Coronary Artery Disease, Diabetes Mellitus, Percutaneous Coronary Intervention
Conditions
Keywords
stable coronary artery disease, empagliflozin
Brief summary
Aim: To study the effectiveness and safety of empagliflozin as a preoperative preparation tool, as well as to improve the long-term prognosis of planned percutaneous coronary interventions in patients with type 2 diabetes
Detailed description
Patients with type 2 diabetes will be randomized into 2 groups using the envelope method. One group will receive empagliflozin 10 mg 1 month before planned percutaneous coronary interventions and for 12 months thereafter in addition to previously taken hypoglycemic therapy. Patients of the second group will continue to take previously prescribed hypoglycemic therapy. Thus, the safety and effectiveness of empagliflozin for preoperative preparation of patients with type 2 diabetes before planned percutaneous coronary interventions will be evaluated, as well as the impact on the immediate and long-term outcomes of percutaneous coronary interventions in comparison with patients on standard hypoglycemic therapy
Interventions
Patients from treatment group received empagliflozin 10 mg daily additionally to previously prescribed diabetes medication
hypoglycemic therapy.
Sponsors
Study design
Eligibility
Inclusion criteria
* signed inform concent * stable coronary artery disease * planned percutaneous coronary intervention * diabetes mellitus
Exclusion criteria
* previously performed coronary revascularization * glomerular filtration rate less than 45 ml/min * intolerance to empagliflozin * serum potassium more than 5/5 mmol/l * heart failure (NYHA III-IV) * congenital heart disease * acute coronary syndrome less than 3 months before enrollment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| glomerular filtration rate(GFR) | baseline-24 weeks | The glomerular filtration rate(GFR) will be measured at each visit. GFR more than 60 will be recognized as normal. |
| HbA1C level | baseline-24 weeks | The HbA1C will be measured (in %) at each visit. HbA1C less than 6.1% will be recognized as normal. |