Can a common diabetes drug stop prediabetes in its tracks? early study tests feasibility
NCT ID NCT06828731
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether it's possible to use the diabetes drug empagliflozin in 60 veterans with prediabetes. Participants took the drug or received standard lifestyle advice for 12 weeks. The main goal was to see if people would join and stay in the study, not to prove the drug works. If successful, it could pave the way for larger trials to see if empagliflozin can prevent diabetes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Empagliflozin (a diabetes drug that helps the kidneys remove sugar from the body)
- What this could lead to
- If this pilot shows it's feasible, it could lead to larger studies testing whether empagliflozin can prevent or delay type 2 diabetes in people with prediabetes.
- What could go wrong
- This is a very small, early-phase feasibility study with only 60 veterans. It is not designed to prove the drug works for prediabetes, and results may not apply to the general population.
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
-
Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
-
60 people
The number who actually took part.
- Started
-
Dec 2024
- Finished
-
Sep 2025
- Lead sponsor
-
A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
35 to 60 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Diagnosis of prediabetes defined by HbA1c \>5.7% and \<6.5% or fasting glucose 100-125 mg/dL with documentation of diagnosis (ICD-10 code) within electronic health record at time of enrollment * Age 35 to 60 years at time of enrollment * Able to read and speak English Exclusion Criteria: * Diagnosis of diabetes (type 2 or type 1) * Contraindication to SGLT2i medication per medication labeling, prior adverse reaction to SGLT2i medication, or received SGLT2i medication within the 6 months prior to enrollment * Currently prescribed an antihyperglycemic agent approved for treatment of type 2 diabetes or taking any FDA-approved weight loss agent or over-the-counter supplement promoted for weight loss * Veterans unable to complete informed consent process (Veterans with impaired decision-making ability or who require use of a legally authorized representative) * Women who are pregnant or may become pregnant * Veterans with neurogenic bladder, indwelling catheter, or urinary tract infection within the previous 12 months requiring hospitalization or emergency department visit
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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.
Contacts and locations
Locations
-
Charles George VA Medical Center
Asheville, North Carolina, 28805, United States
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