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Type 2 Diabetes Mellitus (T2DM)NCT07770737

Cardioprotective Effects of SGLT2 Inhibitors and GLP-1 Receptor Agonists in Korean Patients With Type 2 Diabetes

An observational study of Type 2 Diabetes Mellitus (T2DM) and Cardiovascular Diseases, run by Dongtan Sacred Heart Hospital at 1 site in South Korea.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This observational study will evaluate the cardiovascular effects of sodium-glucose cotransporter-2 inhibitors (SGLT2 inhibitors) and glucagon-like peptide-1 receptor agonists (GLP-1 receptor agonists) in Korean adults with type 2 diabetes. The study consists of two phases. Read more about this study

Who is it for?
Ages 19 years and older
How many people
100 participants
Where
1 siteSouth Korea
Study dates
Sep 2026to 31 Dec 2027
How long will I take part?
6 Months
Phase
Observational
Are there results?
Not yet: the study is under way

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 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Phase 1 will include adults with type 2 diabetes identified from de-identified electronic health records mapped to the OMOP Common Data Model at participating Korean hospitals. New users of SGLT2 inhibitors, GLP-1 receptor agonists, or eligible comparator glucose-lowering medications will be included. Phase 2 will consecutively screen adults aged 50 years or older with type 2 diabetes and cardiovascular or renal risk factors who are scheduled to initiate an SGLT2 inhibitor during routine clinical care at Dongtan Sacred Heart Hospital. Approximately 100 participants will undergo baseline screening, and approximately 50 participants meeting the protocol-defined criteria for the stage B heart failure longitudinal cohort will complete 6-month follow-up assessments.

Who may be able to join

  • Adults aged 19 years or older.
  • Diagnosis of type 2 diabetes mellitus.
  • New initiation of a study medication, including an SGLT2 inhibitor, a GLP-1 receptor agonist, or another eligible glucose-lowering medication.
  • At least 180 days of observable data before the index date, defined as the date of the first eligible prescription.
  • Adults aged 50 years or older receiving outpatient care at Dongtan Sacred Heart Hospital.
  • Diagnosis of type 2 diabetes mellitus.
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  • No current or previous signs or symptoms of heart failure and New York Heart Association functional class I.
  • At least one of the following high-risk characteristics: diabetes duration of 5 years or longer, hypertension, body mass index of 25 kg/m² or higher, urinary albumin-to-creatinine ratio of 30 mg/g or higher, estimated glomerular filtration rate below 60 mL/min/1.73 m², or diabetic microvascular complications.
  • No previous treatment with an SGLT2 inhibitor and scheduled to initiate an SGLT2 inhibitor based on the treating physician's clinical judgment.
  • Ability and willingness to provide written informed consent.

Who cannot join

  • Type 1 diabetes mellitus or secondary diabetes mellitus.
  • Use of a medication from the same drug class within 90 days before the index date.
  • Pregnancy recorded during the relevant study period.
  • A history of the outcome being evaluated during the baseline period, applied separately for each outcome analysis.
  • Phase 2: Prospective SGLT2 Inhibitor Validation Cohort
  • Current or previous diagnosis of heart failure, hospitalization for heart failure, clinically suspected signs or symptoms of heart failure, or screening left ventricular ejection fraction below 50%.
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  • Moderate or severe valvular heart disease, known hypertrophic, dilated, or infiltrative cardiomyopathy, complex congenital heart disease, or clinically significant pericardial disease.
  • Acute coronary syndrome, coronary revascularization, or stroke within 3 months before enrollment.
  • Presence of a pacemaker, implantable cardioverter-defibrillator, or cardiac resynchronization therapy device.
  • Atrial fibrillation, sustained tachycardia, frequent premature contractions, or another arrhythmia that prevents reliable comparison of ECG or global longitudinal strain measurements.
  • Type 1 diabetes mellitus, secondary diabetes mellitus, diabetic ketoacidosis within the previous year, or another clinical condition making SGLT2 inhibitor treatment inappropriate.
  • Estimated glomerular filtration rate below 30 mL/min/1.73 m² or dialysis.
  • Echocardiographic image quality insufficient for reliable 3-view global longitudinal strain or stage B heart failure assessment.
  • Pregnancy or breastfeeding.
  • Unwillingness to undergo study assessments or inability to complete the 6-month follow-up.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Hun Jee Choe, MD, PhD contact

+821094935703

hunjeechoe@gmail.com

South Korea1 site
  • Hallym University Dongtan Sacred Heart Hospital

    Hwaseong-si, Gyeonggi-do, 18450

    Eun-Gyoung Hong, MD, PhD, +82-31-8086-2492, hegletter@hanmail.net

    Kyungyoon Na, +82-31-8086-3491, yoonique555@naver.com

Other trials in South Korea

About this study

Official title: Evaluation of Cardioprotective Effects of SGLT2 Inhibitors and GLP-1 Receptor Agonists in Korean Patients With Type 2 Diabetes: A Multicenter CDM-Based Retrospective Cohort Study With Prospective AI-ECG Validation

This observational study will evaluate the cardiovascular effects of sodium-glucose cotransporter-2 inhibitors (SGLT2 inhibitors) and glucagon-like peptide-1 receptor agonists (GLP-1 receptor agonists) in Korean adults with type 2 diabetes.

The study consists of two phases. Phase 1 will use de-identified electronic health record data from multiple Korean hospitals organized in a common data model. Cardiovascular outcomes, including myocardial infarction, ischemic stroke, and hospitalization for heart failure, will be compared among patients who started an SGLT2 inhibitor or a GLP-1 receptor agonist. Fractures, metabolic changes, and real-world medication use will also be evaluated.

Read more

Phase 2 will prospectively enroll approximately 100 adults with type 2 diabetes who are starting an SGLT2 inhibitor as part of routine clinical care at Dongtan Sacred Heart Hospital. Participants will undergo electrocardiography, AI-based ECG analysis, echocardiography, blood and urine tests, and body composition assessment at baseline. Approximately 50 participants with stage B heart failure, defined as structural or functional heart abnormalities without heart failure symptoms, will undergo the same assessments after 6 months. The primary outcome of Phase 2 is the change in echocardiographic global longitudinal strain from baseline to 6 months. The study will also examine whether changes detected by AI-based ECG are associated with changes in echocardiographic measures of cardiac function.

The study does not assign medications or alter routine treatment. All treatment decisions are made by the participants' treating physicians.

Read the detailed description

This is an investigator-initiated, two-phase observational study integrating a multicenter retrospective cohort analysis with a single-center prospective validation cohort. The two phases involve different study populations and data sources and will be analyzed independently. Their findings will be interpreted together to provide complementary evidence regarding long-term clinical cardiovascular outcomes and short-term changes in cardiac function among Korean patients with type 2 diabetes.

In Phase 1, de-identified electronic health record data mapped to the Observational Medical Outcomes Partnership Common Data Model will be obtained from participating Korean hospitals through a distributed data network. A new-user, active-comparator cohort design will be used to compare patients initiating an SGLT2 inhibitor with those initiating a GLP-1 receptor agonist. Medication exposure, cardiovascular events, safety outcomes, metabolic measures, and treatment patterns will be identified using prespecified common data model definitions. Confounding will be addressed using propensity score methods, stratified analyses, and sensitivity analyses. Participating institutions will execute a common analytic protocol locally and provide only aggregated, non-identifiable results for multicenter analysis.

In Phase 2, adults with type 2 diabetes who are scheduled to start an SGLT2 inhibitor during routine clinical care at Dongtan Sacred Heart Hospital will be consecutively screened. Baseline assessments will include standard 12-lead electrocardiography, portable 6-lead electrocardiography, AI-based ECG analysis, advanced echocardiography, laboratory testing, body composition assessment, and research blood sampling. Participants will be classified according to prespecified echocardiographic criteria for stage B heart failure. Approximately 50 participants who meet the protocol-defined criteria for the longitudinal cohort will undergo repeat assessments 6 months after baseline. Baseline data from other consented screening participants may be included in cross-sectional analyses.

Phase 2 will evaluate whether AI-based ECG measurements reflect echocardiographic cardiac dysfunction at baseline and whether changes in AI-based ECG measurements correspond to changes in cardiac function after SGLT2 inhibitor treatment. Analyses will focus on changes within participants, correlations and agreement between AI-ECG and echocardiographic measurements, and the feasibility of AI-ECG for monitoring subclinical cardiac dysfunction.

Medication selection, dose, continuation, and modification are determined solely by the treating physicians according to routine clinical practice. The protocol does not assign treatment, require medication changes, or use AI-ECG results to guide clinical care. No individual-level data will be combined across Phase 1 and Phase 2.

Keywords
SGLT2 Inhibitor, GLP-1 Receptor Agonist, Cardiovascular Protection, Artificial Intelligence Electrocardiography, AI-ECG, Global Longitudinal Strain, Diabetic Cardiomyopathy, Stage B Heart Failure, Pre-Heart Failure, OMOP Common Data Model, Real-World Data
Medical subject headings
Diabetes Mellitus, Type 2, Cardiovascular Diseases, Diabetic Cardiomyopathies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07770737
Study groupRoleWhat they receive
Retrospective SGLT2 Inhibitor CohortPatients with type 2 diabetes who initiated an SGLT2 inhibitor and were identified retrospectively from multicenter OMOP Common Data Model databases.
Retrospective GLP-1 Receptor Agonist CohortPatients with type 2 diabetes who initiated a GLP-1 receptor agonist and were identified retrospectively from multicenter OMOP Common Data Model databases.
Prospective SGLT2 Inhibitor Validation CohortAdults with type 2 diabetes who are newly starting an SGLT2 inhibitor and undergo baseline cardiovascular assessments. Approximately 50 participants meeting the protocol-defined criteria for stage B heart failure will undergo repeat AI-ECG, electrocardiographic, echocardiographic, laboratory, and body composition assessments after 6 months.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to First Atherosclerotic Cardiovascular Disease Composite Event

    Time from the index date to the first occurrence of acute myocardial infarction or ischemic stroke, identified using prespecified OMOP Common Data Model phenotype definitions. The outcome will be compared between treatment cohorts using hazard ratios with 95% confidence intervals.

    Measured: From the index date until the first occurrence of acute myocardial infarction or ischemic stroke, loss to follow-up, death, or the end of available database records, whichever occurs first, assessed up to 12 years

  2. Time to First Hospitalization for Heart Failure

    Time from the index date to the first hospitalization accompanied by a diagnosis of heart failure, identified using prespecified OMOP Common Data Model phenotype definitions. The outcome will be compared between treatment cohorts using hazard ratios with 95% confidence intervals.

    Measured: From the index date until the first hospitalization for heart failure, loss to follow-up, death, or the end of available database records, whichever occurs first, assessed up to 12 years

  3. Change in Echocardiographic Global Longitudinal Strain

    Change in signed left ventricular global longitudinal strain from baseline to 6 months, calculated as GLS at 6 months minus GLS at baseline. A more negative change indicates improvement in left ventricular systolic function.

    Measured: Baseline and 6 months after SGLT2 inhibitor initiation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Aug 2026
  2. Study startSep 2026 (estimated)
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
100 participants (estimated)
Target duration
6 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT07770737
Sponsor's protocol ID
2026-07-014
Status last verified
Aug 2026
First submitted
11 Aug 2026
Last updated
18 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant-level data will not be publicly shared because the study includes institutionally governed electronic health record data, electrocardiographic and echocardiographic data, and clinical information that are subject to participant consent, institutional review board requirements, and data-use restrictions. Phase 1 analyses will be conducted within each participating institution, and only aggregated, non-identifiable results will be shared across institutions.

Publications

  • Choi HM, Kim J, Park J, Park JB, Kim HK, Choi HJ, Yoon YE, Cho GY, Cho Y, Hwang IC. AI derived ECG global longitudinal strain compared to echocardiographic measurements. Sci Rep. 2024 Nov 2;14(1):26458. doi: 10.1038/s41598-024-78268-8.

    PubMed 39488646
  • Marwick TH, Halabi A, Soh CH, Curtin A, Sherrif AG, Azad A, Wright L. Effects of dapagliflozin on the progression of left ventricular dysfunction in type 2 diabetes mellitus: a randomized controlled trial. Cardiovasc Diabetol. 2025 May 30;24(1):232. doi: 10.1186/s12933-025-02796-4.

    PubMed 40448135
  • Lim S, Bae JH, Oh H, Hwang IC, Yoon YE, Cho GY. Effect of ertugliflozin on left ventricular function in type 2 diabetes and pre-heart failure: the Ertu-GLS randomized clinical trial. Cardiovasc Diabetol. 2024 Oct 22;23(1):373. doi: 10.1186/s12933-024-02463-0.

    PubMed 39438942

Questions about this trial

What is this clinical trial studying?

An observational study of Type 2 Diabetes Mellitus (T2DM) and Cardiovascular Diseases, run by Dongtan Sacred Heart Hospital at 1 site in South Korea.

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 10 inclusion and 15 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: opening soon, as of the sponsor's last update on 18 Aug 2026. 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 South Korea. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Hun Jee Choe, MD, PhD (+821094935703, hunjeechoe@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to First Atherosclerotic Cardiovascular Disease Composite Event (time frame: From the index date until the first occurrence of acute myocardial infarction or ischemic stroke, loss to follow-up, death, or the end of available database records, whichever occurs first, assessed up to 12 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07770737, which also lists 3 linked publications.

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 18 Aug 2026.

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