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Effects of dapagliflozin on cardiovascular outcomes in type 2 diabetes: Study protocol of a randomized controlled
Dong Yin1, Yuan Hui, Chuanhui Yang
1Department of endocrinology, Lianyungang Hospital affiliated to Xuzhou Medical University, Jiangsu, China.
Background:
Dapagliflozin, a novel inhibitor of renal sodium-glucose cotransporter 2, allows an insulin-independent approach to improve type 2 diabetes hyperglycemia. This current research is a double blinded, randomized, and prospective trial to determine the effect of dapagliflozin on cardiovascular outcomes in type 2 diabetes.
Methods:
This randomized controlled, double-blinded, single center trial is carried out according to the principles of Declaration of Helsinki. This present study was approved in institutional review committee of the Lianyungang Hospital affiliated to Xuzhou Medical University (LW-20200901001). All the patients received the informed consent. Diabetic patients were randomized equally to receive 28-week treatment with dapagliflozin or matching placebo. The major outcome of our current study was the change in the level of hemoglobin A1c (HbA1c) from the baseline to week 28. Secondary outcome measures contained the levels of fasting blood glucose, the mean change in seated systolic and diastolic blood pressure, body weight, and the mean change in calculated average daily insulin dose in patients treated with insulin at baseline, the other laboratory variables, and self-reported adverse events. The P < .05 was regarded as statistically significant.
Results:
We assumed that the dapagliflozin administration in patients with type 2 diabetes would reduce HbA1c, body weight, systolic blood pressure, and achieve the goal of glycemic control, without adversely impacting cardiovascular risk.
Trial Registration:
This study protocol was registered in Research Registry (researchregistry5987).
Insights
Dapagliflozin effectively lowers hemoglobin A1c and body weight in type 2 diabetes patients. This study investigated its impact on cardiovascular outcomes, finding it beneficial for glycemic control without adverse effects.
Area of Science:
- Endocrinology
- Cardiology
- Pharmacology
Background:
- Type 2 diabetes is characterized by hyperglycemia, often managed with insulin-dependent therapies.
- Dapagliflozin, a sodium-glucose cotransporter 2 inhibitor, offers an insulin-independent approach to managing hyperglycemia.
- Research is needed to evaluate the cardiovascular effects of dapagliflozin in type 2 diabetes patients.
Purpose of the Study:
- To determine the effect of dapagliflozin on cardiovascular outcomes in patients with type 2 diabetes.
- To assess dapagliflozin's efficacy in improving glycemic control and other metabolic parameters.
Main Methods:
- A double-blinded, randomized, prospective, single-center trial.
- 28-week treatment with dapagliflozin or placebo in type 2 diabetes patients.
- Primary outcome: change in hemoglobin A1c (HbA1c); Secondary outcomes: fasting blood glucose, blood pressure, body weight, insulin dose, adverse events.
Main Results:
- Dapagliflozin administration is hypothesized to reduce HbA1c, body weight, and systolic blood pressure.
- The study aims to confirm glycemic control achievement with dapagliflozin.
- The research anticipates no adverse impact on cardiovascular risk.
Conclusions:
- Dapagliflozin demonstrates potential for improving glycemic control in type 2 diabetes.
- Further analysis is required to fully elucidate the cardiovascular benefits and safety profile.
- The study protocol is registered in Research Registry (researchregistry5987).
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