Ketones, SGLT2, HFrEF
Part of paid clinical trials in San Antonio, Texas.
- Sponsor
- The University of Texas Health Science Center at San Antonio
- Study ID
- NCT06229678
- Phase
- EARLY_PHASE1
- Status
- Recruiting
Conditions
- Heart Failure With Reduced Ejection Fraction
- Type2diabetes
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 70 Years
- Healthy Volunteers
- Not accepted
Interventions
- Empagliflozin 25 MG Oral Tablet — DRUGEmpagliflozin 25MG will be administered orally once per day for 3 months
- Placebo — DRUGThe placebo will be administered orally once per day for 3 months
- Acipimox 250 Mg Oral Capsule — DRUGsubjects will be started on acipimox 250mg every 6 hours for 8 days while on continued empagliflozin/placebo therapy. This will be added at the end of 3 months after they finished baseline studies
Study Details
The study team will examine the effects of elevated plasma ketone levels following initiation of SGLT2 inhibitor therapy in high-risk type 2 diabetes mellitus (T2DM) individuals with heart failure (HF) with reduced ejection fraction (HFrEF) providing an energy-rich fuel that is taken up with great avidity by the myocardium, to measure change in Left Ventricle diastolic and systolic function
Key Dates
- Start date
- Jan 25, 2024
- Status verified
- Feb 2026
- Primary completion
- Nov 1, 2026
- Completion
- Mar 1, 2027
Study Design
- Enrollment
- 71 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- BASIC_SCIENCE
Arms
- Experimental: Empagliflozin GroupSubjects will be randomized 2:1 to receive empagliflozin, 25mg/day for 3 months
- Placebo Comparator: Placebo groupSubjects will be randomized to receive the empagliflozin placebo for 3 months
Primary Outcome Measure
Change in Phosphocreatine [ Time Frame: Baseline to 3 months ]
Central Contacts
- Ralph DeFronzo, MD210-567-6691
- Sivaram Neppala, MD210-358-7200
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Texas Diabetes Institute - University Health System | San Antonio | Texas | 78207 | Ralph DeFronzo, MD (PRINCIPAL_INVESTIGATOR) Sivaram Neppala, MD (SUB_INVESTIGATOR) Jemema Rajan, MD (SUB_INVESTIGATOR) |
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