SGLT2i, Pioglitazone, and Ketone Production in T2D

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age30-75
SponsorThe University of Texas Health Science Center at San Antonio

About this trial

To examine whether the empagliflozin-induced stimulation of EGP, lipolysis, and ketone production in T2D individuals can be blocked by pioglitazone (which has direct hepatic and adipose tissue effects).

Eligibility criteria

Qualifiers

Ages 30-75 years

Body Mass Index (BMI) 21-45 kg/m2

Hemoglobin A1C (HbA1c) = 7.0-11%

Estimated glomerular filtration rate (eGFR) > 60 ml/min/1.73m2

Disqualifiers

Patients treated with Glucagon-like peptide 1 receptor agonists (GLP-1 RA), Dipeptidyl Peptidase IV inhibitors (DPP-4i), Thiazolidinediones (TZD), or insulin are excluded

Patients taking medications (other than SU/MET) known to affect glucose metabolism are excluded

Subjects with evidence of proliferative retinopathy or eGFR < 60 are excluded

Women of childbearing potential are excluded unless they are taking/using appropriate contractive medications/devices

Trial design

Treatments tested in this trial

  • Empagliflozin 25 MG plus Pioglitazone placebo
  • Pioglitazone 15 mg increased to 30 mg after 2 weeks plus Empagliflozin Placebo
  • Empagliflozin 25 mg/d plus Pioglitazone (15/30 mg/d)
  • Pioglitazone placebo + Empagliflozin placebo

Treatment groups

64 Participants
are divided into 4 treatment groups

Sponsors and collaborators

The University of Texas Health Science Center at San Antonio

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator