ClinicalTrials.gg
CompletedNCT05426525Updated Aug 24, 2026

Use of Empagliflozin to Treat Prediabetes

A Phase 4 interventional study of Empagliflozin and Multivitamin-Placebo in PreDiabetes, Prediabetic State and Overweight and Obesity, sponsored by Oregon State University. Completed at 1 site in United States. Open to participants aged 18 Years to 59 Years. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Oregon State University · Phase 4, Interventional, and Basic science

Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 59 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 390 studies in Prediabetic State with a site in United States — 84 open to participants now, 108 under way, 2 of them phase 3. Prediabetic State · United States.

Enrollment
158th of 362
60 · median 54
Started
2022
with 31 others
Phase 4
16 of 390
5 open now
Registered
249th of 390
by date

Among the 390 studies in Prediabetic State with a site in United States, this one is the 158th largest by enrollment of the 362 interventional ones that give a count, is one of 32 that started in 2022, is one of 16 in phase 4, and was the 249th registered.

Prediabetic State

918 studies on the registry are indexed under Prediabetic State; 232 are open to participants now.

Browse Prediabetic State studies →

Open to participants now

84 of the 390 studies in Prediabetic State with a site in United States are open now. Recruiting first, the newest first:

79 more — sign in →

All 84 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 145 Prediabetic State studies recruiting now, 51 (35%) set no upper age limit and 84 (58%) stop at 75 or younger; 12 take children under 18; 54 take healthy volunteers.

This study: 18 Years to 59 Years · all sexes · no healthy volunteers.

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02

Study summary

The overall purpose of this study is to identify how empagliflozin (a drug commonly used to treat type 2 diabetes) impacts skeletal muscle metabolic health among adults with prediabetes. Our aims are to: 1) Test the ability of empagliflozin to improve regulation of glucose metabolism (i.e., blood sugar) among overweight and obese individuals at risk for diabetes, and 2) Identify mechanisms to explain how empagliflozin may improve skeletal muscle glucose metabolism. We hypothesize empagliflozin will improve regulation of glucose metabolism due to changes in whole-body and skeletal muscle metabolism (e.g., increased rates of whole-body fat oxidation, evidence of impaired skeletal muscle mitochondrial respiratory function and increased energetic stress, lower accumulation of skeletal muscle lipids and improved skeletal muscle insulin signaling compared with placebo treatment).

Read the detailed description

The overall study design is a 13-week, double-blind, placebo-controlled intervention trial, testing the ability of empagliflozin to improve glucose metabolism among overweight and obese individuals at risk for diabetes (compared with a multivitamin-placebo). The study involves metabolic testing before and during the intervention to identify changes in outcomes as a function of the intervention and to ensure participant safety. The study involves 9 visits to the Samaritan Athletic Medicine Center on the campus of Oregon State University in Corvallis, Oregon. Full completion of the study is anticipated to take \~4 months. The project is being completed in collaboration with physicians at Samaritan Health Services.

03

Conditions studied

  • PreDiabetes
  • Prediabetic State
  • Overweight and Obesity
04

Who can participate

Ages eligible
18 Years to 59 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 26-45 kg/m2
  • Weight stable (± 10 lbs in previous 3 months)
  • Fasting blood glucose \<126 mg/dL or \<6.5% (\<48mmol/mol)

Exclusion criteria

Exclusion Criteria:

  • Regular moderate-vigorous exercise (≥30 min/session on ≥2 days per week)
  • Pregnancy, planning to become pregnant or nursing
  • Lidocaine allergy
  • Current or recent smoking or nicotine use (≤ 1-year abstention)
  • Medications including glucose lowering medications and supplements (SGLT2 inhibitors, GLP1 agonists, sulfonylurea, insulin, TZDs); mono-amine oxidase inhibitors; beta-blockers; diuretics
  • Major metabolic or cardiovascular conditions (e.g., type 1 diabetes, Crohn's disease, untreated hypo- or hyperthyroid, cancer, coronary artery disease, tachycardia, prior bariatric surgery, peripheral vascular disease, liver diseases (e.g., cirrhosis)
  • Diagnosed type 2 diabetes. In absence of diagnosis, two separate samples with test results of fasting blood glucose ≥126 mg/dL or ≥6.5% (48 mmol/mol).
  • /precautions for empagliflozin (impaired renal function (EGR\<60), history of: empagliflozin , ketoacidosis, hypotension, recurring urinary tract or genital mycotic infections, amputation)
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Empagliflozin

    Participants will be provided 10-25mg empagliflozin per day for 13 weeks.

    Drug: Empagliflozin

  • Placebo comparator
    Multivitamin-Placebo

    Participants will be provided 1 multivitamin-placebo per day for 13 weeks.

    Drug: Multivitamin-Placebo

Interventions

  • Participants will take 10mg empagliflozin per day for 2 weeks. Absent contraindications, dosing will be increased to 25 mg empagliflozin per day for the next 11 weeks.

    Also known as: Jardiance

  • DrugMultivitamin-Placebo

    Participants will take 1 multivitamin per day for 13 weeks.

06

What researchers measure

Primary outcomes

  1. Insulin-stimulated glucose disposal

    The glucose infusion rate to maintain glycemia during insulin clamp, using plasma enrichment of glucose isotope tracer to determine changes in rates of insulin-stimulated glucose disposal

    Time frame: Insulin-stimulated glucose disposal is measured before the start of the intervention (baseline) and during week 13 of the intervention.

Secondary outcomes

  1. Oral glucose tolerance

    The change in blood glucose concentration in response to a 75g glucose beverage

    Time frame: Oral glucose tolerance is measured before the start of the intervention (baseline) and during week 12 of the intervention.

  2. Fasting plasma glucose concentration

    The change in fasting plasma glucose concentration

    Time frame: Fasting plasma glucose is measured before the start of the intervention (baseline) and during week 13 of the intervention.

  3. Whole-body fat oxidation

    Indirect calorimetry will be used to determine the change in whole-body rate of fat oxidation during basal and insulin-stimulated conditions

    Time frame: Whole-body fat oxidation is measured before the start of the intervention (baseline) and during week 13 of the intervention.

  4. Skeletal muscle insulin signaling

    Immunoblotting to determine the change in activation of insulin signaling proteins in skeletal muscle collected at basal and during insulin-stimulated conditions

    Time frame: Skeletal muscle insulin signaling is measured before the start of the intervention (baseline) and during week 13 of the intervention.

  5. Skeletal muscle lipids

    Mass spectrometry lipidomic analysis of skeletal muscle to determine changes in muscle lipid content

    Time frame: Skeletal muscle lipids are measured before the start of the intervention (baseline) and during week 13 of the intervention.

  6. Skeletal muscle mitochondrial respiratory function

    Changes in skeletal muscle mitochondrial respiratory capacity measured using high-resolution respirometry

    Time frame: Skeletal muscle mitochondrial respiratory function is measured before the start of the intervention (baseline) and during week 13 of the intervention.

  7. Skeletal muscle energetic stress

    Immunoblotting to determine changes in activation of AMPK and related signaling proteins pathways

    Time frame: Skeletal muscle energetic stress is measured before the start of the intervention (baseline) and during week 13 of the intervention.

07

Study locations

1 site
  • Oregon State University
    Corvallis, Oregon 97331, United States
08

References and documents

Individual participant data

Plan to share: No — The current study is a pilot and feasibility project. IPD will not be made publicly available, save for publication and reporting requirements. Individual requests for data will be addressed by the Principal Investigator.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2022 to primary completion in Apr 2026, 42 months.

Of 30 phase 4 interventional studies under Prediabetic State, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 47. This study's 42 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 8, 2022
First posted
Jun 22, 2022
StartActual
Oct 13, 2022
Primary completionActual
Apr 30, 2026
CompletionActual
Aug 20, 2026
Last update
Aug 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05426525
Lead sponsor
Oregon State University
Collaborators
Samaritan Health Services
Responsible party
Sean Newsom (Associate Professor, Kinesiology, Oregon State University) — Principal investigator
First posted
Jun 22, 2022
Start date
Oct 13, 2022
Primary completion
Apr 30, 2026
Completion
Aug 20, 2026
Last update
Aug 24, 2026

Study contacts

Sean A Newsom, Ph.D.
principal investigator · Oregon State University

Oversight

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

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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Empagliflozin

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