Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 20 to 80

Comparing Enavogliflozin and Pioglitazone for Type 2 Diabetes Management

Official title: Comparing Enavogliflozin and Pioglitazone as Add-ons to Metformin With/Without Dipeptidyl Peptidase-4 Inhibitors in Type 2 Diabetes

Run by Seoul National University Bundang Hospital · NCT06399835 · Data updated 2026-11-12

This study is testing whether Enavogliflozin or Pioglitazone works better for managing blood sugar and heart health in people with type 2 diabetes who haven't had success with Metformin.

More Type 2 Diabetes trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages20 Years to 80 Years
SexAll
Enrollment120 (estimated)
SponsorSeoul National University Bundang Hospital
Academic / other
Locations1 site (Seongnam-si, Gyeonggi-do)
StatusRecruiting
StartedFebruary 1, 2024
Main results expectedDecember 31, 2026
Study endsDecember 31, 2027
Registry record updatedMay 5, 2026
Trial IDNCT06399835 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 20-80 with type 2 diabetes and an HbA1c level between 7.0% and 10.5% who have been on Metformin for at least 3 months.

Probably not a fit

Patients with type 1 diabetes, gestational diabetes, or those with recent acute cardiovascular events may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study compares the effects of Enavogliflozin, an SGLT2 inhibitor, and Pioglitazone, a thiazolidinedione, on glucose control and atherosclerosis in patients with type 2 diabetes who have not achieved adequate glycemic control with Metformin. Participants will be assessed for changes in various metabolic and cardiovascular risk factors, including triglycerides, HDL cholesterol, uric acid, blood pressure, and inflammatory markers. The study aims to provide insights into the efficacy and safety of these two medications in managing diabetes and associated risks.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment options for patients with type 2 diabetes, enhancing glucose control and reducing cardiovascular risks.

How similar studies have gone: Other studies comparing SGLT2 inhibitors and thiazolidinediones have shown promising results, indicating potential benefits in managing type 2 diabetes.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Type 2 diabetes patients with a glycated hemoglobin (HbA1c) level of 7.0 - 10.5% at screening
* Males or females aged 20-80 years
* Individuals who have been taking Metformin (≥ 500mg) with or without a DPP-4 inhibitor (such as Sitagliptin, Vildagliptin, Saxagliptin, Linagliptin, Gemigliptin, Alogliptin, Teneligliptin, Anagliptin, Evogliptin) for at least the past 3 months
* Body mass index ≥ 23 kg/m²
* Estimated glomerular filtration ratio (eGFR) ≥ 60 ml/min/1.73m²

Exclusion Criteria:

* Patients with Type 1 Diabetes, Gestational Diabetes, or secondary diabetes due to other causes
* Patients with a history of acute cardiovascular disease within the last 3 months prior to the screening visit
* Pregnant or breastfeeding patients, or patients not using contraception. Patients with chronic Hepatitis B or C (excluding healthy carriers of Hepatitis B), or liver disease (aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) \> 3 times the upper limit of normal)
* Patients with heart failure or a history of heart failure
* Individuals with a history of cancer within the past 5 years (excluding those adequately treated for squamous cell carcinoma or thyroid cancer)
* Patients who have participated in another clinical study within the last 30 days
* Alcohol addiction
* Patients for whom the use of Enavogliflozin or Pioglitazone is contraindicated
* Patients taking other oral hypoglycemic agents or insulin or other investigational drugs
* Patients deemed unsuitable for the study based on the investigator's judgment

Where it's running

  • Seoul National University Bundang Hospital
    Seongnam-si, Gyeonggi-do, South Korea
    Recruiting

Study contacts

  • Principal investigator: Soo Lim, M.D. Ph.D. — Seoul National University Bundang Hospital
  • Study coordinator: Soo Lim, M.D. Ph.D.
  • Email: limsoo@snu.ac.kr
  • Phone: +82317877035

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.