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Clinical Trial Summary

Subjects treated with Canagliflozin, Dapagliflozin and Empagliflozin obtained improvement on blood pressure values, body weight and cardiovascular mortality but pathophysiological explanations of these effects are not yet known.


Clinical Trial Description

The pathophysiological explanations of the cardiovascular improvement of patients treated with SGLT2i are not yet known: osmotic diuresis and natriuresis, direct effects of weight reduction, increased in nitric oxide release, oxidative stress reduction, local renin-angiotensin-aldosterone system (RAAS) inhibition are the supposed mechanism. In the Literature the diuretic effect of SGLT2i therapy seems to be even stronger than thiazide or thiazide-like drugs. However, it is not defined the role of SGLT2i on antidiuretic function (RAAS, brain natriuretic peptide-BNP and antidiuretic hormone-ADH). Defining this relation could be important for: - knowing effect of SGLT2i on RAAS (drugs interferences are important particularly during case detection of primary aldosteronism); - discovering antidiuretic response to SGLT2i treatment and interactions between RAAS, BNP and ADH on the volume improvement induced by this new antidiabetic drugs. In addition the aim of the study is to define effect of treatment on blood pressure and body composition. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT03917758
Study type Interventional
Source University of Turin, Italy
Contact Mauro M Maccario, MD
Phone 00390116709559
Email mauro.maccario@unito.it
Status Recruiting
Phase N/A
Start date October 10, 2018
Completion date October 30, 2020

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