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Active, not recruitingNCT05671991EMPA-PDUpdated Sep 14, 2026

Effect of Empagliflozin on Peritoneal and Kidney Function in End Stage Renal Disease

A Phase 4 interventional study of Empagliflozin 25 mg vs Placebo and Empagliflozin 10 MG in End Stage Renal Disease on Dialysis, sponsored by Yale University. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Yale University · Phase 4, Interventional, and Other

Phase
Phase 4
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of the study is to determine if empagliflozin can reduce peritoneal glucose absorption in patients with end stage renal diease (ESRD) on peritoneal dialysis.

This is a randomized, placebo controlled, acute crossover study of empagliflozin in an anticipated 30 chronic PD patients, with an 8 week "pre post" open label extension in all 30 patients where they will receive empagliflozin daily.

Read the detailed description

Participants will undergo three study visits, and up to 4 safety visits, over 9 weeks.

At 7 AM in the first study visit, the participants will have taken 25mg empagliflozin once or matching placebo, thus producing peak plasma levels by 10 AM. One week later the participant will return for the crossed over to the alternate study drug.

At the conclusion of the 2nd study visit, all participants will be provided with empagliflozin 10mg tabs to be taken daily for 56 days (8 weeks). At each study visit and safety visit, participants will undergo a PET test.

02

Conditions studied

  • End Stage Renal Disease on Dialysis

Keywords

  • Peritoneal dialysis
03

In context

Lead sponsor

Yale University is the lead sponsor of 1,724 studies on the registry; 298 are open to participants now.

Of its 210 completed or terminated interventional studies of FDA-regulated products, 126 (60%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  1. Patients actively undergoing PD with a reliably functioning PD catheter
  2. Stable peritoneal dialysis prescription
  3. PD vintage > 3 months
  4. Age >18 years of age

Exclusion criteria

Exclusion Criteria:

  1. History of type 1 diabetes, diabetic ketoacidosis, "brittle" diabetes or frequent hypoglycemia or severe hypoglycemic episodes requiring emergent intervention (ER visit or EMS response, glucagon administration or forced oral carbs) in the last 6 months
  2. Use of an SGLT2 inhibitor within the prior 30 days
  3. 1 or more episodes of peritonitis in the previous 6 months or active infection of the peritoneal dialysis catheter
  4. Anemia with hemoglobin \<8g/dL
  5. Inability to give written informed consent or follow study protocol
  6. Contraindication to receiving loop diuretics
05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Empagliflozin or Placebo in Acute

    Acute phase: Participants will receive 25 mg empagliflozin once on Day 0 or Day 7. Participants receive empaglifozin or placebo on Day 0. On Day 7, they will be crossed over to the alternate treatment.

    Drug: Empagliflozin 25 mg vs Placebo

  • Active comparator
    Empagliflozin in Chronic

    Chronic phase: On day 8, all participants will receive 10 mg empagliflozin 10 mg x 8 weeks

    Drug: Empagliflozin 10 MG

Interventions

  • DrugEmpagliflozin 25 mg vs Placebo

    Acute Study- Empagliflozin 25 mg vs Placebo on D1 then alternate therapy on D7

  • DrugEmpagliflozin 10 MG

    Chronic Study- Empagliflozin 10 mg for 8 weeks

06

What researchers measure

Primary outcomes

  1. Glucose absorption with empagliflozin vs. placebo

    Total glucose absorption in grams with empagliflozin vs. placebo

    Time frame: Day 0 to Day 63

Secondary outcomes

  1. Ultrafiltration volume with empagliflozin vs. placebo- acute study

    Ultrafiltration volume (in liters) at 4 hours with empagliflozin vs. placebo.

    Time frame: at 4 hours

  2. Change in plasma glucose levels with empagliflozin vs. placebo- acute study

    Change in plasma glucose levels during PD dwell with empagliflozin vs. placebo- acute study

    Time frame: Day 0 to Day 63

  3. Increase in natriuresis with empagliflozin vs. placebo-acute study

    Natriuresis determined by FENa

    Time frame: Day 0 to Day 63

  4. Change in peritoneal fluid inflammatory markers

    Change in levels of IL-6 and CA-125 (in pg)

    Time frame: Day 0 to Day 63

  5. Change in PET test parameters

    Change in peritoneal equilibration test parameters, measurement of solute transport across the peritoneal membrane (standard test carried out in PD patients to assess solute trasnport across membrane)

    Time frame: Day 0 to Day 63

  6. Change in total body water and extracellular water

    Change in total body water and extracellular water, using heaving water (D20)

    Time frame: Day 0 to Day 63

07

Study locations

1 site
  • Yale University
    New Haven, Connecticut 06510, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05671991
Lead sponsor
Yale University
Collaborators
Boehringer Ingelheim
Responsible party
Sponsor
First posted
Jan 5, 2023
Start date
Mar 1, 2023
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 14, 2026

Study contacts

Jeffrey Testani, MD
principal investigator · Yale University

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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