Type 2 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Aged >= 20, <75 at consent 2) Type 2 diabetes patients undergoing oral antidiabetic agent therapy 3) HbA1c > 7.0% and < 10.0% 4) BMI > 23 kg/m2 5) eGFR > 45 ml/min/1.73m2 6) Outpatient 7) Provided written informed consent
Exclusion criteria
Exclusion criteria: 1) History of receiving a SGLT-2 inhibitor 2) Receiving insulin or GLP-1 agonist 3) With severe ketosis, diabetic coma, or precoma 4) Contraindication to the use of dapagliflozin (history of hypersensitivity to dapagliflozin, or pregnant, etc.) 5) History of hospitalization for infection, trauma, or surgery within 6 months 6) History or under treatment of brain infarction, transient ischemic attack 7) With an episode of angina pectoris or myocardial infarction within 6 months 8) Receiving loop diuretics 9) With orthostatic hypotension 10) Considered inadequate by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in body weight from 0 to 24 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes and percent changes of following parameters from 0 to 24 weeks 1) Physical findings - Systolic/diastolic blood pressure - Pulse 2) Body composition - Fat mass, lean body mass, and bone density measured by DEXA - Subcutaneous fat area at the umbilical level, visceral fat area at the umbilical level, iliopsoas muscle area, and volume of the liver measured by MRI - Intrahepatic fat mass and hepatic glycogen content measured by MRS - Subcutaneous fat area at the umbilical level, visceral fat area at the umbilical level measured by Dual Scan - Fat mass and muscle mass (right and left arms, right and left lower limbs, and body trunk) and water volume measured by weight scale and body composition scale 3) Glucose metabolism HbA1c, Fasting plasma glucose, 1,5-AG, Fasting CPR, Fasting plasma insulin, Fasting urinary glucose, Glucagon 4) Lipid metabolism Total cholesterol, LDL cholesterol, HDL cholesterol, Triacylglycerol, Blood ketone bodies (total ketone body, ACAC, 3-OHBA), Free fatty acid, Free glycerol, RLP cholesterol 5) Liver function tests ALT, AST, Gamma-GTP, ChE, Ferritin 6) Others Urinary albumin, Serum uric acid, Urinary uric acid, Blood amino acid fraction, FGF-21, Cytokeratin-18, Oxidative stress marker (TBARS), lipid metabolites majored by lipidomics, mRNA expression in PBMC, Erythropoietin, Food preference questionary | — |
Countries
Japan
Contacts
Shiga University of Medical Science Clinical Reseach and Development Center