RecruitingPhase 2NCT05507892

Renal Mechanism of SGLT2 Inhibition

Molecular Mechanisms of SGLT2 Inhibition in Diabetic Kidney Disease


Sponsor

University of Colorado, Denver

Enrollment

40 participants

Start Date

Oct 10, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Canagliflozin is an oral drug which is currently approved for use in patients with type 2 diabetes by the US Food and Drug Administration (FDA). Canagliflozin acts by increasing salt and sugar loss in the urine, and has shown to protect heart, kidney, and blood vessel function in patients with type 2 diabetes. However, it is unknown how canagliflozin protects the kidneys from disease. Therefore, this study plans to learn more about how canagliflozin works to protect against diabetic kidney disease in adults with type 2 diabetes. This study will use state-of-the-art kidney imaging, kidney biopsies and detailed testing of kidney function to determine the mechanisms of protection afforded by canagliflozin.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Plain Language Summary

Simplified for easier understanding

This study examines how a class of diabetes drugs called SGLT2 inhibitors (such as empagliflozin or dapagliflozin) affect the kidneys in people with Type 2 diabetes. These medications are known to protect the kidneys, and this study wants to understand exactly how they work. **You may be eligible if...** - You are between 18 and 80 years old - You have had Type 2 diabetes for at least 3 years - Your kidney function (eGFR) is between 45 and 90 mL/min — meaning your kidneys are moderately affected but still functioning - You are not currently taking an SGLT2 inhibitor **You may NOT be eligible if...** - Your kidney function is severely impaired (eGFR below 45) - You have Type 1 diabetes - You have had a heart attack, stroke, or major cardiovascular event recently - You are pregnant or planning to become pregnant - You have contraindications to the study medications or tests Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGcanagliflozin

Canagliflozin is in a class of medications called sodium-glucose co-transporter 2 (SGLT2) inhibitors. It is a used to treat type 2 diabetes. Canagliflozin lowers blood sugars by causing the kidneys to excrete more glucose in the urine.

DRUGAminohippurate Sodium Inj 20%

Diagnostic aid/agent used to measure renal plasma flow (RPF) PAH (Basic Pharma, Geleen, Netherlands) has been used to measure RPF in human research for 7 decades, and is very well tolerated and generally recognized as safe with low toxicity.


Locations(2)

University of Colorado Denver

Aurora, Colorado, United States

University of Michigan

Ann Arbor, Michigan, United States

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NCT05507892


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