Post-transplant Diabetes MellitusPhase 1/2NCT06731231
SGLT2i in Diabetic Patients with Renal Transplantation
A Phase 1/2 study testing SGLT2 inhibitor in people with Post-transplant Diabetes Mellitus, run by Ain Shams University at 1 site in Egypt.
Trial summary
Post-transplant diabetes mellitus (PTDM), previously known as New Onset Diabetes After Transplantation defined as the diagnosis of diabetes mellitus (DM) in a previously non-diagnosed diabetic person after transplantation. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Post-transplant Diabetes Mellitus
- What is being tested?
- SGLT2 inhibitor
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 1 siteEgypt
- Study dates
- 15 Mar 2024to Jan 2025
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Must be able to swallow tablets kidney transplant recipient post-transplant ≥3 months In patients with Type 2 DM HbA1c ≥6.5% (48 mmol/mol) Or Fasting plasma glucose ≥126 mg/dL (7.0 mmol/L) Ir 2-hour plasma glucose during 75-g OGTT ≥200 mg/dL (11.1 mmol/L) Random plasma glucose ≥200 mg/dL (11.1 mmol/L) estimated GFR ≥30 ml/min/1.73m^2 Able to provide written consent Clinical diagnosis of Alzheimer's Disease
Who cannot join
- Insulin dependent diabetes Thyroid disease Presence of severe peripheral vascular disease (i.e., prior amputation, gangrene, non-healing ulcer or ischemic rest pain); Presence of any hyper-coagulable state or thrombosis in the 3 months prior to screening Presence of any vascular insult as stroke or transient ischemic attack in the 3 months prior to screening; Prior episode of graft pyelonephritis in the 1 month prior to screening; Episode of acute graft rejection in the 3 months prior to screening; Untreated urinary or genital tract infection; Severe hypoglycemia within 3 months of screening women who are lactating or pregnant Prior SGLT2i allergy or intolerance
Trial locations and contacts
1 site in 1 country.
About this study
Post-transplant diabetes mellitus (PTDM), previously known as New Onset Diabetes After Transplantation defined as the diagnosis of diabetes mellitus (DM) in a previously non-diagnosed diabetic person after transplantation. PTDM is a common and serious post-transplant complication that threatens graft survival, increases incidence of infection and development of cardiovascular complications
The primary objective of this study is to assess efficacy and safety of dapagliflozin in patients with post-transplantation diabetic patients
Read the detailed description
Post-transplant diabetes mellitus (PTDM), previously known as New Onset Diabetes After Transplantation defined as the diagnosis of diabetes mellitus (DM) in a previously non-diagnosed diabetic person after transplantation. PTDM is a common and serious post-transplant complication that threatens graft survival, increases incidence of infection and development of cardiovascular complications (Pham et al., 2020). The reported incidence of PTDM in kidney transplant recipients is 4% to 25% with 2- to 4-fold increased risk of cardiovascular and infectious complications as mentioned, which lowers patient survival. (Ying et al., 2020)
Historically, PTDM has been variably defined as having random glucose level greater than 200 mg/dL, fasting glucose level greater than 140 mg/dL, or the need for insulin or oral hypoglycemic agents in the posttransplant period, although not widely used in clinical practice, oral glucose tolerance (OGTT) remains the gold standard for diagnosing PTDM. It should be noted that the algorithmic approach to the screening and diagnosis of PTDM is largely based on published kidney transplantation literature. However, it is speculated that the principles are relevant to all forms of solid organ transplantation (Sharif et al., 2000).
Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are glucose lowering agents used in the treatment of type 2 DM by improving glycemic control, weight reduction, blood pressure control and albuminuria. the use of SGLT2i as a cardiorenal protective tool may be of particular value in renal transplant patients due to the risk of multiple comorbidities such as diabetes and hypertension. Recently, sodium-glucose transport protein 2 inhibitors (SGLT2i) emerged as a new class of therapeutics with beneficial effects on both cardiovascular (CV) and kidney outcomes in patients with diabetic kidney disease, nondiabetic proteinuric chronic kidney disease (CKD), and heart failure with and without diabetes in patients with native kidneys
SGLT2i exert their protective effects through tubuloglomerular feedback and reduced intraglomerular pressure, glycosuria and altered metabolism, natriuresis and blood pressure control, and other additional diuretic and hematopoietic effects reduction which may provide unique benefits to improve cardiorenal outcomes in kidney transplant patients
Evidence concerning the efficacy and safety of SGLT2i post renal transplantation is limited. Many of the mechanisms by which SGLT2i exert their benefit stand to prove equally as efficacious or more so among kidney transplant recipients as they have in patients with CKD. However, safety concerns have excluded transplant recipients from all large randomized control trials, and clinicians and patients alike are left to wonder if the benefits of these amazing drugs outweigh the risks.
- Conditions
- Post-transplant Diabetes Mellitus
- Being tested
- SGLT2 inhibitor
- Keywords
- transplantation, renal, DM, PTDM, SGLT2i
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SGLT2 inhibitorDrug
Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are glucose lowering agents used in the treatment of type 2 DM by improving glycemic control, weight reduction, blood pressure control and albuminuria. the use of SGLT2i as a cardiorenal protective tool may be of particular value in renal transplant patients due to the risk of multiple comorbidities such as diabetes and hypertension. Recently, sodium-glucose transport protein 2 inhibitors (SGLT2i) emerged as a new class of therapeutics with beneficial effects on both cardiovascular (CV) and kidney outcomes in patients with diabetic kidney disease, nondiabetic proteinuric chronic kidney disease (CKD), and heart failure with and without diabetes in patients with native kidneys
| Study group | Role | What they receive |
|---|---|---|
| Control | No intervention | Renal Transplantation patients who are DM pre-study / PTDM who don't take SGLT2i |
| Intervention | Active comparator | Renal Transplantation patients who are DM pre-study / PTDM who take SGLT2i Receives: Drug: SGLT2 inhibitor |
What is being measured
The primary outcome is the main question the study is designed to answer.
Glycemic control by SGLT2i in post renal transplantation diabetic patients
The primary outcome was the control of fasting blood sugar with no episodes of hypoglycemic attacks with reduction of HbA1c
Measured: 6 months
Assessing SGLT2i-related side effects in the intervention arm in comparison to the control arm
serious adverse events and adverse events of interest that may lead to premature discontinuation,interruption, or dose reduction of the study drug. Adverse effects of interest include volume depletion, UTI and genital infections, acute rejection, major hypoglycemia,, potential diabetic ketoacidosis, adverse effects leading to amputations, or events increasing the risk of lower-limb amputations.
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Dec 2024
- Study start15 Mar 2024
- Primary completion15 Dec 2024 (estimated)
- Study completionJan 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Post-transplant Diabetes MellitusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 72 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ain Shams University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06731231
- Sponsor's protocol ID
- MS 299/2024
- Status last verified
- Mar 2024
- First submitted
- 6 Dec 2024
- Last updated
- 12 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- SGLT2i in Diabetic Patients with Renal Transplantation
- ClinicalTrials.gov ID
- NCT06731231
- Acronym / sponsor ID
- MS 299/2024
- Conditions
- Post-transplant Diabetes Mellitus
- Keywords
- transplantation, renal, DM, PTDM, SGLT2i
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 72 participants (actual)
- Lead sponsor
- Ain Shams UniversityUniversity, hospital or other
- Study start
- 15 Mar 2024 (actual)
- Primary completion
- 15 Dec 2024 (estimated)
- Study completion
- Jan 2025 (estimated)
- First posted
- 12 Dec 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Post-transplant diabetes mellitus (PTDM), previously known as New Onset Diabetes After Transplantation defined as the diagnosis of diabetes mellitus (DM) in a previously non-diagnosed diabetic person after transplantation. PTDM is a common and serious post-transplant complication that threatens graft survival, increases incidence of infection and development of cardiovascular complications
The primary objective of this study is to assess efficacy and safety of dapagliflozin in patients with post-transplantation diabetic patients
Detailed description
Post-transplant diabetes mellitus (PTDM), previously known as New Onset Diabetes After Transplantation defined as the diagnosis of diabetes mellitus (DM) in a previously non-diagnosed diabetic person after transplantation. PTDM is a common and serious post-transplant complication that threatens graft survival, increases incidence of infection and development of cardiovascular complications (Pham et al., 2020). The reported incidence of PTDM in kidney transplant recipients is 4% to 25% with 2- to 4-fold increased risk of cardiovascular and infectious complications as mentioned, which lowers patient survival. (Ying et al., 2020)
Historically, PTDM has been variably defined as having random glucose level greater than 200 mg/dL, fasting glucose level greater than 140 mg/dL, or the need for insulin or oral hypoglycemic agents in the posttransplant period, although not widely used in clinical practice, oral glucose tolerance (OGTT) remains the gold standard for diagnosing PTDM. It should be noted that the algorithmic approach to the screening and diagnosis of PTDM is largely based on published kidney transplantation literature. However, it is speculated that the principles are relevant to all forms of solid organ transplantation (Sharif et al., 2000).
Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are glucose lowering agents used in the treatment of type 2 DM by improving glycemic control, weight reduction, blood pressure control and albuminuria. the use of SGLT2i as a cardiorenal protective tool may be of particular value in renal transplant patients due to the risk of multiple comorbidities such as diabetes and hypertension. Recently, sodium-glucose transport protein 2 inhibitors (SGLT2i) emerged as a new class of therapeutics with beneficial effects on both cardiovascular (CV) and kidney outcomes in patients with diabetic kidney disease, nondiabetic proteinuric chronic kidney disease (CKD), and heart failure with and without diabetes in patients with native kidneys
SGLT2i exert their protective effects through tubuloglomerular feedback and reduced intraglomerular pressure, glycosuria and altered metabolism, natriuresis and blood pressure control, and other additional diuretic and hematopoietic effects reduction which may provide unique benefits to improve cardiorenal outcomes in kidney transplant patients
Evidence concerning the efficacy and safety of SGLT2i post renal transplantation is limited. Many of the mechanisms by which SGLT2i exert their benefit stand to prove equally as efficacious or more so among kidney transplant recipients as they have in patients with CKD. However, safety concerns have excluded transplant recipients from all large randomized control trials, and clinicians and patients alike are left to wonder if the benefits of these amazing drugs outweigh the risks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control | No intervention | –Renal Transplantation patients who are DM pre-study / PTDM who don't take SGLT2i |
| Intervention | Active comparator | Drug: SGLT2 inhibitorRenal Transplantation patients who are DM pre-study / PTDM who take SGLT2i |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Must be able to swallow tablets kidney transplant recipient post-transplant ≥3 months In patients with Type 2 DM HbA1c ≥6.5% (48 mmol/mol) Or Fasting plasma glucose ≥126 mg/dL (7.0 mmol/L) Ir 2-hour plasma glucose during 75-g OGTT ≥200 mg/dL (11.1 mmol/L) Random plasma glucose ≥200 mg/dL (11.1 mmol/L) estimated GFR ≥30 ml/min/1.73m^2 Able to provide written consent Clinical diagnosis of Alzheimer's Disease
Key exclusion criteria (1 listed)
- Insulin dependent diabetes Thyroid disease Presence of severe peripheral vascular disease (i.e., prior amputation, gangrene, non-healing ulcer or ischemic rest pain); Presence of any hyper-coagulable state or thrombosis in the 3 months prior to screening Presence of any vascular insult as stroke or transient ischemic attack in the 3 months prior to screening; Prior episode of graft pyelonephritis in the 1 month prior to screening; Episode of acute graft rejection in the 3 months prior to screening; Untreated urinary or genital tract infection; Severe hypoglycemia within 3 months of screening women who are lactating or pregnant Prior SGLT2i allergy or intolerance
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SGLT2 inhibitorSodium-glucose cotransporter 2 inhibitors (SGLT2i) are glucose lowering agents used in the treatment of type 2 DM by improving glycemic control, weight reduction, blood pressure control and albuminuria. the use of SGLT2i as a cardiorenal protective tool may be of particular value in renal transplant patients due to the risk of multiple comorbidities such as diabetes and hypertension. Recently, sodium-glucose transport protein 2 inhibitors (SGLT2i) emerged as a new class of therapeutics with beneficial effects on both cardiovascular (CV) and kidney outcomes in patients with diabetic kidney disease, nondiabetic proteinuric chronic kidney disease (CKD), and heart failure with and without diabetes in patients with native kidneys | Drug | Intervention |
Primary outcome
Glycemic control by SGLT2i in post renal transplantation diabetic patients
Time frame: 6 months
The primary outcome was the control of fasting blood sugar with no episodes of hypoglycemic attacks with reduction of HbA1c
Assessing SGLT2i-related side effects in the intervention arm in comparison to the control arm
Time frame: 6 months
serious adverse events and adverse events of interest that may lead to premature discontinuation,interruption, or dose reduction of the study drug. Adverse effects of interest include volume depletion, UTI and genital infections, acute rejection, major hypoglycemia,, potential diabetic ketoacidosis, adverse effects leading to amputations, or events increasing the risk of lower-limb amputations.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Dec 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing SGLT2 inhibitor in people with Post-transplant Diabetes Mellitus, run by Ain Shams University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 12 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Glycemic control by SGLT2i in post renal transplantation diabetic patients (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Dec 2024.