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The Role of Glucagon-Like Peptide-1 Receptor Agonists in Coronary Artery Diseases and Their Potential Mechanisms Phase 4 60 Randomized

Not yet recruiting
Clinical Trial NCT07073053 is designed to study Treatment for Glucagon-Like Peptide-1 Receptor Agonists, Type 2 Diabetes, Coronary Arterial Disease (CAD). This Phase 4 interventional study is not yet recruiting. Enrollment is planned to begin on October 1, 2025 until the study accrues 60 participants. Led by Taipei Veterans General Hospital, Taiwan, this study is expected to complete by July 31, 2028. The latest data from ClinicalTrials.gov was last updated on July 18, 2025.
Brief Summary
The investigators plan to enroll 60 patients from the outpatient clinics or inpatient wards of the Metabolism and Cardiology departments who, within the past three months, have undergone coronary angiography for the treatment of coronary artery disease, are currently using sodium-glucose cotransporter-2 (SGLT-2) inhibitors for glycemic control, and have not received glucagon-like peptide-1 receptor agonist (GLP-1 RA)...Show More
Official Title

The Role of Glucagon-Like Peptide-1 Receptor Agonists in Coronary Artery Diseases and Their Potential Mechanisms

Conditions
Glucagon-Like Peptide-1 Receptor AgonistsType 2 DiabetesCoronary Arterial Disease (CAD)
Other Study IDs
  • 2025-02-004C
NCT ID Number
Start Date (Actual)
2025-10-01
Last Update Posted
2025-07-18
Completion Date (Estimated)
2028-07-31
Enrollment (Estimated)
60
Study Type
Interventional
PHASE
Phase 4
Status
Not yet recruiting
Keywords
Glucagon-Like Peptide-1 Receptor Agonists
type 2 diabetes
coronary arterial disease
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
None (Open Label)
Arms / Interventions
Participant Group/ArmIntervention/Treatment
Experimentalsemaglutide 1.0mg weekly
continue previous standard treatment with add-on semaglutide
Semaglutide 1.0 mg
add-on current standard treatment which includes SGLT2 inhibitor
Active Comparatorsemaglutide 0.5mg weekly
continue previous standard treatment with add-on semaglutide
Semaglutide 0.5 mg
add-on current standard treatment which includes SGLT2 inhibitor
No Interventioncontrol
continue previous standard treatment
N/A
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
change of Time-in-range (%)
continuous glucose monitor, time-in-range defined as percentage of time in range of 70-180 blood glucose levels. Change of time-in-range means time-in-range at week 24 - time-in-range at baseline.
From enrollment to the end of treatment at 24 weeks
change of HbA1c
HbA1c at week 24 - HbA1c at baseline
From enrollment to the end of treatment at 24 weeks
change of Flow-Mediated Dilatation (FMD)
Flow-Mediated Dilatation (FMD) at week 24 - Flow-Mediated Dilatation (FMD) at baseline
From enrollment to the end of treatment at 24 weeks
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
change of serum ROS measurements
serum ROS measurements at week 24 - serum ROS measurements at baseline
From enrollment to the end of treatment at 24 weeks
change of Peripheral Arterial Tonometry (PAT)
Peripheral Arterial Tonometry (PAT) at week 24 - Peripheral Arterial Tonometry (PAT) at baseline
From enrollment to the end of treatment at 24 weeks
Hypoglycemic episodes
the amount of hypoglycemic episodes during the treatment period of 24 weeks. hypoglycemic episodes defined as blood sugar levels less than 50 or with hypoglycemic symptoms.
from enrollment to the end of treatment at week 24.
change of fasting glucose
fasting glucose ar week 24 - fasting glucose at baseline
From enrollment to the end of treatment at week 24
Participation Assistant
Eligibility Criteria

Eligible Ages
Adult, Older Adult
Minimum Age
20 Years
Eligible Sexes
All
  1. adults (>=20 years old),
  2. Type 2 Diabetes with coronary arterial disease underwent angioplasty within 3 months with SGLT2 inhibitors -

  1. age<20 years old,
  2. pregnant women,
  3. eGFR<30 ml/min/1.73m2,
  4. received GLP-1 agonist in the recent 3 months -
Taipei Veterans General Hospital, Taiwan logoTaipei Veterans General Hospital, Taiwan
Study Central Contact
Contact: Chin-Sung Kuo, M.D., Ph.D., +886-2-28757513, [email protected]
1 Study Locations in 1 Countries
Taipei Veterans General Hospital, Taipei, 112, Taiwan
Chin-Sung Kuo, M.D., Ph.D., Contact, +886-2-28757513, [email protected]