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RecruitingObesityMetabolic Syndrome

The Effect of SGLT2 Inhibition on Adipose Inflammation and Endothelial Function

Eligible age

18+ yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

Obesity is associated with increased cardiometabolic disease risk due, in part, to heightened chronic inflammation arising from adipose tissue. There are no current targeted therapies to prevent or reverse the chronic inflammation of obesity, and a better understanding of these inflammatory pathways in humans is key to future therapeutic interventions. This trial will determine both the anti-inflammatory potential of the SGLT2 inhibitor empagliflozin, and the contribution of adipose inflammation to surrogate measures of cardiovascular disease in a randomized controlled trial of obese patients.

Sponsor: Vanderbilt University Medical Center

You may qualify if…

  • 1. Age 18+ years old
  • 2. Metabolic syndrome as defined by 3 or more of 5 criteria:
  • 1. Systolic blood pressure ≥ 130 mmHg or diastolic blood pressure ≥ 85 mmg Hg or treatment with anti-hypertensive medications for minimum of 1 month
  • 2. Triglycerides ≥ 150 mg/dL or treatment with a triglyceride-targeted medication (fenofibrate, gemfibrozil, niacin, high dose omega-3 fatty acids)
  • 3. High-density lipoprotein (HDL) \< 40 mg/dL in males or \< 50 mg/dL in females
  • 4. Fasting blood glucose ≥ 100mg/dL or treatment with glucose-lowering medications
  • 5. Waist circumference ≥ 102 cm in males or ≥ 88cm in females
  • 3. BMI ≥ 35 kg/M2

You may not qualify if…

  • 6. Type 1 diabetes.
  • 7. Poorly controlled type 2 diabetes as defined by HbA1c ≥ 9%.
  • 8. Use of anti-diabetic medications other than stable dose of metformin or a sulfonylurea in the last 1 month.
  • 9. Treatment with a glucagon-like peptide-1 receptor agonist or co-agonist in the last 3 months.
  • 10. Treatment with an SGLT2 inhibitor in the last 3 months.
  • 11. Pregnancy or breast-feeding. Women of child-bearing potential will be required to have undergone surgical sterilization or to be using an intra-uterine device, hormonal contraceptive, or barrier methods of birth control.
  • 12. Cardiovascular disease such as myocardial infarction within six months prior to enrollment, presence of angina pectoris, significant arrhythmia, congestive heart failure (left ventricular hypertrophy acceptable), deep vein thrombosis, pulmonary embolism, -second- or third-degree heart block, mitral valve stenosis, aortic stenosis, or hypertrophic cardiomyopathy
  • 13. Presence of implanted cardiac defibrillator or pacemaker

Where it's recruiting

Tennessee

Nashville

Source: ClinicalTrials.gov · NCT05972564 · last updated 2026-05-11