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Empagliflozin in Patients With Glomerulonephritis

Primary Purpose

Glomerulonephritis, Proteinuria

Status
Completed
Phase
Phase 3
Locations
Egypt
Study Type
Interventional
Intervention
Empagliflozin 25 MG
placebo
Sponsored by
Kasr El Aini Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glomerulonephritis focused on measuring sodium glucose cotransporter inhibitors, Empagliflozin

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age ≥18 and ≤75 years.
  2. Urinary protein excretion > 500 mg/g and eGFR ≥ 30 mL/min/1.73 m2 (CKD stages 1-3).
  3. On a stable dose of an ACEi or ARBs together with their immunosuppression protocol for at least 4 weeks prior to randomization.
  4. Who signed informed consent.
  5. Women of Child-Bearing Potential (WOCBP) used an acceptable method of contraception to avoid pregnancy throughout the study and for up to 4 weeks after the last dose of study drug in such a manner that the risk of pregnancy was minimized.

Exclusion Criteria:

  • a) Diagnosis of type 1 or type 2 diabetes mellitus b) Urinary protein excretion of less than 500 mg/g and eGFR < 30 ml/min

    • 1.7m2 c) Active malignancy d) Any medication, surgical or medical condition that may significantly alter the absorption, distribution, metabolism, or excretion of medications including, but not limited to any of the following: History of active inflammatory bowel disease within the last six months; Major gastrointestinal tract surgery such as gastrectomy, gastroenterostomy, or bowel resection; Gastro-intestinal ulcers and/or gastrointestinal or rectal bleeding within last six months; Pancreatic injury or pancreatitis within the last six months.

      e) Evidence of hepatic disease as determined by any one of the following: ALT or AST values exceeding 3x ULN at the screening visit, a history of hepatic encephalopathy, a history of esophageal varices, or a history of portocaval shunt.

      f) Evidence of urinary tract obstruction. g) History of hypersensitivity or contraindications to empagliflozin. h) Subject who, in the assessment of the investigator, may be at risk for dehydration or volume depletion that may affect the interpretation of efficacy or safety data.

      i) Participation in any clinical investigation within 3 months prior to initial dosing.

      j) History of noncompliance to medical regimens or unwillingness to comply with the study protocol.

      k) Pregnancy or breastfeeding.

Sites / Locations

  • Cairo university hospitals

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Group 1: Empagliflozin

Group 2:

Arm Description

25 patients with glomerulonephritis and proteinuria who were treated with Empagliflozin

25 patients with glomerulonephritis and proteinuria who were treated with standard treatment and placebo

Outcomes

Primary Outcome Measures

protein to creatinine ratio
measurement of urinary protein to creatinine ratio as a marker of proteinuria

Secondary Outcome Measures

Decline of glomerular filtration rate
Decline in estimated glomerular filtration rate over

Full Information

First Posted
March 7, 2022
Last Updated
March 7, 2022
Sponsor
Kasr El Aini Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05283057
Brief Title
Empagliflozin in Patients With Glomerulonephritis
Official Title
Effect of Sodium Glucose Transporter 2 Inhibitor Empagliflozin on Proteinuria and Kidney Disease Progression in Patients With Non-diabetic Glomerulonephritis- A Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
February 20, 2020 (Actual)
Primary Completion Date
September 30, 2021 (Actual)
Study Completion Date
September 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Kasr El Aini Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Sodium-glucose cotransporter 2 (SGLT2) inhibitors are newly developed antihyperglycemic medications. In addition to their glucose lowering properties, they have been shown to have favourable effects on the cardiovascular and renal outcome in patients with diabetes. one of the most interesting renal effects is reduction of proteinuria. The aim of our study was examine the effect of SGLT inhibitors on proteinuria in patients with glomerulonephritis. This study is a randomised controlled trial.
Detailed Description
Sodium-glucose cotransporter 2 (SGLT2) inhibitors are newly developed antihyperglycemic medications. In addition to their glucose lowering properties, they have been shown to have favourable effects on the cardiovascular and renal outcome in patients with diabetes.The favourable cardiovascular effects include increased diuresis , reduction of blood pressure and reduction of hospitalisation for heart failure one of the most interesting renal effects is reduction of proteinuria. The aim of our study was examine the effect of SGLT inhibitors on proteinuria in patients with glomerulonephritis. This study is a randomised controlled trial.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glomerulonephritis, Proteinuria
Keywords
sodium glucose cotransporter inhibitors, Empagliflozin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: Empagliflozin
Arm Type
Active Comparator
Arm Description
25 patients with glomerulonephritis and proteinuria who were treated with Empagliflozin
Arm Title
Group 2:
Arm Type
Placebo Comparator
Arm Description
25 patients with glomerulonephritis and proteinuria who were treated with standard treatment and placebo
Intervention Type
Drug
Intervention Name(s)
Empagliflozin 25 MG
Other Intervention Name(s)
EMPA
Intervention Description
single dose of the SGLT inhibitor Empagliflozin was given
Intervention Type
Drug
Intervention Name(s)
placebo
Other Intervention Name(s)
PLAC
Intervention Description
single dose of placebo that is similar to Empagliflozin in physical appearance
Primary Outcome Measure Information:
Title
protein to creatinine ratio
Description
measurement of urinary protein to creatinine ratio as a marker of proteinuria
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Decline of glomerular filtration rate
Description
Decline in estimated glomerular filtration rate over
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥18 and ≤75 years. Urinary protein excretion > 500 mg/g and eGFR ≥ 30 mL/min/1.73 m2 (CKD stages 1-3). On a stable dose of an ACEi or ARBs together with their immunosuppression protocol for at least 4 weeks prior to randomization. Who signed informed consent. Women of Child-Bearing Potential (WOCBP) used an acceptable method of contraception to avoid pregnancy throughout the study and for up to 4 weeks after the last dose of study drug in such a manner that the risk of pregnancy was minimized. Exclusion Criteria: a) Diagnosis of type 1 or type 2 diabetes mellitus b) Urinary protein excretion of less than 500 mg/g and eGFR < 30 ml/min 1.7m2 c) Active malignancy d) Any medication, surgical or medical condition that may significantly alter the absorption, distribution, metabolism, or excretion of medications including, but not limited to any of the following: History of active inflammatory bowel disease within the last six months; Major gastrointestinal tract surgery such as gastrectomy, gastroenterostomy, or bowel resection; Gastro-intestinal ulcers and/or gastrointestinal or rectal bleeding within last six months; Pancreatic injury or pancreatitis within the last six months. e) Evidence of hepatic disease as determined by any one of the following: ALT or AST values exceeding 3x ULN at the screening visit, a history of hepatic encephalopathy, a history of esophageal varices, or a history of portocaval shunt. f) Evidence of urinary tract obstruction. g) History of hypersensitivity or contraindications to empagliflozin. h) Subject who, in the assessment of the investigator, may be at risk for dehydration or volume depletion that may affect the interpretation of efficacy or safety data. i) Participation in any clinical investigation within 3 months prior to initial dosing. j) History of noncompliance to medical regimens or unwillingness to comply with the study protocol. k) Pregnancy or breastfeeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tarek Abdelaziz, PHD
Organizational Affiliation
Kasr Alainy faculty of medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cairo university hospitals
City
Cairo
Country
Egypt

12. IPD Sharing Statement

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Empagliflozin in Patients With Glomerulonephritis

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