Insulin resistance in type 2 diabetes: evaluating the pathogenic mechanisms of insulin resistance in the myocardium and the effects of the treatments with GLP-1RA and SGLT2i

2025-523374-17-01 Protocol PI24/01356 Therapeutic use (Phase IV) Not authorised

Status Not authorised · 1 EU/EEA countries · 1 sites · Protocol PI24/01356

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Not authorised
Participants planned 60
Countries 1
Sites 1

Type 2 diabetes

To determine by means of 18F-FDG PET/CT and 99mTc-Tetrofosmin SPECT whether myocardial IR affects cardiac function and coronary flow and is therefore a risk factor for cardiovascular events and diabetic cardiomyopathy in DM2 patients with myocardial IR phenotype

Key facts

Sponsor
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18], Diseases [C] - Cardiovascular Diseases [C14]
Decision date (initial)
2025-12-23
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Ministerio de Ciencia, Innovación y Universidades

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Others

To determine by means of 18F-FDG PET/CT and 99mTc-Tetrofosmin SPECT whether myocardial IR affects cardiac function and coronary flow and is therefore a risk factor for cardiovascular events and diabetic cardiomyopathy in DM2 patients with myocardial IR phenotype

Secondary objectives 2

  1. To find biomarkers through metabolomic and lipidomic studies that can be related to myocardial IR, cardiac function and coronary flow, as well as the relationship between them to manage DM2 patients in a personalized way
  2. Effect of semaglutide and dapaglifozin on myocardium insulin resistance

Conditions and MedDRA coding

Type 2 diabetes

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2025-523374-17-00 Insulin resistance in type 2 diabetes: evaluating the pathogenic mechanisms of insulin resistance in the myocardium and the effects of the treatments with GLP-1RA and SGLT2i Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. BMI around 30 kg/m2
  2. DM2
  3. no-smoking; no-alcohol
  4. HbA1c between 7-9%

Exclusion criteria 4

  1. previous CVD events
  2. hepatic and kidney complications
  3. claustrophobia to PET/CT and SPECT
  4. treatment with SGLT2 inhibitors or GLP-1 analogs.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Myocardium insulin resistance

Secondary endpoints 2

  1. Coronary flow
  2. Heart function

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Ozempic 1 mg solution for injection in pre-filled pen

PRD12647197 · Product

Active substance
Semaglutide
Substance synonyms
NNC0113-0217
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
375000 µg microgram(s)
Max total dose
6 mg milligram(s)
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
A10BJ06 — -
Marketing authorisation
EU/1/17/1251/015
MA holder
NOVO NORDISK A/S
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Dapagliflozin 10 mg film-coated tablets

PRD11393404 · Product

Active substance
Dapagliflozin Propanediol
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
1120 mg milligram(s)
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
A10BK01 — -
Marketing authorisation
PL 36390/0448
MA holder
CIPLA (EU) LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca

Sponsor organisation
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Address
Passeig De La Vall D'Hebron 119-129
City
Barcelona
Postcode
08035
Country
Spain

Scientific contact point

Organisation
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Contact name
Olga Simó Servat

Public contact point

Organisation
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Contact name
Olga Simó Servat

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Not authorised 60 1
Rest of world 0

Investigational sites

Spain

1 site · Not authorised
Hospital Universitari Vall D Hebron
Endocrinology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 15 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol Synopis EU CT 2025-523374-17-01 1
Protocol (for publication) Protocolo modelo medicamentos 1
Protocol (for publication) Protocolo modelo medicamentos version 2 cambios aceptados 1
Protocol (for publication) Protocolo modelo medicamentos version 2 contorl de cambios 1
Recruitment arrangements (for publication) Recruitment and Informed consent procedure 1
Subject information and informed consent form (for publication) Anexo proteccion de datos 1
Subject information and informed consent form (for publication) Anexo proteccion de datos V2 CONTROL DE CAMBIOS 1
Subject information and informed consent form (for publication) Anexo proteccion de datosv2 1
Subject information and informed consent form (for publication) HIP CI V2 1
Subject information and informed consent form (for publication) HIP-CI-proyectos 1
Subject information and informed consent form (for publication) HIP-CI-proyectos version 2 control de cambios 1
Summary of Product Characteristics (SmPC) (for publication) FichaTecnicaDapagliflozina 1
Summary of Product Characteristics (SmPC) (for publication) ficheTecnicaSemaglutide 1
Synopsis of the protocol (for publication) D1_Protocol Synopis EU CT 2025-523374-17-01 1
Synopsis of the protocol (for publication) Synopsis of the protocol in english 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-09-01 Spain Acceptable with conditions
2025-12-22
2025-12-23