Randomized Clinical Trial to Evaluate the Effect of Dapagliflozin in Patients With Diabetic Macular Edema

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-85
SponsorAlexandria University

About this trial

The purpose of this clinical study is to explore the efficacy of dapagliflozin as an adjunct to intravitreal anti-vascular endothelial growth factor (anti-VEGF) for enhanced reduction of retinal thickness and vision improvement in patients with diabetic macular edema. The main question the study aims to answer is: Does dapagliflozin reduce the thickness of the macula when combined with the standard of care intravitreal anti-VEGF therapy more than the intravitreal anti-VEGF therapy alone?

Eligibility criteria

Qualifiers

Type II diabetes mellitus patients, treated with premixed insulin and metformin, and diagnosed with center-involved diabetic macular edema (CiDME)

Presence of retinal thickening involving the center of the fovea (CiDME) in the study eye on Optical Coherence Tomography (OCT) Heidelberg Spectralis; If both eyes are eligible, the eye with the greater central subfield thickness on OCT is selected as the study eye.

Decreased visual acuity primarily attributable to DME

Clear ocular media and pupillary dilation for adequate retinal imaging

Disqualifiers

Patients below 18 years old and patients above 85 years old

Patients with type I diabetes mellitus (Insulin dependent diabetes mellitus IDDM)

Pregnant women and lactating women diagnosed with diabetes or intending to become pregnant in the next 12 months

Patients who had myocardial infarction within 3 months prior to screening

Trial design

Treatments tested in this trial

  • Dapagliflozin
  • Anti-VEGF drug

Treatment groups

56 Participants
are divided into 2 treatment groups

Sponsors and collaborators