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NCT03151343: SIMPLE

SGLT-2 Inhibitor and Myocardial Perfusion, Function and Metabolism in T2 DM Patients at High Cardiovascular Risk

Completed Phase 3 Last updated 18 August 2022
What this trial tests

Phase 3 trial testing Empagliflozin in Type2 Diabetes Mellitus in 92 participants. Completed in 22 May 2020.

Timeline
29 March 2017
Primary endpoint
22 May 2020
22 May 2020

Quick facts

Lead sponsorCaroline M Kistorp
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment92
Start date29 March 2017
Primary completion22 May 2020
Estimated completion22 May 2020
Sites1 location across Denmark

Drugs / interventions tested

Conditions studied

Sponsor

Caroline M Kistorp

Who can join

18 and older, any sex, with Type2 Diabetes Mellitus. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Patients with type 2 diabetes (T2 DM) have a markedly increased risk of heart disease and it is estimated that, in the danish population, up 80% percent of patients with type 2 diabetes die from heart disease. The sodium glucose cotransport-2 (SGLT-2) inhibitors were developed as an anti-diabetic therapy reducing blood glucose and weight by decreasing glucose reabsorption in the kidneys, leading to glucose excretion via the urine. However, in 2015 the EMPA-REG study showed that treatment with the SGLT-2 inhibitor empagliflozin significantly reduced the cardiovascular mortality and risk of admission under the diagnosis of heart failure in a population of patients with type 2 diabetes in addition to other risk factors for heart disease. The mechanism behind this surprising result is unknown and warrants further study. The primary hypothesis of the present study is that treatment with empagliflozin improves the function and blood supply of the heart muscle cells in patients with type 2 diabetes and high risk of heart disease. The investigators will test this hypothesis by enrolling 92 participants with type 2 diabetes and other risk factors for heart disease, and treating them with either empagliflozin or a placebo. During the study period the investigators will monitor the effects of the treatment with various techniques such as heart scans using CT and ultrasound, measurements of the fluid pressures in the heart chambers, body composition measurements and a variety of relevant blood test.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Effects of the sodium-glucose co-transporter-2 inhibitor dapagliflozin on estimated plasma volume in patients with type 2 diabetes.
    Dekkers CCJ, Sjöström CD, Greasley PJ, Cain V, et al · · 2019 · cited 81× · PMID 31407856 · DOI 10.1111/dom.13855
  2. Effects of Empagliflozin on Myocardial Flow Reserve in Patients With Type 2 Diabetes Mellitus: The SIMPLE Trial.
    Jürgens M, Schou M, Hasbak P, Kjær A, et al · · 2021 · cited 22× · PMID 34278803 · DOI 10.1161/jaha.120.020418
  3. Design of a randomised controlled trial of the effects of empagliflozin on myocardial perfusion, function and metabolism in type 2 diabetes patients at high cardiovascular risk (the SIMPLE trial).
    Jürgens M, Schou M, Hasbak P, Kjær A, et al · · 2019 · cited 8× · PMID 31780586 · DOI 10.1136/bmjopen-2019-029098
  4. Reduction of cardiac adipose tissue volume with short-term empagliflozin treatment in patients with type 2 diabetes: A substudy from the SIMPLE randomized clinical trial.
    Brandt-Jacobsen NH, Jürgens M, Hasbak P, Gaede P, et al · · 2023 · cited 6× · PMID 36484428 · DOI 10.1111/dom.14933
  5. Coronary microvascular dysfunction and left heart filling pressures in patients with type 2 diabetes.
    Wolsk E, Jürgens M, Schou M, Ersbøll M, et al · · 2024 · cited 5× · PMID 39073008 · DOI 10.1002/ehf2.14929
  6. Macrophage and inflammation in diabetes and metabolic dysfunction-associated steatotic liver disease: From mechanisms to therapeutic strategies.
    Zhang CY, Liu S, Yang M. · · 2025 · cited 2× · PMID 40980303 · DOI 10.4239/wjd.v16.i9.110515

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03151343.

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