About this trial
This multicenter, open-label, prospective study randomized 46 drug-naïve adults with T2D (HbA1c 6.5%-10.0%) to receive empagliflozin (10 mg/day) or metformin (1,000 mg/day) for 12 weeks.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants were eligible if they had T2D with an HbA1c between 6.5% and 10.0%, were between 20 and 75 years of age, and had not received any anti-diabetic medications for at least eight weeks prior to screening.
Disqualifiers
individuals with a body mass index (BMI) <18.5 kg/m² or ≥40 kg/m², clinically significant hepatic impairment (e.g., hepatic cirrhosis, portal hypertension, chronic active hepatitis), or a history of acute cardiovascular events (e.g., coronary artery disease, cerebrovascular disease, peripheral arterial disease) within two months prior to enrollment. Participants with CKD (eGFR <60 mL/min/1.73 m²) or end-stage renal disease (eGFR <15 mL/min/1.73 m² or on dialysis) were also excluded.
Trial design
Parallel
Treatments tested in this trial
Empagliflozin 10 mg
DrugThe primary objective was to evaluate the efficacy of early treatment with empagliflozin in reducing GV, as measured by the change in MAGE from baseline to Week 12, compared to metformin.
Metformin
DrugThe primary objective was to evaluate the efficacy of early treatment with empagliflozin in reducing GV, as measured by the change in MAGE from baseline to Week 12, compared to metformin.
Treatment groups
Trial outcomes
Primary outcomes
mean amplitude of glucose excursion (MAGE)
MAGE is a key glucose variability index that assesses the amplitude of clinically relevant glucose fluctuations and is calculated as the mean of the differences between consecutive glucose nadirs and peaks that exceed one standard deviation (SD) above or below the mean glucose level
Secondary outcomes
SD of glucose
Standard deviation of glucose obtained from continuous glucose monitoring (CGM)
Time in range (TIR)
Time in range obtained from continuous glucose monitoring (CGM)
Mean Blood Glucose (MBG)
Mean Blood Glucose (MBG) obtained from continuous glucose monitoring (CGM)
Glucose Management Indicator (GMI)
Glucose Management Indicator (GMI) obtained from continuous glucose monitoring (CGM)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.