Empaglifozin in Early Diabetic Kidney Disease
NCT03173963 · Status: WITHDRAWN · Phase: PHASE3 · Type: INTERVENTIONAL
Last updated 2020-02-25
Summary
Background:
Diabetes is common among American Indian people and diabetic kidney disease is a common complication. Kidney disease caused by diabetes can lead to the need for kidney replacement, by dialysis or kidney transplant, and is also associated with higher risk of early death. A new diabetes medicine called empagliflozin may slow kidney disease from type 2 diabetes. Researchers want to learn if it protects the kidneys when used in very early stages of diabetic kidney disease.
Objectives:
To see if empaglifozin delays kidney disease development.
Eligibility:
Adults 18-64 years old who are at least half American Indian and have had type 2 diabetes at least 5 years
Design:
Participants will be screened with health questions, blood pressure, and blood and urine tests.
Participants will have:
* Medical history
* Physical exam
* Blood, urine, and stool samples taken
* Scan of the kidneys and liver. Participants will lie on a table that slides into an MRI machine. They will hold their breath for up to 20 seconds and the MRI machine will take images of their kidneys and liver. They will then repeat this with a small device that vibrates on their side.
* Kidney tests. A needle will be placed in a vein in each arm for 4 hours. Blood pressure will be taken. Participants will drink several quarts of water and urinate every 20 minutes. Urine and blood samples will be collected. Two liquids will be injected into their veins to measure kidney function.
* Photos of the back of the eyes
* Kidney biopsy. Participants will have a scan and get drugs to make them sleepy. Up to four very small pieces of kidney will be removed by needle. After the biopsy participants will be monitored for at least 4 hours.
* Nerve tests
Participants will take the study drug or placebo pill once a day. Participants will attend for tests every twelve weeks and have more extensive kidney function tests once a year. After 3 years, participants will have another kidney biopsy and then stop taking the study drug. They will have a final kidney function test 2 months later.
Conditions
- Diabetic Kidney Disease
- Diabetes Mellitus Type 2
Interventions
- DRUG
-
Empagliflozin
10 mg tablet of empagliflozin daily in addition to best clinical practice for management of diabetes.
- OTHER
-
Placebo
1placebo tablet per day
Sponsors & Collaborators
-
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
lead NIH
Principal Investigators
-
Helen C Looker · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 64 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-05-27
- Primary Completion
- 2020-02-21
- Completion
- 2020-02-21
Countries
- United States
Study Locations
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