SGLT-2 Inhibitors in the Treatment of Ascites
NCT05999773 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 40
Last updated 2026-05-01
Summary
The goal of this observational study is to test the efficacy of glyphozines (SGLT-2 inhibitors) in the control of ascites in patients with liver cirrhosis in class A6-B9, according to the Child-Pugh classification, and type 2 diabetes mellitus. The investigators will compare patients belonging to the intervention group (A), who will be given SGLT-2 inhibitors according to diabetology indications in addition to standard medical therapy for 6, with patients of the control group (B), who will, instead, continue with the standard medical therapy for 6 months. Standard medical therapy will include dietary sodium restriction, treatment with diuretics (furosemide and spironolactone), hypoglycemic therapy (metformin, insulin, or both) and other supportive care.
The main questions aims of this study are:
1. Compare the efficacy and safety of a therapeutic approach based on the administration of SGLT-2 inhibitors in addition to optimal medical therapy (MRA and loop diuretic) compared to traditional diuretic therapy only, in cirrhotic patients with saline retention and diabetes.
2. Demonstrate better control of the glycemic profile in cirrhotic diabetic patients using SGLT-2 inhibitors.
Conditions
- Ascites Hepatic
- Cirrhosis, Liver
- Diabete Type 2
Interventions
- DRUG
-
SGLT2 inhibitor
Start of SGLT-2 inhibitors to treat diabetes according diabetology indications.
Sponsors & Collaborators
-
Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello
collaborator OTHER -
University of Palermo
lead OTHER
Principal Investigators
-
Lydia Giannitrapani, MD · University of Palermo
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-15
- Primary Completion
- 2025-07-15
- Completion
- 2026-12-31
Countries
- Italy
Study Locations
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