro