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NCT06094231Terminated

Treating Patients With Renal Impairment and Altered Glucose MetAbolism With TherapeutIc Carbohydrate Restriction and Sglt2-Inhibiton - a Pilot Study

Source: ClinicalTrials.gov · Last updated 16 Apr 2026

Reason given: Low number of participants

Brief summary (registry, in English)

This randomized controlled trail will evaluate the efficacy and safety of a simultaneous therapeutic carbohydrate restriction and treatment with the Sodium-Glucose-Transporter-2-Inhibitor dapagliflozin in comparison to the standard of care treatment in patients with chronic kidney disease and prediabetes or type 2 diabetes mellitus. Participants will be randomized 1:1. The interventional group will be educated on how to implement a therapeutic carbohydrate restriction (50-100 grams of carbohydrates per day). Regarding safety, the patients of the interventional group will be provided with continuous glucose monitoring systems and blood ketone meters. The participants of the control group will continue to receive the standard of care therapy for the treatment of chronic kidney disease and prediabetes or type 2 diabetes mellitus. Both groups will be treated with dapagliflozin.

Status (registry)
Terminated
Study type
Interventional
Enrollment
4 (actual)
First submitted
6 Oct 2023
Start date
25 Sept 2023
Primary completion date
13 Apr 2026
Lead sponsor
Department of Nephrology Clinic Ottakring Vienna
NCT number
NCT06094231

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patients with severe hypoglycemic episodes in the 6 moths prior to inclusion
  • Patients with bariatric surgery (in the past or planed)

Other illness

  • Patients who are allergic to SGLT-2-Inhibitors
  • Patients with autoimmune diabetes (Typ 1 or LADA)
  • Patients with pancreoprivic diabetes
  • Patients with a history of ketoacidosis or lactate acidosis
  • Patients with active malignant diseases

Lab values

  • Patients with nephritic range proteinuria (>3,5g of Albumin/day)

Other

  • Pregnant or breastfeeding patients

Who the study is looking for

  • Chronic Kidney Disease Stage KDIGO 3a-4 (eGFR eGFR 25-59 mg/min/1.73m²)
  • Prediabetes or Diabetes according to the Guideline of the American Diabetes Association (HbA1c >5,7 percent, or fasting glucose values > 100 mg/dL, or glucose levels > 140 mg/dL at 2h during an oral glucose tolerance test)
  • Being overweight (Body Mass Index > 25.0 kg/m²)
  • Being able to independently:
  • - Perform measurements of blood glucose and ketone levels
  • - Use a continous glucose monitor
  • - Contact the study team

Age in the registry: 18 years to 70 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
6th Medical Department with Nephrology and Dialysis, Clinik OttakringViennaAustriaUnknown status

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This page is information, not medical advice. Discuss any trial with your doctor.