ClinicalTrials.gg
RecruitingNCT06054035Updated Sep 15, 2026

SGLT2 Inhibition in Addition to Lifestyle Intervention and Risk for Complications in Subtypes of Patients With Prediabetes

A Phase 4 interventional study of Dapagliflozin (Forxiga®) and Placebo matching Dapaglifolzin in Type2diabetes, PreDiabetes and Renal Failure, sponsored by University Hospital Tuebingen. Recruiting at 9 sites in Germany. Open to participants aged 35 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by University Hospital Tuebingen · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2023; still recruiting 3 years later.
Phase
Phase 4
Study type
Interventional
Enrollment
170
Allocation
Randomized
Ages
35 Years to 75 Years
Sex
All
01

Where this study stands

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

Among 11 studies testing dapagliflozin in Prediabetic State — 4 open to participants now, 4 under way, none of them phase 3. dapagliflozin · Prediabetic State.

Planned enrollment
3rd of 11
170 · median 120
Started
2023
with 1 other
Phase 4
7 of 11
3 open now
Registered
9th of 11
by date
Lead sponsor
1 of 11
University Hospital Tuebingen

Among the 11 studies testing dapagliflozin in Prediabetic State, this one is the 3rd largest by planned enrollment, is one of 2 that started in 2023, is one of 7 in phase 4, and was the 9th registered.

By phase

11 studies; the count open now beside each. This study's row is marked.

Phase 4this study7 · 3 open
Phase 22 · 1 open
Phase 2/31 · 0 open
Phase 31 · 0 open

By the year they started

First in 2016; this study’s year is marked. 2 started in 2023.

Tested beside dapagliflozin

Size and results

Median enrollment 120 across the 11 interventional studies. Of the 6 that completed or were terminated, 3 (50%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 11 studies testing dapagliflozin in Prediabetic State, or all of them as a file.
02

Study summary

More than 50% of patients with type 2 diabetes develop micro- and/or macrovascular complications during the course of the disease. Additionally, many patients at risk for diabetes develop metabolically driven complications including kidney and heart disease. Thus, it is of utmost importance to improve prevention of T2D and with this complications. Remission of prediabetes, i.e. normalization of hyperglycemia by means of lifestyle intervention is one of the most effective ways to prevent the development of T2D and complications. Novel sub-phenotyping analysis identified clusters of risk for diabetes associated with different complications, opening opportunities to new therapeutic approaches, despite and in addition to lifestyle changes. So far, pharmacological therapy is not indicated for patients with prediabetes. Remission of hyperglycemia associated with prediabetes during lifestyle interventions not only prevents T2D but is also linked with reduced albuminuria and lower microvascular and kidney complications. Thus, reaching normoglycemia (i.e. prediabetes remission) is important for reducing the risk of (pre-)diabetes-associated complications including micro- and even macrovascular disease. In patients with T2D, recent data show that dapagliflozin can improve diabetes remission, and thus, likely complications. However, to date no data have assessed whether or not this is also true in patients with hyperglycemia related to prediabetes which, as outlined above, already causes different complications.

Subphenotyping of patients with newly onset diabetes suggests that for some individuals, it would be too late to start interventions against dagainst complications at the time of diagnosis of type 2 diabetes. Therefore, individuals at elevated risk to develop T2D and complications should receive preventive measures well before the diagnosis of T2D. This study will provide evidence whether such an early intervention contributes to the remission of hyperglycemia related to prediabetes to protect from associated complications such as renal disease. The studied population will comprise individuals who have hyperglycemia in the range of prediabetes and are thus prone to not only develop T2D, but also early nephropathy but in clinical practice do not receive medical treatment due to the early stage of the disease. These subjects will receive Dapagliflozin 10 mg or Placebo for 6 months. The placebo treatment arm reflects current practice. In order guarantee a benefit the patients in the placebo arm will receive a lifestyle intervention.

03

Conditions studied

  • Type2diabetes
  • PreDiabetes
  • Renal Failure
04

Who can participate

Ages eligible
35 Years to 75 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

  1. Male, female or intersexualpatients aged between 35 and 75 years (including)
  2. Prediabetes (defined by one of the following: FG ≥ 100 mg/dL or 2h OGTT glucose ≥ 140 mg/dL)
  3. ≥20 kg/m2
  4. TSH within normal range
  5. Ability to understand and follow study-related instructions
  6. Negative pregnancy test for premenopausal women (blood)
  7. Patients who are receiving thyroid replacement therapy must be on a stable treatment regimen for at least 3 months prior to the screening visit (V-1)
  8. Patients who are receiving antihypertensive medication such as mineralocorticoid receptor antagonists must be on a stable treatment regimen for at least 6 weeks prior to the screening visit (V-1)
  9. Patients who are treated antihypertensive medication such as ACE inhibitors and AT1receptor antagonists, thiazides as well as loop diuretics must be on stable treatment for at least 2 weeks
  10. Understand and voluntarily sign an document prior to any study related assessments/procedures.
  11. Patients will not be included in the study if, in the opinion of the investigator participation will lead to an unacceptable risk to the subjects' safety or well-being

Exclusion criteria

Exclusion Criteria

  1. Manifest diabetes mellitus
  2. (as calculated by the CKD-EPI equation) \< 60 ml/min/1.73 m2
  3. all glucose altering medications (including current therapy with dapagliflozin or empagliflozin or any other SGLT2-Inhibitor)
  4. Symptomatic chronic congestive heart disease
  5. New diuretic or antihypertensive medication or dosing changes within the last 2 weeks, for aldosterone antagonists within the last 6 weeks
  6. known or suspected orthostatic proteinuria
  7. any acute severe or chronic severe illness, including the following: malignant disease ongoing or \< 5 years ago, unstable cardiovascular disease or procedure within 3 months prior to enrolment or expected to require coronary revascularisation procedure
  8. history of or current therapy for congestive heart failure ( III and IV), pacemaker or aortic stenosis > II°
  9. acute pancreatic disease (i.e. elevated lipase 3x )
  10. rapidly progressing renal disease or anuria
  11. known infection or positive HIV test at screening
  12. history of or planned organ transplantation
  13. history or presence of inflammatory bowel disease or other severe gastrointestinal diseases, particularly those which may impact gastric emptying, such as gastroparesis or pyloric stenosis
  14. relevant hepatic disease, including, but not limited to, acute hepatitis, chronic active hepatitis, or severe hepatic insufficiency, including patients with and/or aspartate aminotransferase > 3 x upper limit of normal and/or total (TB) > 2 mg/dL (> 34.2 μmol/L) (patients with TB > 2 mg/dL [> 34.2 μmol/L] and documented Gilbert's syndrome will be allowed to participate).
  15. treatment with
  16. antibiotic treatment within the last 4 weeks
  17. History of ketoacidosis
  18. history of repeated urogenital infection
  19. hemoglobinopathies, haemolytic anaemia, or chronic anaemia ( concentration \<12.0 g/dL)
  20. presence of psychiatric disorder or new intake of antidepressant or antipsychotic agents(start within last 3 months)
  21. Positive Screening for a severe depression (BDI ≥29)
  22. history of to the study drug or its ingredients
  23. more than 5% weight loss in the last 3 months
  24. Pregnant or breastfeeding women
  25. Subject (male, female or intersexual) is not willing to use highly effective methods during treatment and for 14 days (male or female) after the end of treatment (highly effective methods are defined as: combined hormonal contraception associated with inhibition of ovulation, progestogen-only hormonal contraception associated with inhibition of ovulation, intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomized partner, sexual abstinence).

    Vasectomized partner is a highly effective birth control method provided that partner is the sole sexual partner of the trial participant and that the vasectomized partner has received medical assessment of the surgical success.

  26. Current participation in other interventional clinical trials or treatment with other IMPs within five times the half-life of the drug
  27. Previous therapy with dapagliflozin or other drugs that can potentially lead to overlapping toxicities within five times the half-life of the drug
  28. Patients who do not want to be informed about accidental findings
  29. Any other clinical condition that would jeopardize subjects' safety or well-being while participating in this clinical trial
  30. Patients will not be included in the study if, in the opinion of the investigator, participation leads to an unacceptable risk to their safety and well-being
Terms in these criteria, in plain language(12)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
170 participants (estimated)

Study arms

  • Experimental
    Dapagliflozin (Forxiga®) and lifestyle counselling

    Drug: Dapagliflozin (Forxiga®) · Behavioral: Lifestyle Intervention

  • Placebo comparator
    Placebo matching Dapaglifolzin and lifestyle counselling

    Drug: Placebo matching Dapaglifolzin · Behavioral: Lifestyle Intervention

Interventions

  • Dapagliflozin 10 mg once daily for 6 months. Route of administration: oral.

  • DrugPlacebo matching Dapaglifolzin

    Placebo matching Dapaglifolzin once daily for 6 months. Route of administration: oral.

  • BehavioralLifestyle Intervention

    Patients receive a conventional lifestyle intervention (one in depth individual session at the beginning and standard care information on a healthy lifestyle at every visit thereafter).

06

What researchers measure

Primary outcomes

  1. Frequency of remission of hyperglycemia

    Frequency of individuals with prediabetes remission (normalization of fasting and 2h glucose concentrations) with dapagliflozin in comparison to treatment with placebo.

    Time frame: 6 months

Secondary outcomes

  1. Reduction of urinary albumine-creatinine ratio.

    To test differences between the two treatment arms for reduction of urinary albumine-creatinine ratio.

    Time frame: 1 month throuhg 6 months

  2. Change in estimated glomerular filtration rate (eGFR)

    To test differences between the two treatment arms for reduction in estimated glomerular filtration rate (eGFR).

    Time frame: 7 months

  3. Slopes over time of estimated glomerular filtration rate (eGFR).

    To test differences between the two treatment arms for slopes over time of estimated glomerular filtration rate (eGFR).

    Time frame: baseline to 4 weeks, baseline to 7 months, 3 months to 7 months, baseline to 12 months

  4. Numbers of patients showing resolution of chronic kidney disease (CKD)

    To test differences between the two treatment arms for resolution of chronic kidney disease (CKD) for at least 3 months continuously: Urine Albumin Creatinin Ratio (uACR) \< 30mg/g

    Time frame: 3 months through 12 months

  5. Prediabetes remission maintenance

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on remission of prediabetes as defined in the oGTT a fasting glucose \<100 mg/dl and 2 h glucose \<140 mg/dl at follow up

    Time frame: 12 months

Other outcomes

  1. Insulin sensitivity

    Baseline-adjusted insulin sensitivity at EoT using Insulin sensitivity: ISI-Matsuda/Oral glucose insulin sensitivity index.

    Time frame: 6 months, 12 months

  2. Insulin secretion

    Baseline-adjusted insulin secretion at EoT using an estimate for insulin secretion: C-peptide0-30AUC/glucose0-30AUC.

    Time frame: 6 months, 12 months

  3. Number of patients progressing to Type 2 Diabetes

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on the progression to T2DM as defined as a HbA1c ≥ 6.5

    Time frame: 6 months, 12 months

  4. Change in body weight

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on change in body weight.

    Time frame: 6 months, 12 months

  5. Change in BMI

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on BMI.

    Time frame: 6 months, 12 months

  6. Change in whole body fat

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on whole body fat measures by magnetic resonance imaging.

    Time frame: 6 months, 12 months

  7. Change in visceral fat

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on visceral fat measures by magnetic resonance imaging.

    Time frame: 6 months, 12 months

  8. Change in liver fat

    Effects of 6 months reatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on liver fat measures by magnetic resonance spectroscopy.

    Time frame: 6 months, 12 months

  9. Change in subcutaneous fat

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on subcutaneous fat measures by magnetic resonance imaging.

    Time frame: 6 months, 12 months

  10. Arterial blood pressure

    Baseline-adjusted arterial blood pressure at EoT

    Time frame: 6 months, 7 months, 12 months

  11. New onset or progress of neuropathy

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on new onset or progress of and neuropathy assessed by using the Rydel-Seiffer tuning fork and a 10 g monofilament

    Time frame: 6 months, 12 months

  12. Quality of life using the Short Form Health Survey (SF)-36 questionnaire

    Effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on quality of life using the SF-36 questionnaire (scored on a 0 to 100 range; the higher the score, the higher quality of life)

    Time frame: 6 months, 12 months

  13. Interaction between diabetes risk cluster and intervention for numbers of patients showing a resolution of Prediabetes

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on remission of prediabetes as defined a fasting glucose \<100 mg/dl and 2 h glucose \<140 mg/dl in the OGTT.

    Time frame: 6 months, 12 months

  14. Interaction between diabetes risk cluster and intervention for change in albuminuria

    To test interaction between diabetes risk clusters and intervention for kidney damage as shown by albuminuria in patients with CKD stage G1A2/G2A2 and prediabetes can be improved by a treatment with the SGLT2 inhibitor dapagliflozin (10mg/day) and lifestyle counselling compared to placebo and lifestyle counselling for 6 months calculated as mean of baseline-adjusted uACR measurements with dapagliflozin in comparison to treatment with placebo.

    Time frame: 6 months, 12 months

  15. Interaction between diabetes risk cluster and intervention for change in estimated glomerular filtration rate (eGFR).

    To test interaction between diabetes risk clusters and intervention on estimated glomerular filtration rate (eGFR).

    Time frame: 6 months, 12 months

  16. Interaction between diabetes risk cluster and intervention for slopes over time of estimated glomerular filtration rate (eGFR).

    To test interaction between diabetes risk clusters and intervention on slopes over time of estimated glomerular filtration rate (eGFR).

    Time frame: 4 weeks, 3 months, 6 months, 7 months, 12 months

  17. Interaction between diabetes risk cluster and intervention for numbers of patients showing resolution of chronic kidney disease (CKD)

    To test interaction between diabetes risk clusters and intervention for resolution of chronic kidney disease (CKD) for at least 3 months continuously: Urine Albumin Creatinin Ratio (uACR) \< 30mg/g

    Time frame: 3 months, 6 months, 7 months, 12 months

  18. Interaction between diabetes risk cluster and intervention for insulin sensitivity.

    To test interaction between diabetes risk clusters and intervention for baseline-adjusted insulin sensitivity at EoT using Insulin sensitivity: ISI-Matsuda/Oral glucose insulin sensitivity index.

    Time frame: 6 months, 12 months

  19. Interaction between diabetes risk cluster and intervention for insulin secretion

    To test interaction between diabetes risk clusters and intervention for baseline-adjusted insulin secretion at EoT using insulin secretion:C-peptide0-30AUC/glucose0-30AUC.

    Time frame: 6 months, 12 months

  20. Interaction between diabetes risk cluster and intervention for number of patients progressing to Type 2 Diabetes

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on the progression to T2DM as defined as a HbA1c ≥ 6.5

    Time frame: 6 months, 12 months

  21. Interaction between diabetes risk cluster and intervention for change in body weight

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on change in body weight.

    Time frame: 6 months, 12 months

  22. Interaction between diabetes risk cluster and intervention for change in BMI.

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on BMI.

    Time frame: 6 months, 12 months

  23. Interaction between diabetes risk cluster and intervention for change in whole body fat

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on whole body fat measures by magnetic resonance imaging.

    Time frame: 6 months, 12 months

  24. Interaction between diabetes risk cluster and intervention for change in visceral fat

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on visceral fat measures by magnetic resonance imaging.

    Time frame: 6 months, 12 months

  25. Interaction between diabetes risk cluster and intervention for change in liver fat

    To test interaction between diabetes risk clusters and intervention for effects effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on liver fat measures by magnetic resonance spectroscopy.

    Time frame: 6 months, 12 months

  26. Interaction between diabetes risk cluster and intervention for change in subcutaneous fat

    To test interaction between diabetes risk clusters and intervention for effects effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on subcutaneous fat measures by magnetic resonance imaging.

    Time frame: 6 months, 12 months

  27. Interaction between diabetes risk cluster and intervention for change in arterial blood pressure

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on the arterial blood pressure

    Time frame: 6 months, 7 months, 12 months

  28. Interaction between diabetes risk cluster and intervention on the new onset or progress of neuropathy

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on the new onset or progress of neuropathy assessed by using the Rydel-Seiffer tuning fork and a 10 g monofilament.

    Time frame: 6 months, 12 months

  29. Interaction between diabetes risk cluster and intervention for change in quality of life

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on the quality of life using the SF-36 questionnaire (scored on a 0 to 100 range; the higher the score, the higher quality of life).

    Time frame: 6 months, 12 months

  30. Small vessel density

    Change in small vessel density and junction-to-endpoint branches between baseline and EoT in the dapagliflozin versus placebo group as assessed by optoacustic imagingMyocardial function

    Time frame: 6 months, 12 months

  31. Interaction between diabetes risk cluster and intervention on small vessel density

    To test interaction between diabetes risk clusters and intervention for change in small vessel density and junction-to-endpoint branches between baseline and EoT in the dapagliflozin versus placebo group as assessed by optoacustic imagingMyocardial function

    Time frame: 6 months, 12 months

  32. New onset or progress of diabetic retinopathy

    New onset or progress of retinopathy between baseline and EoT in the dapagliflozin versus placebo group. This will be assessed by a grading algorithm using the iCare DRSplus camera. Since macula edema at early stages cannot adequately be assessed with fundus pictures, we will assess maculopathies using optical coherence tomography

    Time frame: 6 months, 12 months

  33. Interaction between diabetes risk cluster and intervention on the new onset or progress of diabetic retinopathy

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on the new onset or progress of retinopathy between baseline and EoT in the dapagliflozin versus placebo group. This will be assessed by a grading algorithm using the iCare DRSplus camera. Since macula edema at early stages cannot adequately be assessed with fundus pictures, we will assess maculopathies using optical coherence tomography.

    Time frame: 6 months, 12 months

  34. Composition of the gut microbiome

    Change in gut microbial community and gene abundances within and between intervention and placebo groups over time using next generation sequencing data and machine learning algorithms

    Time frame: 3 months, 6 months, 7 months, 12 months

  35. Interaction between diabetes risk cluster and intervention for composition of the gut microbiome

    To test interaction between diabetes risk clusters and intervention change in gut microbial community and gene abundances within and between intervention and placebo groups over time using next generation sequencing data and machine learning algorithms

    Time frame: 3 months, 6 months, 7 months, 12 months

  36. Urinary metabolite signature of SGLT2 inhibitors

    Changes in urinary metabolites within and between intervention and placebo groups over time using MS-based metabolomics and machine learning algorithms

    Time frame: 6 months, 12 months

  37. Interaction between diabetes risk cluster and intervention for urinary metabolite signature of SGLT2 inhibitors

    To test interaction between diabetes risk clusters and intervention changes in urinary metabolites within and between intervention and placebo groups over time using MS-based metabolomics and machine learning algorithms

    Time frame: 6 months, 12 months

  38. Myocardial function shown by left ventricular mass index

    Effects of dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on left ventricular mass index assessed via cardiac magnetic resonance imaging

    Time frame: 6 months, 12 months

  39. Interaction between diabetes risk cluster and intervention on Myocardial function shown by left ventricular mass index

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on left ventricular mass index assessed via cardiac magnetic resonance imaging.

    Time frame: 6 months, 12 months

  40. Myocardial function shown by systolic myocardial function

    Effects of dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on systolic myocardial function assessed via cardiac magnetic resonance imaging.

    Time frame: 6 months, 12 months

  41. Interaction between diabetes risk cluster and intervention on Myocardial function shown by systolic myocardial function

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on systolic myocardial function assessed via cardiac magnetic resonance imaging.

    Time frame: 6 months, 12 months

  42. Myocardial function shown by diastolic myocardial function

    Effects of dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on diastolic myocardial function assessed via cardiac magnetic resonance imaging.

    Time frame: 6 months, 12 months

  43. Interaction between diabetes risk cluster and intervention on Myocardial function shown by diastolic myocardial function

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on diastolic myocardial function assessed via cardiac magnetic resonance imaging.

    Time frame: 6 months, 12 months

  44. Health economic evaluation shown by incremental cost-effectiveness ratio

    Conducting a health economic evaluation from the perspective of the statutory health insurance and society in from of a cost-effectiveness analysis

    Time frame: 6 months, 12 months

  45. Interaction between diabetes risk cluster and intervention on health economic evaluation shown by incremental cost-effectiveness ratio

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on health economic evaluation shown by incremental cost-effectiveness ratio of a cost-effectiveness analysis

    Time frame: 6 months, 12 months

  46. Health economic evaluation shown by incremental cost-utility ratio

    Conducting a health economic evaluation from the perspective of the statutory health insurance and society in from of a cost-utility analysis

    Time frame: 6 months, 12 months

  47. Interaction between diabetes risk cluster and intervention on health economic evaluation shown by incremental cost-utility ratio

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on health economic evaluation shown by incremental cost-utility ratio of a cost-utility analysis

    Time frame: 6 months, 12 months

  48. Changes in risk preferences

    To test differences between the two treatment arms for the risk preferences

    Time frame: 6 months, 12 months

  49. Changes in time preferences

    To test differences between the two treatment arms for the time preferences

    Time frame: 6 months, 12 months

  50. Interaction between diabetes risk cluster and intervention on prediabetes remission maintenance

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on remission of prediabetes as defined in the oGTT a fasting glucose \<100 mg/dl and 2 h glucose \<140 mg/dl at follow up.

    Time frame: 12 months

  51. Interaction between diabetes risk cluster and intervention on the risk preferences

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on change of risk preferences

    Time frame: 6 months

  52. Interaction between diabetes risk cluster and intervention on the risk preferences

    To test interaction between diabetes risk clusters and intervention for effects of 6 months treatment with dapagliflozin 10 mg and lifestyle counseling compared to placebo and lifestyle intervention on change of time preferences

    Time frame: 6 months

07

Study locations

9 of 9 sites recruiting
  • Charité Universitätsmedizin Berlin, Klinik für Endokrinologie und Stoffwechselmedizin
    Berlin, Germany
    Recruiting
  • Universitätsstudienzentrum für Stoffwechselerkrankungen , Medizinische Klinik und Poliklinik III
    Dresden, Germany
    Recruiting
  • German Diabetes Center, Leibniz-Center for Diabetes Research at the Heinrich-Heine-University Duesseldorf
    Düsseldorf, 40225, Germany
    Recruiting
    • Robert Wagner, Prof. Dr. med. · Contact
  • Heidelberg University Hospital - Department of Endocrinology and Metabolism
    Heidelberg, 69120, Germany
    Recruiting
    • Julia Szendrödi, Prof. Dr. med. · Contact
  • Medizinische Klinik und Poliklinik III - Bereich Endokrinologie
    Leipzig, Germany
    Recruiting
  • Medizinische Klinik I, UKSH Campus LübeckAG Meyhöfer - Endocrinology, Diabetes & Metabolism
    Lübeck, 23562, Germany
    Recruiting
  • Diabetes Center Med. Klinik und Poliklinik IV, Klinikum der Universität München, LMU
    München, Germany
    Recruiting
  • Institut für Ernährungsmedizin, Technische Universität München
    München, Germany
    Recruiting
  • University Hospital Tuebingen, Otfried-Mueller Str. 10
    Tübingen, 72076, Germany
    Recruiting
08

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

Started Oct 2023 (actual). Primary completion is estimated for Jun 2027, 44 months after the start.

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 planned 44 months is close to that.

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

Registered
Sep 6, 2023
First posted
Sep 26, 2023
StartActual
Oct 26, 2023
Primary completionEst.
Jun 30, 2027
CompletionEst.
Sep 30, 2027
Last update
Sep 15, 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 Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06054035
Collaborators
German Federal Ministry of Education and Research, German Center for Diabetes Research, AstraZeneca
Responsible party
Sponsor
First posted
Sep 26, 2023
Start date
Oct 26, 2023
Primary completion
Jun 30, 2027 (estimated)
Completion
Sep 30, 2027 (estimated)
Last update
Sep 15, 2026

Study contacts

Andreas Birkenfeld, Prof. Dr.
Contact
andreas.birkenfeld@med.uni-tuebingen.de
0049707129 ext. 83670
Andreas Fritsche, Prof. Dr.
Contact
andreas.fritsche@med.uni-tuebingen.de
0049707129 ext. 80590

Oversight

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

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Studies of the drug tested here: Dapagliflozin

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