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The Cardiovascular Effect of GLP-1 Agonist, SGLT2 Inhibitor and Their Combination

A. Four groups of patients with type 2 diabetes mellitus with high or very high cardiovascular risk or heart failure with preserved ejection fraction (HFpEF) will be studied before and at 6 and 12 months of treatment: * 60 patients treated with a combination of GLP1 analogue and SGLT2 inhibitor ± metformin * 60 patients treated with GLP-1 agonist as a second step after metformin * 60 patients treated with SGLT2 inhibitor as a second step after metformin * 60 patients treated with a combination of insulin and…

ClinicalTrials.gov IDNCT03878706
PhaseNot Applicable
Enrollment240
SponsorUniversity of Athens
Age45 Years – 80 Years
SexALL
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Conditions studied

Diabetes Mellitus, Type 2

About this study

A. Four groups of patients with type 2 diabetes mellitus with high or very high cardiovascular risk or heart failure with preserved ejection fraction (HFpEF) will be studied before and at 6 and 12 months of treatment: * 60 patients treated with a combination of GLP1 analogue and SGLT2 inhibitor ± metformin * 60 patients treated with GLP-1 agonist as a second step after metformin * 60 patients treated with SGLT2 inhibitor as a second step after metformin * 60 patients treated with a combination of insulin and other antidiabetic agents (metformin - DPP4 inhibitors) Individuals will be equal distributed as far as age, gender and body mass index concerned. In addition, patients suffered from kidney disease and retinopathy are excluded.

Primary outcomes

Eligibility information

Inclusion Criteria: * Subject has type 2 diabetes mellitus * Subject has high or very high cardiovascular risk * Subject has heart failure with preserved ejection fraction Exclusion Criteria: * Subject has type 1 diabetes mellitus * Subject has kidney disease * Subject has retinopathy

Study locations

Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.

Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-10-15.