Status:

TERMINATED

Effects of dapaglifloziN Therapy on Myocardial Perfusion Reserve in Prediabetic Patients With Stable coronarY Artery Disease

Lead Sponsor:

CHEOL WHAN LEE, M.D., Ph.D

Conditions:

Coronary Artery Disease

Prediabetic State

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The purpose of this study is to investigate the effects of dapagliflozin therapy on myocardial perfusion reserve (MPR) using dynamic SPECT examination in prediabetic patients with stable CAD. Dapagli...

Eligibility Criteria

Inclusion

  • Men or women at least 18 years of age
  • Prediabetes by ADA criteria (fasting glucose 100-125mg/dl, or HbA1C 5.7-6.4%)
  • Stable coronary artery disease
  • Global myocardial perfusion reserve (MPR) index \< 2.0
  • The patient or guardian agrees to the study protocol and the schedule of clinical and dynamic SPECT follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.

Exclusion

  • Contraindications to dapagliflozin
  • Significant renal disease manifested by eGFR\<30 ml/min/1.73m²
  • Unstable or rapidly progressing renal disease
  • Acute coronary syndrome, or any other major cardiovascular events within the previous 6 months
  • Stent placement, or coronary artery bypass graft surgery within the previous 6 months
  • Planned revascularization within 6 months
  • Significant disease (diameter stenosis \>70% by coronary CT angiography) in major epicardial coronary arteries
  • Heart failure requiring loop diuretics
  • Hepatic disease or biliary tract obstruction, or significant hepatic enzyme elevation (ALT or AST \> 3 times upper limit of normal).
  • Contraindication to adenosine stress test
  • Current treatment for the active cancer
  • Women of child bearing potential who are not willing to use a medically accepted method of contraception. Patient's pregnancy confirmed by positive pregnancy test, or breast-feeding.
  • Expected life expectancy \< 1 year
  • Any clinically significant abnormality identified at the screening visit, physical examination, laboratory tests which, in the judgment of the investigator, would preclude safe completion of the study.
  • Unwillingness or inability to comply with the procedures described in this protocol.

Key Trial Info

Start Date :

May 21 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 8 2021

Estimated Enrollment :

2 Patients enrolled

Trial Details

Trial ID

NCT04330079

Start Date

May 21 2020

End Date

April 8 2021

Last Update

September 23 2022

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Asan Medical Center

Seoul, South Korea

Effects of dapaglifloziN Therapy on Myocardial Perfusion Reserve in Prediabetic Patients With Stable coronarY Artery Disease | DecenTrialz