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CompletedNCT07915596EMPA-LIVERUpdated Nov 4, 2026

Effect of Empagliflozin on Liver Fat in Patients With Type 2 Diabetes and Nonalcoholic Fatty Liver Disease

An observational study in Type 2 Diabetes Mellitus and Nonalcoholic Fatty Liver Disease, sponsored by Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Completed at 1 site in Bangladesh. Open to participants aged 18 Years to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh · Observational

Updated Nov 4, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
792
Ages
18 Years to 99 Years
Sex
All
01

Where this study stands

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

Among 12 studies in Diabetes Mellitus, Type 2 with a site in Bangladesh — 4 open to participants now, 5 under way, 2 of them phase 3. Diabetes Mellitus, Type 2 · Bangladesh.

Started
2023
with 1 other
Observational
6 of 12
1 open now
Registered
12th of 12
by date
Lead sponsor
2 of 12
Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

Among the 12 studies in Diabetes Mellitus, Type 2 with a site in Bangladesh, this one is one of 2 that started in 2023, is one of 6 observational ones, and was the 12th registered.

By phase

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

Observationalthis study6 · 1 open
Phase 43 · 1 open
Phase 32 · 1 open
No phase1 · 1 open

By the year they started

First in 2008; this study’s year is marked. 2 started in 2023.

Size and results

Median enrollment 460 across the 6 interventional studies, 2,092 across the 6 observational. Of the 7 that completed or were terminated, 2 (29%) have results posted.

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02

Study summary

This prospective, open-label, randomized clinical study will evaluate the effect of empagliflozin 10 mg daily, added to standard T2DM treatment, on liver fat and hepatic parameters in adults with type 2 diabetes and nonalcoholic fatty liver disease. Two hundred eligible participants will be randomized 1:1 to empagliflozin plus standard therapy or standard therapy alone and followed for 12 weeks. The primary outcome is change in liver fat assessed by liver ultrasonography. Secondary outcomes include changes in ALT, AST, AST/ALT ratio, AP index, APRI, FIB-4, NFS, and BARD scores.

Read the detailed description

Type 2 diabetes mellitus (T2DM) frequently coexists with nonalcoholic fatty liver disease (NAFLD), and the presence of T2DM may increase the risk of progression of NAFLD to more advanced liver disease. This study is designed to evaluate whether empagliflozin, a sodium-glucose cotransporter-2 (SGLT-2) inhibitor used for the treatment of T2DM, has an effect on liver fat and selected non-invasive markers of hepatic injury and fibrosis. The rationale for the study is based on the potential effects of SGLT-2 inhibition on glucose metabolism, insulin resistance, and hepatic steatosis.

Eligible adults with T2DM and NAFLD will be recruited from endocrinology outpatient departments of participating tertiary hospitals in Bangladesh. Participants will be randomly allocated in a 1:1 ratio to receive either empagliflozin 10 mg once daily in addition to standard treatment for T2DM or standard treatment without empagliflozin. The study will use an open-label treatment allocation, while investigators involved in imaging assessment will be blinded to participant information and treatment allocation.

The planned sample size is 200 participants, with 100 participants allocated to each treatment group. Participants will undergo baseline assessment and follow-up at weeks 4 and 12. Clinical and laboratory assessments will include anthropometric measurements, glycaemic parameters, lipid profile, renal function, liver enzymes, complete blood count, and liver ultrasonography.

The primary outcome is the change in liver fat from baseline, assessed by liver ultrasonography. Secondary outcomes include changes in ALT, AST, AST/ALT ratio, age-platelet (AP) index, AST-to-platelet ratio index (APRI), Fibrosis-4 (FIB-4), NAFLD fibrosis score (NFS), and BARD score.

Participants will be adults aged 18 years or older with T2DM and NAFLD, HbA1c between 7.0% and 10.0%, BMI between 23 and 45 kg/m², and estimated GFR greater than 45 mL/min/1.73 m². Individuals with other significant liver diseases, cirrhosis or hepatocellular carcinoma, contraindications to empagliflozin, current use of SGLT-2 inhibitors or specified glucose-lowering agents affecting liver fat, acute illness, pregnancy, puerperium or lactation will be excluded.

Data will be collected using a structured case report form. Statistical analyses will be performed using SPSS version 26.0, with appropriate descriptive and comparative statistical tests used to assess differences between the treatment groups. A two-sided p value of less than 0.05 will be considered statistically significant.

03

Conditions studied

  • Type 2 Diabetes Mellitus
  • Nonalcoholic Fatty Liver Disease

Keywords

  • Type 2 diabetes mellitus
  • Nonalcoholic fatty liver disease
  • Empagliflozin
  • Sodium-glucose cotransporter-2 inhibitor
04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

The study population will comprise adults aged 18 years or older with type 2 diabetes mellitus (T2DM) and nonalcoholic fatty liver disease (NAFLD) who meet the predefined eligibility criteria. Eligible participants will have an HbA1c level of 7.0%-10.0%, a BMI of 23-45 kg/m², and an estimated glomerular filtration rate (eGFR) greater than 45 mL/min/1.73 m². Participants will be recruited from the endocrinology outpatient departments of participating tertiary hospitals in Bangladesh. A total of 200 eligible participants will be enrolled and randomly assigned in a 1:1 ratio to receive either empagliflozin 10 mg once daily in addition to standard treatment or standard treatment alone. Participants will be followed for 12 weeks, with assessments conducted at baseline, Week 4, and Week 12.

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

Adults aged 18 years or older. Clinically diagnosed type 2 diabetes mellitus. Diagnosis of nonalcoholic fatty liver disease. Stable antidiabetic treatment before study enrollment. Eligible for treatment with empagliflozin. Willingness to participate in the study. Ability to provide written .

Exclusion criteria

Exclusion Criteria:

Type 1 diabetes mellitus. History of diabetic ketoacidosis. Significant chronic liver disease other than nonalcoholic fatty liver disease. Decompensated liver disease or cirrhosis. Severe renal impairment or to empagliflozin. Current use of another SGLT2 inhibitor. Pregnancy or breastfeeding. Known to empagliflozin. Any condition considered by the investigator to interfere with study participation or outcome assessment.

Terms in these criteria, in plain language(3)

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.

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.

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

Observational model
Case-control
Time perspective
Prospective
Enrollment
792 participants (actual)
Target follow-up
12 Weeks
Patient registry
Yes
Biospecimen retention
Samples without dna

Groups and cohorts

  • Empagliflozin 10 and 15 mg + Standard Therapy

    Standard Therapy Alone (Control)

    Drug: Empagliflozin 10/15 mg administered orally once daily in addition to standard treatment for type 2 diabetes mellitus.

Interventions

  • DrugEmpagliflozin 10/15 mg administered orally once daily in addition to standard treatment for type 2 diabetes mellitus.

    Empagliflozin 10 mg will be administered orally once daily in addition to standard treatment for type 2 diabetes mellitus (T2DM) for 12 weeks. Participants assigned to this intervention will receive empagliflozin throughout the treatment period, with assessments conducted at baseline, Week 4, and Week 12

06

What researchers measure

Primary outcomes

  1. Change in BARD Score

    Change in the BARD score (Body mass index, AST/ALT ratio, and Diabetes) from baseline to the end of the intervention period. The BARD score ranges from 0 to 4, with higher scores indicating a greater likelihood of advanced liver fibrosis.

    Time frame: 12 weeks after randomization

  2. Change in liver fat

    Change in serum alanine aminotransferase (ALT). Change in serum aspartate aminotransferase (AST). Change in AST/ALT ratio. Change in AST-to-platelet ratio index (APRI). Change in Fibrosis-4 (FIB-4) index. Change in NAFLD Fibrosis Score (NFS). Change in age-platelet (AP) index. Change in BARD score, if not retained as a primary outcome.

    Time frame: 24 weeks after randomization

07

Study locations

1 site
  • Department of Medicine
    Dhaka, 1000, Bangladesh
08

References and documents

Publications

  • Kuchay MS, Krishan S, Mishra SK, Farooqui KJ, Singh MK, Wasir JS, Bansal B, Kaur P, Jevalikar G, Gill HK, Choudhary NS, Mithal A. Effect of Empagliflozin on Liver Fat in Patients With Type 2 Diabetes and Nonalcoholic Fatty Liver Disease: A Randomized Controlled Trial (E-LIFT Trial). Diabetes Care. 2018 Aug;41(8):1801-1808. doi: 10.2337/dc18-0165. Epub 2018 Jun 12. PubMed 29895557 ↗

Individual participant data

Plan to share: No — Individual participant-level data (IPD) will not be shared with other researchers because the study protocol does not include a plan for external sharing of participant-level data. Data will be used for the purposes specified in the study protocol and managed in accordance with applicable ethical, privacy, and institutional requirements.

09

Timeline

1 registry update 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 Jan 2023 to primary completion in Dec 2023, 11 months.

Of 432 non-industry observational studies under Diabetes Mellitus, Type 2, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 96. This study's 11 months is below that.

Counting every sponsor, half of 602 studies reached it within 32 months; a quarter within 17 and three quarters within 62.

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

Registered
Sep 17, 2026
First posted
Nov 4, 2026
StartActual
Jan 1, 2023
Primary completionActual
Dec 31, 2023
CompletionActual
Dec 31, 2023
Last update
Nov 4, 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.
Registered
First appeared on the registry. No changes since
Nov 4, 2026
Show all 1 update
  1. Nov 4, 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 ↗

10

Registry details

Key details

Study ID
NCT07915596
Responsible party
Shahjada Selim, MD (Associate Professor, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh) — Principal investigator
First posted
Nov 4, 2026
Start date
Jan 1, 2023
Primary completion
Dec 31, 2023
Completion
Dec 31, 2023
Last update
Nov 4, 2026

Study contacts

Shahjada Selim, MD
study chair · Dr. Shahjada Selim Role: Principal Investigator / Study Official Affiliation: Department of Endocrinology, Bangladesh Medical University (BMU), Dhaka, Bangladesh Email: selimshahjada@gmail.com

Oversight

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

Not currently enrolling

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

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