CClinicalTrials.gg
CompletedNCT06145360Updated Apr 8, 2024

Evaluating the Efficacy and Safety of Empagliflozin Addition to Insulin and Oral Antidiabetic Medication (OAD) Regimen in Poorly Controlled Type 2 Diabetes and Obese Patient

A Phase 4 interventional study of Empagliflozin 10 MG and Insulin+Metformin+DPP4 inhibitor (DPP4I) in Glucose Metabolism Disorders, Diabetes Mellitus, Type 2 and Hypoglycemic Agents, sponsored by SINA Health Education and Welfare Trust. Completed at 1 site in Pakistan. Open to participants aged 20 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-04-08.

Sponsored by SINA Health Education and Welfare Trust · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
20 Years to 70 Years
Sex
All
01

Study summary

The primary aim of this study is to assess the impact of incorporating Empagliflozin, an oral sodium-glucose co-transporter 2 (SGLT2) inhibitor, into the existing therapeutic regimen of Insulin+Metformin+Dipeptidyl peptidase 4 (DPP-4) inhibitors in poorly controlled type 2 diabetes mellitus (T2DM) patients. The study seeks to evaluate its effect on achieving glycemic goals in this patient population.

02

Conditions studied

  • Glucose Metabolism Disorders
  • Diabetes Mellitus, Type 2
  • Hypoglycemic Agents
  • Empagliflozin

Keywords

  • Insulin Resistance
  • Type 2 Diabetes
  • Overweight
  • Add-on therapy
  • Glycemic control
03

Who can participate

Ages eligible
20 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients aged 35 years or older, diagnosed with Type 2 Diabetes Mellitus,
  • Specifically, individuals with a documented HbA1c level equal to or exceeding 8.5% over the course of the last six months or more are considered eligible candidates.
  • these patients should currently be undergoing treatment involving a combination of Insulin and either Metformin or Sitagliptin.

Exclusion criteria

Exclusion Criteria:

  • Patients with a history of recurrent urinary tract infections
  • those who are currently pregnant are excluded from participation in the study.
  • patients with an estimated Glomerular Filtration Rate (eGFR) exceeding 40 ml/min/1.73m²,
  • Furthermore, individuals with other concurrent medical conditions, and those who are unable to provide informed consent for the study, have also been excluded.
04

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Care provider)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    Empagliflozin 10mg

    Group A: Empagliflozin 10 mg once daily with antidiabetic drugs

    Drug: Empagliflozin 10 MG

  • Active comparator
    regimen of Insulin+Metformin+DPP4 inhibitor (DPP4I)

    Group B: usual care group \[Insulin+Metformin+DPP4 inhibitor (DPP4I)\] but without Empagliflozin with adjustment of therapy as the standard of care.

    Drug: Insulin+Metformin+DPP4 inhibitor (DPP4I)

Interventions

  • DrugEmpagliflozin 10 MG

    the impact of incorporating Empagliflozin, an oral sodium-glucose co-transporter 2 (SGLT2) inhibitor, into the existing therapeutic regimen of Insulin+Metformin+DPP4 inhibitor (DPP4I) in poorly controlled type 2 diabetes mellitus (T2DM

    Also known as: EMPAA

  • DrugInsulin+Metformin+DPP4 inhibitor (DPP4I)

    Group B: usual care group but without Empagliflozin with adjustment of therapy as the standard of care

05

What researchers measure

Primary outcomes

  1. Number of participants achieved HbA1c level i.e. <7%

    The foremost objective is to determine whether the addition of Empagliflozin to the current treatment regimen leads to a significant improvement in glycemic control i.e. glycated haemoglobin less than 7% among poorly controlled T2DM patients in three months of treatment

    Time frame: 12 weeks

Secondary outcomes

  1. Weight in Kg

    Number of participants reduces weight in Kg during the therapy or mean reduction in weight overtime

    Time frame: 12 weeks

  2. BMI in kg/m2

    Number of participants reduces BMI kg/m2 or mean reduction in BMI overtime

    Time frame: 12 weeks

  3. systolic blood pressure and diastolic blood pressure

    systolic blood pressure and diastolic blood pressure measure in mmHg during the therapy

    Time frame: 12 weeks

06

Study locations

1 site
  • SINA Shireen Jinnah colony
    Karachi, Pakistan
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT06145360
Lead sponsor
SINA Health Education and Welfare Trust
Collaborators
Horizon Pharmaceutical Pvt Ltd
Responsible party
Sponsor
First posted
Nov 24, 2023
Start date
Dec 1, 2023
Primary completion
Mar 1, 2024
Completion
Mar 1, 2024
Last update
Apr 8, 2024

Study contacts

Hina Sharif, Pharm-D,MSPH
principal investigator · SINA Health Education & Welfare Trust

Oversight

Data monitoring committee
Yes
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 Nov 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion