Glioma, Dapagliflozin (Forxiga), Dexamethasone
Conditions
Brief summary
The aim of the study is to compare between the role of dapagliflozin versus dexamethasone in pre-operative management of non-diabetic glioma patients on levetiracetam as anti-seizure drug.
Detailed description
* This is a randomized, parallel, and controlled study, which will be conducted on pre-operative non-diabetic glioma patients on levetiracetam as anti-seizure drug. \* This study will be conducted pending registration at ClinicalTrials.gov. * All patients will give their written informed consents. * Data of patients will be confidential. * Any unexpected risk will be reported to patients and Ethical Committee on time. \* Randomization will be carried out based on days on hospital admission.
Interventions
Twenty-five non-diabetic glioma patients on levetiracetam, and not on SGLT2 inhibitors will receive Dapagliflozin 10 mg once daily for 14 days pre-operative
Twenty-five non-diabetic glioma patients on levetiracetam, and not on SGLT2 inhibitors will receive placebo tablets once daily for 14 days pre-operative.
Twenty-five non-diabetic glioma patients on levetiracetam, and not on SGLT2 inhibitors will receive Dexamethasone 8 mg tablets once daily for 14 days pre-operative.
Sponsors
Study design
Eligibility
Inclusion criteria
* Males & females. * Age: between 18 and 75 years old. * Pre-operative non-diabetic glioma patients on levetiracetam. • Diagnosis will be confirmed by: * The initial clinical examination. * Magnetic resonance imaging of the brain (MRI) with contrast.
Exclusion criteria
* Age: \> 75 years old, and \<18 years old. * Breast feeding female. • Pregnant female. * eGFR\< 30 mL/minute/1.73 m2. * Patients with diabetes mellitus. * Patients with diabetic ketoacidosis. * Patients with urinary tract infection. * Dehydrated patients till normalized. * Lower limb amputation patients. * SGLT2 inhibitors hypersensitivity. * Severe hepatic patients (child-plug score class-c).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Magnetic resonance imaging of the brain (MRI) with contrast. | 2 weeks |
| Optic nerve sheath diameter for assessment of intracranial tension. | 2 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Tumor necrosis factor alpha (TNF-α). | 2 weeks |
| Interlukin-6 (IL-6). | 2 weeks |