DECREASE: Dapagliflozin Plus Exenatide on Central REgulation of Appetite in diabeteS typE 2
NCT03361098 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 65
Last updated 2021-06-11
Summary
This is a 16 week, phase 4, randomized and placebo controlled trial, investigating the separate and combined effects of Sodium Glucose coTransporter 2 (SGLT2) inhibition with dapagliflozin and Glucagon Like peptide-1 (GLP-1) receptor agonism with exenatide on food intake, body weight and the neural activity in the central satiety and reward circuits in response to food-related stimuli by blood oxygen level-dependent (BOLD) fMRI in obese type 2 diabetes patients. The investigators hypothesize that treatment with SGLT2 inhibitors is associated with alterations in central reward and satiety circuits in response to food related stimuli, leading to increased appetite and food intake. In addition, the investigators hypothesize that adding a GLP-1 receptor agonist to the treatment with an SGLT2 inhibitor may increase weight loss and prevent the increased food intake during treatment with SGLT2 inhibitors due to effects on neuronal activity of central satiety and reward circuits in response to food-related stimuli in obese patients with T2DM.
Conditions
Interventions
- DRUG
-
Dapagliflozin 10mg
Dapagliflozin 10mg oral tablet once daily
- DRUG
-
Exenatide
Exenatide 5 microgram b.i.d. week 1-4 Exenatide 10 microgram b.i.d. week 5-16
- OTHER
-
placebo exenatide
placebo b.i.d. exenatide
- OTHER
-
placebo dapagliflozin
placebo tablets dapagliflozin
Sponsors & Collaborators
- collaborator INDUSTRY
-
Amsterdam UMC, location VUmc
lead OTHER
Principal Investigators
-
Richard G IJzerman, MD PhD · Amsterdam UMC, location VUmc
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-09-18
- Primary Completion
- 2019-11-25
- Completion
- 2020-03-25
Countries
- Netherlands
Study Locations
More Related Trials
-
Phase 1 Bioequivalence Study of Dapagliflozin/Sitagliptin FDC vs Loose Combination of Single Components
NCT05266404 ·Status: COMPLETED ·Phase: PHASE1
-
Comparison of the Effect of Exenatide Versus Sitagliptin on 24-hour Average Glucose in Patients With Type 2 Diabetes on Metformin or a Thiazolidinedione
NCT00729326 ·Status: COMPLETED ·Phase: PHASE4
-
Drug Interaction Study of Saxagliptin in Combination With Dapagliflozin in Healthy Participants
NCT01662999 ·Status: COMPLETED ·Phase: PHASE1
-
Comparative Effectiveness of Dapagliflozin Versus DPP-4 Inhibitors
NCT04304430 ·Status: COMPLETED
-
A Multi-Center, Randomized, Double-Blind, Phase III Trial to Evaluate the Safety and Efficacy of Saxagliptin Co-administered With Dapagliflozin Compared to Saxagliptin or Dapagliflozin All Given as add-on Therapy to Metformin in Subject With Type 2 Diabetes
NCT02681094 ·Status: COMPLETED ·Phase: PHASE3
-
SGLT-2 Inhibitor Empagliflozin Effects on Appetite and Weight Regulation.
NCT02798744 ·Status: COMPLETED ·Phase: PHASE4
-
Study Looking at Cardiovascular Effects of Exenatide, Its Blood Pressure Lowering Effect and Its Mechanisms
NCT01046721 ·Status: COMPLETED ·Phase: NA
-
Exenatide Pharmacokinetics and Pharmacodynamics in Gestational Diabetes
NCT05482789 ·Status: RECRUITING ·Phase: PHASE4
-
Antidiabetic Effects of Adding a DPP-4 Inhibitor to Pre-Existing Treatment With an Incretin Mimetic in Patients With T2D
NCT01937598 ·Status: COMPLETED ·Phase: PHASE3
-
Mechanistic Evaluation of Glucose-lowering Strategies in Patients With Heart Failure
NCT02917031 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Liraglutide or Exenatide Added to an Ongoing Treatment on Blood Glucose Control in Subjects With Type 2 Diabetes
NCT00518882 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Evaluate the Food Effect on Drug Availability, Pharmacokinetic (PK) Properties, Safety and Tolerability of Two Different Dose Combination Therapy of Saxagliptin/Dapagliflozin/Metformin Extended-release (XR) Against Individual Component Co-administration.
NCT03169959 ·Status: COMPLETED ·Phase: PHASE1
-
Effect of DPP4 Inhibition on Growth Hormone Secretion
NCT01701973 ·Status: COMPLETED ·Phase: PHASE4
-
Safety of Exenatide Once Weekly in Patients With Type 2 Diabetes Mellitus Treated With Thiazolidinedione Alone or Thiazolidinedione in Combination With Metformin
NCT00753896 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Compare the Glycemic Effects, Safety, and Tolerability of Exenatide Once Weekly to Those of Sitagliptin and Pioglitazone,in Subjects With Type 2 Diabetes Treated With Metformin (DURATION - 2)
NCT00637273 ·Status: COMPLETED ·Phase: PHASE3
-
Metabolic Responses of Dapagliflozin vs Sitagliptin in T2DM Patients Inadequately Controlled With Insulin Therapy
NCT03959501 ·Status: COMPLETED ·Phase: PHASE4
-
Adjunctive Therapy of Exenatide or Sitagliptin to Insulin Glargine in Type 2 Diabetes
NCT00971659 ·Status: COMPLETED ·Phase: PHASE1
-
Study to Evaluate the Efficacy and Safety of Saxagliptin Co-administered With Dapagliflozin in Combination With Metformin Compared to Sitagliptin in Combination With Metformin in Adult Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin Therapy Alone
NCT02284893 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Dapagliflozin on Insulin Secretion and Insulin Sensitivity in Patients With Prediabetes
NCT02700334 ·Status: COMPLETED ·Phase: PHASE4
-
Pilot Study to Explore the Efficacy of DAPAglifozin as add-on to Closed-loop Control in Patients With Type 1 Diabetes
NCT02987738 ·Status: COMPLETED ·Phase: PHASE1
-
Dapagliflozin DPPIV Inhibitor add-on Study
NCT00984867 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Exenatide, Sitagliptin or Glimepiride on Functional ß -Cell Mass
NCT00775684 ·Status: COMPLETED ·Phase: NA
-
Study to Evaluate Safety and Efficacy of Dapagliflozin and Saxagliptin in Patients With Type 2 Diabetes Mellitus (T2DM) Aged 10 to Below 18 Years Old
NCT03199053 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of Sodium-glucose Co-transporter-2( SGLT-2 ) Inhibition on Sympathetic Nervous System Activity in Humans
NCT03912909 ·Status: UNKNOWN ·Phase: PHASE4
-
Pilot Study of Exenatide Pharmacokinetics and Pharmacodynamics in Gestational Diabetes
NCT00572689 ·Status: WITHDRAWN ·Phase: PHASE4