Clinical trial
Effects of Gliflozins on Markers of Cardiovascular Risk in Type 2 Diabetes (GIOIA): a Multicenter Pragmatic Prospective Cohort Study
Name
2193/2018
Description
GIOIA represents a multicenter pragmatic prospective cohort study, aimed at evaluating the effects of SGLT2 inhibitors currently marketed (dapagliflozin, canagliflozin, empagliflozin) on markers of vascular, myocardial and renal damage, in patients with type 2 diabetes not well controlled with metformin and/or basal insulin. The changes of the interest outcomes are compared with those obtained with a comparator glucose lowering class (DPP-4inhibitors) over a follow-up of two years.
Trial arms
Trial start
2018-01-15
Estimated PCD
2023-12-31
Trial end
2023-12-31
Status
Completed
Treatment
SGLT-2i
Dapagliflozin or canagliflozin or empagliflozin add on to metformin ± basal insulin
Arms:
SGLT-2i
DPP-4i
Sitagliptin or vildagliptin or saxagliptin or linagliptin or alogliptin add on to metformin ± basal insulin
Arms:
DPP-4i
Size
1150
Primary endpoint
Carotid intima-media thickness (CIMT)
24 months
Myocardial stiffness indexes
24 months
Urinary albumin to creatinine ratio excretion
24 months
Eligibility criteria
Inclusion Criteria:
* type 2 diabetes for at least 5 years
* new use of an SGLT2-I or DPP4-I as add-on to metformin or insulin according to clinical practice
* HbA1c levels ≥ 7% and ≤ 8.5%
* eGFR ≥ 60 ml/min/1.73 m2
Exclusion Criteria:
* Type 1 diabetes or secondary diabetes resulting from specific causes
* History of neurovascular ulcers
* Previous therapy with SGLT-2i or DPP4-i in the 3 months prior to the study enrollment
* History of cancer within the last 5 years
* Pregnancy or active breast-feeding
* Serum creatinine level ≥ 1.3 mg/dl in women and ≥ 1.4 mg/dl in men
* eGFR ≤ 60 ml/min/1.73 m2
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': False, 'designInfo': {'observationalModel': 'COHORT', 'timePerspective': 'PROSPECTIVE'}, 'enrollmentInfo': {'count': 1150, 'type': 'ACTUAL'}}
Updated at
2024-04-19
1 organization
2 products
1 indication
Organization
University of Campania Luigi VanvitelliProduct
SGLT-2iIndication
Type 2 Diabetes MellitusProduct
DPP-4i