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CompletedNCT07866235Updated Oct 8, 2026

Comparing The Effect Of Empagliflozin With Dapagliflozin In Reducing Proteinuria In Diabetic Patients With Chronic Kidney Disease With eGFR More Than 45ml/Min/1.73m²

An interventional study of Dapagliflozin and Empagliflozin (EMPA) in Diabetic Nephropathies, Diabetes Mellitus, Type 2 and Renal Insufficiency, Chronic, sponsored by Lahore General Hospital. Completed at 1 site in Pakistan. Open to participants aged 20 Months to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by Lahore General Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 11 months after the study started (first participant enrolled Oct 2023, registered Oct 2026).
Updated Oct 8, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
20 Months to 70 Years
Sex
All
01

Study summary

This study was designed to compare empagliflozin and dapagliflozin in reducing protein leakage into the urine in adults with type 2 diabetes and chronic kidney disease. It examined whether the two medicines differed in their effects on urine protein levels. Blood sugar control, kidney function, treatment costs, and side effects were also selected for comparison.

The study was planned as a randomized controlled trial at the Nephrology Department of Lahore General Hospital, Lahore, Pakistan. The planned sample comprised 116 men and women aged 20-70 years who had increased urine albumin levels and an estimated glomerular filtration rate, a measure of kidney filtration, above 45 mL/min/1.73 m². Participants were to be assigned by a lottery method to two equal groups of 58 patients. One group was to receive dapagliflozin 5 mg once daily, and the other empagliflozin 10 mg once daily.

Assessments were scheduled before treatment and after two and four months. The main assessment was the change in the urine albumin-to-creatinine ratio, which measured the amount of albumin, a blood protein, leaking into the urine. Other assessments included blood tests for kidney function and average blood sugar levels. Treatment costs and side effects, including low blood sugar, urinary tract infections, oral thrush, dehydration, allergic reactions, body pains, and kidney failure, were also included in the follow-up plan. The study aimed to compare the benefits, safety, and costs of these treatments in the selected patients.

02

Conditions studied

  • Diabetic Nephropathies
  • Diabetes Mellitus, Type 2
  • Renal Insufficiency, Chronic

Keywords

  • Empagliflozin
  • Dapagliflozin
  • Sodium-Glucose Transporter 2 Inhibitors
  • Diabetic Kidney Disease
  • Albuminuria
03

In context

Diabetic Nephropathies

544 studies on the registry are indexed under Diabetic Nephropathies; 107 are open to participants now.

This study's enrollment of 116 is above the median of 80 across 385 interventional studies indexed under Diabetic Nephropathies.

Browse Diabetic Nephropathies studies →

Lead sponsor

Lahore General Hospital is the lead sponsor of 30 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
20 Months to 70 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

  • Age 20-70 years.
  • Male or female patients.
  • Type 2 diabetes mellitus with chronic kidney disease.
  • Body mass index ≤45.0 kg/m².
  • Urinary albumin-to-creatinine ratio >30 mg/g.
  • Estimated glomerular filtration rate >45 mL/min/1.73 m².
  • Stable dose of an oral antidiabetic medication for at least 4 weeks, or insulin, either alone or with an oral antidiabetic medication, for 8 weeks.
  • Stable dose of an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker for at least 4 weeks.

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes mellitus.
  • Age below 20 years or above 70 years.
  • Pregnancy.
  • Hypersensitivity to the study medications.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
116 participants (actual)

Study arms

  • Active comparator
    Group A-Dapagliflozin

    Patients were assigned to dapagliflozin 5 mg orally once daily for four months, alongside their existing treatment for diabetes and hypertension.

    Drug: Dapagliflozin

  • Experimental
    Group B-Empagliflozin

    Patients were assigned to empagliflozin 10 mg orally once daily for four months, alongside their existing treatment for diabetes and hypertension.

    Drug: Empagliflozin (EMPA)

Interventions

06

What researchers measure

Primary outcomes

  1. Change in urinary albumin-to-creatinine ratio

    Change from baseline in urinary albumin-to-creatinine ratio, measured in mg/g using a spot urine sample. Changes were compared between the dapagliflozin and empagliflozin groups to assess reduction in albuminuria.

    Time frame: Baseline, 2 months, and 4 months

  2. Change in glycated haemoglobin

    Change from baseline in glycated haemoglobin, measured as a percentage, was compared between the treatment groups to assess glycaemic control.

    Time frame: Baseline, 2 months, and 4 months

  3. Change in estimated glomerular filtration rate

    Change from baseline in estimated glomerular filtration rate, expressed in mL/min/1.73 m² and calculated using the Modification of Diet in Renal Disease equation, was compared between the treatment groups.

    Time frame: Baseline, 2 months, and 4 months

  4. Treatment cost per participant

    Treatment expenditure per participant, expressed in Pakistani rupees, was recorded over the four-month treatment period and compared between the treatment groups.

    Time frame: From treatment initiation through 4 months

07

Study locations

1 site
  • Lahore General Hospital, Lahore
    Lahore, Punjab Province 54000, Pakistan
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 8, 2026
Show all 1 update
  1. Oct 8, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07866235
Lead sponsor
Lahore General Hospital
Responsible party
Muhammad Irfan Jamil (Principal Investigator, Lahore General Hospital) — Principal investigator
First posted
Oct 8, 2026
Start date
Oct 11, 2023
Primary completion
Apr 10, 2024
Completion
Apr 10, 2024
Last update
Oct 8, 2026

Study contacts

Muneeb Afsar
principal investigator · Lahore General Hospital, Lahore

Oversight

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: Empagliflozin

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