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This is a phase 4, single center, randomized, open-labeled, cross-over design study. The primary objective of the study is to compare effect of dapagliflozine and metformin on endothelial function.
Subjects are randomized to initial metformin or initial dapagliflozin group and maintained initial treatment for 8 weeks. During that period, dose of dapagliflozin is maintained 10mg/day and metformin can be titrated upto 2000 mg/day. After 1 weeks of washout period, 8 weeks' cross-over is followed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Metformin first | Active Comparator | Metformin first 8 wks --> Dapagliflozin 8wks. Metformin for initial 8 weeks. During that period, metformin can be titrated upto 2000 mg/day. After 1 weeks of washout period, 8 weeks' dapagliflozin is followed. During that period, dose of dapagliflozin is maintained 10mg/day. |
|
| Dapagliflozin first | Active Comparator | Dapagliflozin first 8 wks --> Metformin 8wks. Dapagliflozin for initial 8 weeks. After 1 weeks of washout period, 8 weeks' metformin is followed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metformin | Drug |
| ||
| Dapagliflozin |
| Measure | Description | Time Frame |
|---|---|---|
| Reactive hyperemic index to measure endothelial function | endothelial function | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| N-acetyl-β-D-glucosaminidase as a measure of renal tubular injury | renal tubular injury | 8 week |
| Urine albumin excretion ratio | Urine albumin excretion |
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Inclusion Criteria:
Present with type 2 diabetes based on the disease diagnostic criteria as described by the World Health Organization (WHO)
Treated with diet and exercise alone for recent 3 months
Aged 20-80 years
HbA1c 7~9%
This inclusion criterion applies to females of childbearing potential (not surgically sterilized and between menarche and 1-year postmenopause) only.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Min Kyong Moon, MD PhD | Contact | +82-2-870-2226 | mkmoon@snu.ac.kr | |
| Bo Kyung Koo, MD PhD | Contact | +82-2-870-2225 | bokyungkoomd@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Min Kyong Moon, MD PhD | Boramae medical center, 20 Boramae-ro 5-gil,Dongjak-Gu,Seoul 156-707, Korea | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boramae medical center | Recruiting | Seoul | 156-707 | South Korea |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D008687 | Metformin |
| C529054 | dapagliflozin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
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| Drug |
|
|
| 8 week |
| Urine β2 microglobulin | 8 week |
| D004700 | Endocrine System Diseases |