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CompletedNCT03118336EMPACEFUpdated Feb 17, 2020

Impact of Empaglifozine on Cardiac Ectopic Fat

A Phase 3 interventional study of Empagliflozin 10Mg Tab in Type 2 Diabetes, sponsored by Assistance Publique Hopitaux De Marseille. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-02-17.

Sponsored by Assistance Publique Hopitaux De Marseille · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

There is substantial evidence supporting the fact that ectopic fat accumulation is an important contributor to type 2 diabetes complications and cardiovascular risk [1]. Epicardial adipose tissue (EAT), located between the myocardium and the visceral layer of the pericardium has been associated with atrial fibrillation and with coronary artery disease [2, 3] and its abundance predicts the number of cardiac events within 8 years [4]. In addition, myocardial steatosis has been shown to be an independent predictor of diastolic dysfunction [5] [6]. Furthermore, in type 2 diabetic patients, bariatric surgery can reduce cardiac ectopic fat accumulation and improve cardiac function [7] [8]. When added to standard care, 10 or 25 mg/d of empagliflozin, an inhibitor of sodium-glucose cotransporter 2 (iSGLT2), significantly reduces the risk of death, cardiovascular death, and hospitalisation for heart failure among individuals with type 2 diabetes and established cardiovascular disease when compared to placebo [9]. The mechanisms of empagliflozin-improved cardiovascular outcomes in type 2 diabetic patients at high risk of cardiovascular events are not known. We hypotheses that empaglifozin could modulate cardiac ectopic fat and cardiac metabolism in obese type 2 diabetic patients.

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Conditions studied

  • Type 2 Diabetes
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In context

Cardiac Complexes, Premature

79 studies on the registry are indexed under Cardiac Complexes, Premature; 13 are open to participants now.

This study's enrollment of 56 is below the median of 86 across 40 interventional studies indexed under Cardiac Complexes, Premature.

Browse Cardiac Complexes, Premature studies →

Lead sponsor

Assistance Publique Hopitaux De Marseille is the lead sponsor of 686 studies on the registry; 148 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age > 18 years,
  • Type 2 diabetes based on the disease diagnostic criteria as described by the WHO,
  • HbA1c > 7% and \< 10 %
  • Stable glucose-lowering therapy for at least 3 weeks before randomization
  • Estimated glomerular filtration rate > 60/ml (MDRD)
  • Signed informed consent form obtained prior to any study procedure

Exclusion criteria

Exclusion Criteria:

  • Evolutive or planned pregnancy during the six months
  • Lactation
  • Recent weight loss (>5% of body weight within one month),
  • Treatment modifying adipose distribution such as corticoids
  • Acute coronary syndrome or instable angina during the last 2 months,
  • MRI contraindication (metal cardiac valve, pace maker, metal foreign body, claustrophobia)
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
56 participants (actual)

Study arms

  • Placebo comparator
    placebo group

    Drug: Empagliflozin 10Mg Tab

  • Experimental
    empaglifozine group

    Drug: Empagliflozin 10Mg Tab

Interventions

  • DrugEmpagliflozin 10Mg Tab

    1 tablet of 10 milligrams per bone 1 time a day during 12 weeks

06

What researchers measure

Primary outcomes

  1. cardiac morphology

    magnetic resonance imaging

    Time frame: 12 weeks

  2. epicardial adipose tissue volume

    magnetic resonance imaging

    Time frame: 12weeks

Secondary outcomes

  1. myocardial triglyceride

    proton magnetic resonance spectroscopy

    Time frame: 12weeks

  2. hepatic triglyceride content

    proton magnetic resonance spectroscopy

    Time frame: 12 weeks

  3. myocardial PCr/ATP ratio

    Time frame: 12 weeks

07

Study locations

1 site
  • Assistance Publique Hopitaux de Marseille
    Marseille, France
08

References and documents

Publications

  • Gaborit B, Ancel P, Abdullah AE, Maurice F, Abdesselam I, Calen A, Soghomonian A, Houssays M, Varlet I, Eisinger M, Lasbleiz A, Peiretti F, Bornet CE, Lefur Y, Pini L, Rapacchi S, Bernard M, Resseguier N, Darmon P, Kober F, Dutour A. Effect of empagliflozin on ectopic fat stores and myocardial energetics in type 2 diabetes: the EMPACEF study. Cardiovasc Diabetol. 2021 Mar 1;20(1):57. doi: 10.1186/s12933-021-01237-2. PubMed 33648515 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 17, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03118336
Lead sponsor
Assistance Publique Hopitaux De Marseille
Responsible party
Sponsor
First posted
Apr 18, 2017
Start date
Jun 16, 2017
Primary completion
Feb 7, 2019
Completion
Feb 7, 2020
Last update
Feb 17, 2020

Study contacts

anne dutour
principal investigator · Assistance Publique Hopitaux De Marseille

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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