A prospective, randomized, open-label, controlled clinical trial will be conducted at the endocrinology department - Ain Shams University (ASU) hospital. Sixty patients will be enrolled into the study. 30 of which will receive dapagliflozin 10mg tab once daily and the other thirty will receive their standard antidiabetic therapy for 12 weeks.
All type 2 diabetes mellitus patients presenting to the endocrinology department, ASU Hospitals, who were diagnosed with mild to moderate non-proliferative diabetic retinopathy will be assessed for eligibility. Eligible patients will be randomly assigned to one of the following 2 arms: 1. Group 1 (Control group) (n= 30): type 2 diabetes mellitus patients who will receive their oral antidiabetic for 12 weeks. 2. Group 2 (Test group) (n= 30): type 2 diabetes mellitus patients who will receive their oral antidiabetic along with dapagliflozin at a dose of 10 mg daily for 12 weeks. A total of four visits one for baseline evaluation and one for end of study evaluation and two intermediate visits, the following will be performed in the visits: 1. Clinical Evaluation 1. Systolic and diastolic blood pressures recording. 2. Plasma glucose measurement. 2. Report any adverse effects that may appear 3. Blood samples will be taken at baseline and at 12-week visits 4. Follow up
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
60
Dapagliflozin is a member of Sodium-glucose co-transporter 2 inhibitors class which in addition to its glucose control effect, has reno-protective and cardioprotective effects, controls blood pressure and causes weight loss.
Two oral anti-diabetic agents not including sodium-glucose co-transporter 2 inhibitors
Internal medicine and endocrinology department, Ain-shams university hospitals
Cairo, Egypt
RECRUITINGSeverity of retinopathy
evaluate the change of stage of disease according to diabetic retinopathy severity scale,, Which is the International Clinical Disease Severity Scale (ICDSS) for DR. This scale classified the severity of disease into five stages ( No apparent retinopathy, Mild Non proliferative Diabetic retinopathy (NPDR) ,Mod NPDR, Severe NPDR ,Proliferative Diabetic Retinopathy) depend on eye examination. higher scores mean worse outcome.
Time frame: 12 weeks
Evaluation of the study biomarkers, IL-6, and VEGF
Interleukin-6 (IL-6)//inflammatory biomarker Vascular endothelial growth factor (VEGF)//angiogenic biomarker
Time frame: 12 weeks
Occurrence of adverse events
No potential risks are expected when the study patients are selected according to the determined inclusion criteria but maybe occur Nausea, abdominal pain, polyuria, thrush, genital or urinary tract infections
Time frame: (1-90)days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.