How SGLT2 inhibitors affect kidneys and metabolism in people over 65
Official title: Multidisciplinary Dissection of Renal and Metabolic Effects of Glyfozines on Elderly Patients: From Molecular Aspects to Clinical Indications
Run by Ospedale San Raffaele · NCT07119424 · Data updated 2026-11-12
This project will test whether starting SGLT2 inhibitor treatment changes clinical and lab measures in people aged 65 and older with diabetes, heart disease, or kidney problems.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Ospedale San Raffaele Academic / other |
| Locations | 1 site (Milan, Milan) |
| Status | Recruiting |
| Started | February 14, 2025 |
| Main results expected | November 2026 |
| Study ends | February 2027 |
| Registry record updated | August 13, 2025 |
| Trial ID | NCT07119424 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 65 or older who have at least one guideline indication for SGLT2 inhibitors, have not yet started the drug, can give informed consent, and agree to enroll in the related MED-Cli and MED-Mol protocols.
✕Probably not a fit
Patients already taking an SGLT2 inhibitor or those unable to provide informed consent would not be eligible and thus would not benefit from participation in this project.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an observational cohort of patients aged 65 or older who are prescribed SGLT2 inhibitors as part of routine care at San Raffaele Hospital and who have not yet started the medication. The study will combine clinical records, biochemical and biological data from participants enrolled also in the MED-Cli and MED-Mol protocols. Advanced Bayesian statistical methods will be used to model relationships between baseline risk factors and subsequent renal and metabolic outcomes after treatment. Treatment decisions are made independently by clinicians and the study does not dictate prescribing.
Why it matters
Potential benefit: If successful, the project could clarify which elderly patients are most likely to experience renal or metabolic benefits or risks from SGLT2 inhibitors and help guide safer prescribing.
How similar studies have gone: Large clinical trials have shown cardiovascular and renal benefits of SGLT2 inhibitors in broad populations, but combining detailed molecular data with Bayesian modeling in an elderly cohort is a more novel observational approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Participant is willing and able to give informed consent for participation in the study; 2. Patients must be enrolled also in MED-Cli e MED-Mol studies by signing both the MED-Cli e MED-Mol informed consents. 3. The medical product is the standard of care for the patient and has been prescribed according to clinical practice and independent of the present study; 4. Age ≥65 years; 5. Participant has not yet started the prescribed SGLT2i therapy; 6. Participant has at least one clinical indication for SGLT2i use according to clinical practice guidelines. Exclusion Criteria: 1. Current or previous use of SGLT2i; 2. Inability to sign the informed consent.
Where it's running
-
San Raffaele Hospital
Milan, Milan, Italy Recruiting
Study contacts
- Study coordinator: Chiara Livia Lanzani, professor
- Email: lanzani.chiara@hsr.it
- Phone: 00390226438131
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.