Endothelial Function, Type 2 Diabetes
Conditions
Keywords
SGLT2 inhibitor
Brief summary
This is a phase 4, single center, randomized, open-labeled, cross-over design study. The primary objective of the study is to compare effect of dapagliflozine and metformin on endothelial function. Subjects are randomized to initial metformin or initial dapagliflozin group and maintained initial treatment for 8 weeks. During that period, dose of dapagliflozin is maintained 10mg/day and metformin can be titrated upto 2000 mg/day. After 1 weeks of washout period, 8 weeks' cross-over is followed.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Present with type 2 diabetes based on the disease diagnostic criteria as described by the World Health Organization (WHO) 2. Treated with diet and exercise alone for recent 3 months 3. Aged 20-80 years 4. HbA1c 7\ 9% 5. This inclusion criterion applies to females of childbearing potential (not surgically sterilized and between menarche and 1-year postmenopause) only. * Are not breastfeeding. * Test negative for pregnancy at the time of screening based on a blood serum pregnancy test. * Intend not to become pregnant during the study.
Exclusion criteria
1. Previous history of IHD or brain infarct 2. Having typical anginal pain or atypical chest pain with dyspnea 3. Modification of Diet in Renal Disease (MDRD) estimated GFR≥60 mL/min
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reactive hyperemic index to measure endothelial function | 8 weeks | endothelial function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| N-acetyl-β-D-glucosaminidase as a measure of renal tubular injury | 8 week | renal tubular injury |
| Urine albumin excretion ratio | 8 week | Urine albumin excretion |
| Urine β2 microglobulin | 8 week | — |
Countries
South Korea