Actively Recruiting

Phase 2
Phase 3
Age: 18Years +
All Genders
ID05427084

Canagliflozin Targeting Vascular Inflammation: An Ottawa Imaging Study - A Pilot Study

Led by Ottawa Heart Institute Research Corporation · Updated on 2026-05-06

24

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effects of targeted anti-inflammatory therapy using canagliflozin on aortic inflammation in patients with diabetes and stable coronary artery disease (CAD) who are over 60 days post-myocardial infarction. This pilot study uses a randomized, double-blinded design to compare canagliflozin with a placebo over a 6-month treatment period. The primary goal is to measure changes in FDG aortic uptake, an imaging marker of inflammation, between baseline and 6 months. Participants will be randomly assigned to receive either a daily 300 mg oral dose of canagliflozin or a placebo for six months. The study is conducted in a single center and participants in both groups will have similar clinical evaluations and imaging assessments. Blood samples will be collected at baseline, 3 months, and 6 months to measure biomarkers and other laboratory tests. FDG PET imaging with contrast CT scans will be performed at baseline and after 6 months to evaluate aortic inflammation. During the study, participants will have clinical evaluations and blood tests, including measures of blood sugar control, inflammation, liver and kidney function, and blood counts at baseline and every 3 months. FDG PET imaging will be repeated at 6 months to assess changes in the aorta. The primary outcome is the change in tissue-to-blood ratio (TBR) of the most diseased segment of the ascending aorta. The total study duration for each participant is 6 months, and safety and inflammation markers will be monitored throughout.

CONDITIONS

Brief Title

Canagliflozin Targeting Vascular Inflammation

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Stable coronary artery disease at least 60 days after a myocardial infarction
  • Diagnosis of diabetes
  • Ability to provide informed consent
Not Eligible

You will not qualify if you...

  • Severe left ventricular dysfunction with ejection fraction less than 50%
  • Decompensated heart failure
  • Active infections such as pneumonia or skin infections requiring antibiotics
  • Active inflammatory diseases or use of systemic anti-inflammatory therapy
  • Pregnancy or breastfeeding
  • Women of childbearing potential not using two forms of contraception during the study
  • Men capable of fathering a child not using contraception
  • Glomerular filtration rate below 50 ml/min/1.72m2
  • Use of p-glycoprotein inhibitors or strong CYP3A4 inhibitors
  • Low hemoglobin, white blood cell, or platelet counts
  • History of severe liver disease or elevated liver enzymes
  • Inability to provide informed consent

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 6 months

Participants take either canagliflozin 300 mg or placebo once daily for 6 months while undergoing clinical evaluations and blood sample collections.

Baseline visit and follow-up visits every 3 months

Trial Site Locations

Total: 1 location

1

University of Ottawa Heart Institute

Ottawa, Ontario, Canada, K1Y 4W7

Actively Recruiting

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Research Team

K

Kevin Boczar, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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