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Clinical Investigation of the Cardioprotective Effect of Early Administration of SGLT2 in Patients Presented With AMI

Primary Purpose

Myocardial Infarction

Status
Recruiting
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Dapagliflozin 10mg Tab
Placebo
Sponsored by
Mohammad Hussien Tantawy Soliman
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Myocardial Infarction

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients with ST-elevation myocardial infarction (STEMI). STEMI was defined according to the Fourth Universal Definition of AMI. 18 - 80 years of age. Diabetics or non-diabetics. eGFR > 45 ml/min/1.73m2. Blood pressure before first drug dosing >110/70 mmHg. Exclusion Criteria: Cardiogenic shock. Hypoglycemia. History of diabetic ketoacidosis. Genital and urinary infections. History of AMI. Stent thrombosis. Previous coronary artery bypass surgery. Severe hepatic insufficiency. Advanced cancer patients. Blood pH < 7.32. Known allergy to SGLT-2 inhibitors. Hemodynamic instability. Females of childbearing potential without adequate contraceptive methods. Patients currently on or have received any SGLT-2 inhibitors.

Sites / Locations

  • Mohammad SolimanRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Dapagliflozin group

Placebo group

Arm Description

patients with MI will be treated with DAPA 10 mg once daily for three months.

patients with MI will be treated with a matching placebo once daily for three months.

Outcomes

Primary Outcome Measures

difference in infarct size
infarct size measurement (percentage) for both groups
difference in NT-proBNP level
NT-proBNP level (pg/ml) for both groups

Secondary Outcome Measures

Difference in eGFR
Decline in eGFR (ml/min) for both groups

Full Information

First Posted
August 11, 2023
Last Updated
August 18, 2023
Sponsor
Mohammad Hussien Tantawy Soliman
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1. Study Identification

Unique Protocol Identification Number
NCT06009874
Brief Title
Clinical Investigation of the Cardioprotective Effect of Early Administration of SGLT2 in Patients Presented With AMI
Official Title
Clinical Investigation of Cardioprotective Effect of Early Administration of Sodium-glucose Cotransport-2 Inhibitors in Patients With Acute Myocardial Infarction
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 2023 (Anticipated)
Primary Completion Date
August 2026 (Anticipated)
Study Completion Date
August 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Mohammad Hussien Tantawy Soliman

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
This study aims to investigate the effect of early administration of DAPA during ischemia and before pPCI on infarct size, reperfusion injury-related myocardial damage, cardioprotection from HF, and renoprotection from AKI in patients with AMI.
Detailed Description
DAPA was approved for HF patients, but there is no sufficient data about its efficacy on patients with AMI and if it can protect from the development of HF after AMI. the investigators aim to investigate the effect of DAPA on patients who presented with AMI when administered as early as possible before pPCI and to be continued for three months after there. the effect of DAPA on infarct size, cardiac biomarkers will be assessed during the follow-up period

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myocardial Infarction

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dapagliflozin group
Arm Type
Active Comparator
Arm Description
patients with MI will be treated with DAPA 10 mg once daily for three months.
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
patients with MI will be treated with a matching placebo once daily for three months.
Intervention Type
Drug
Intervention Name(s)
Dapagliflozin 10mg Tab
Other Intervention Name(s)
DAPA
Intervention Description
patients will be treated with DAPA 10 mg once daily for three months
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
patients will be treated with a placebo tab once daily for three months
Primary Outcome Measure Information:
Title
difference in infarct size
Description
infarct size measurement (percentage) for both groups
Time Frame
3 months
Title
difference in NT-proBNP level
Description
NT-proBNP level (pg/ml) for both groups
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Difference in eGFR
Description
Decline in eGFR (ml/min) for both groups
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with ST-elevation myocardial infarction (STEMI). STEMI was defined according to the Fourth Universal Definition of AMI. 18 - 80 years of age. Diabetics or non-diabetics. eGFR > 45 ml/min/1.73m2. Blood pressure before first drug dosing >110/70 mmHg. Exclusion Criteria: Cardiogenic shock. Hypoglycemia. History of diabetic ketoacidosis. Genital and urinary infections. History of AMI. Stent thrombosis. Previous coronary artery bypass surgery. Severe hepatic insufficiency. Advanced cancer patients. Blood pH < 7.32. Known allergy to SGLT-2 inhibitors. Hemodynamic instability. Females of childbearing potential without adequate contraceptive methods. Patients currently on or have received any SGLT-2 inhibitors.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mohammad Soliman
Phone
+201003474565
Email
dr.mhtantawy@gmail.com
Facility Information:
Facility Name
Mohammad Soliman
City
Shibīn Al Kawm
State/Province
Menofia
ZIP/Postal Code
32741
Country
Egypt
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mohammad Soliman
Email
dr.mhtantawy@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Investigation of the Cardioprotective Effect of Early Administration of SGLT2 in Patients Presented With AMI

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