Two diabetes drugs face off to shield hearts during breast cancer chemo
NCT ID NCT07815808
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Doxorubicin is a common chemotherapy for breast cancer, but it can damage the heart. This trial compares two diabetes drugs, empagliflozin and metformin, to see if either can protect heart function in women receiving doxorubicin-based treatment. About 150 women with breast cancer will be randomly assigned to receive one of the drugs or standard care, and researchers will track heart pumping ability over six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- empagliflozin and metformin
- What this could lead to
- If either drug protects the heart during chemotherapy, it could become a routine add-on for women receiving doxorubicin, reducing heart damage without compromising cancer treatment.
- What could go wrong
- The trial may show no meaningful difference in heart function between the two drugs or standard care. Both drugs can cause side effects, and results in this group may not apply to all chemotherapy patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adult females (≥18 years) with histologically confirmed breast cancer. 2. Scheduled to receive doxorubicin-based chemotherapy regimens (e.g., AC regimen: Doxorubicin + Cyclophosphamide every 2 or 3 weeks for 4 cycles). 3. Baseline LVEF ≥ 55 on transthoracic echocardiography with normal baseline GLS. 4. Estimated Glomerular Filtration Rate (eGFR) \< 45 mL/min/1.73 m2 5. Written informed consent provided Exclusion Criteria: 1. Prior exposure to anthracyclines, mediastinal radiation, or anti-HER2 therapy. 2. Pre-existing heart failure, coronary artery disease, or LVEF $\< 55\\%$. 3. Uncontrolled Type 2 Diabetes Mellitus (HbA1c $\> 8.5\\%$) or Type 1 Diabetes Mellitus. 4. Severe renal impairmet (eGFR \< 45 mL/min/1.73 m2) or hepatic dysfunction. 5. History of recurrent Urinary Tract Infections (UTIs), genital mycotic infections, or ketoacidosis (for Empagliflozin safety). 6. Hypersensitivity to Empagliflozin or Metformin.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Tanta University
Tanta, Elgharbeya, GHR, Egypt
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