| CTRI Number |
CTRI/2025/12/098403 [Registered on: 03/12/2025] Trial Registered Prospectively |
| Last Modified On: |
01/12/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
Role of Dapagliflozin versus placebo in preventing kidney stone recurrence |
|
Scientific Title of Study
|
Effect of Dapagliflozin versus standard care on risk of recurrence
of kidney stones measured by urinary super-saturation: A Randomised placebo
controlled study |
| Trial Acronym |
DAPASTONE |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Vipin Chandra |
| Designation |
Associate Professor |
| Affiliation |
All india institute of Medical sciences, patna |
| Address |
Department of Urology
AIIMS PATNA, Near Valmi
PIN-801507 VIPIN CHANDRA
Associate Professor
Department of Urology
AIIMS PATNA, Near Valmi
PIN-801507 Patna BIHAR 801507 India |
| Phone |
08442840839 |
| Fax |
|
| Email |
ccchandra2001@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Vipin Chandra |
| Designation |
Associate Professor |
| Affiliation |
All india institute of Medical sciences, patna |
| Address |
Department of Urology
AIIMS PATNA, Near Valmi
PIN-801507 VIPIN CHANDRA
Associate Professor
Department of Urology
AIIMS PATNA, Near Valmi
PIN-801507 Patna BIHAR 801507 India |
| Phone |
08442840839 |
| Fax |
|
| Email |
ccchandra2001@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Vipin Chandra |
| Designation |
Associate Professor |
| Affiliation |
All india institute of Medical sciences, patna |
| Address |
Department of Urology
AIIMS PATNA, Near Valmi
PIN-801507 VIPIN CHANDRA
Associate Professor
Department of Urology
AIIMS PATNA, Near Valmi
PIN-801507 Patna BIHAR 801507 India |
| Phone |
08442840839 |
| Fax |
|
| Email |
ccchandra2001@gmail.com |
|
|
Source of Monetary or Material Support
|
| Indian Council of Medical Research, NEW DELHI
V. Ramalingaswami Bhawan, P.O. Box No. 4911, Ansari Nagar, New Delhi - 110029, India |
|
|
Primary Sponsor
|
| Name |
Indian Council of Medical Research |
| Address |
Ansari nagar, New Delhi,
PIN Code- 110029 |
| Type of Sponsor |
Government funding agency |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| DR VIPIN CHANDRA |
ALL INDIA INSTITUTE OF MEDICAL SCIENCES, PATNA |
Department of Urology
AIIMS PATNA, Near Valmi
PIN-801507 Patna BIHAR |
8442840839
ccchandra2001@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| RESEARCH ADVISORY COMMITTEE ALL INDIA INSTITUTE OF MEDICAL SCIENCES PATNA |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: N209||Urinary calculus, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Dapagliflozin 10 mg |
dose of Dapagliflozin: 10 MG
frequency: Once daily
route of administration: oral total duration: 6 months |
| Comparator Agent |
Placebo |
dose of placebo: empty tablet
frequency: Once daily
route of administration: oral total duration: 6 months |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Inclusion criteria: Patients with known renal stone disease, after getting stone clearance by either medical expulsive therapy or by endoscopic surgery, Age between 18 to 60 years, Renal stones of the following types: Calcium phosphate, Calcium Oxalate, Uric acid. |
|
| ExclusionCriteria |
| Details |
Exclusion criteria: Recurrent stone formers with confirmed alternate diagnoses such as incomplete RTA, Bartter’s, cystinuria, history of surgery in prior 6 weeks, Dehydration, Hemodynamic instability, Critical illness, Lower urinary tract symptoms, Severe renal failure with eGFR less than 45 ml per min, Patient on any SGLT2 inhibitors at the time of enrolment or in previous 3 months, Patient on teriparatide, bisphosphonates, denosumab at the time of enrolment or in previous 6 months, Sepsis or septic shock, Moribund patients with reduced life expectancy, Severe cardiopulmonary disease, Pregnancy and lactation, History of genital infections or urinary tract infections, Primary Hyperparathyroidism, Malignancy, Congenital anomaly of kidney and urinary tract |
|
|
Method of Generating Random Sequence
|
Random Number Table |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Change in urinary super saturation in the study groups, urinary markers of inflammation and incidence of new stone formation |
Baseline and 6 months |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| nil |
nil |
|
|
Target Sample Size
|
Total Sample Size="111" Sample Size from India="111"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
01/01/2026 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="3" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Nephrolithiasis is a common
renal disease that frequently recurs
and amounts to large disease
burden in Indian
patients with no effective evidence
based preventive medication.
A huge number of patients have to undergo different types of surgeries for
stone clearance. Despite of getting cleared stone almost 50 percent patients
land up with re-stone formation in next 10 years. Patients with multiple stones
and / or abnormal urinary super-saturation have high risk of repeated stone
formation. Surgical interventions are associated with morbidity, prolonged
hospital stay, sepsis or death in few cases. If not managed timely may lead to
renal failure. There is no definitive
means to prevent or delay the recurrence of stone disease in urinary tract.
Sodium-glucose cotransporter-2 (SGLT2, encoded by SLC5A2) inhibitors, a novel
class of antidiabetic agents, induce urinary glucose excretion by inhibiting
SGLT2 at the S1 and S2 segments of the proximal tubules. Apart from glycaemic
control, SGLT2 inhibitors have diverse functions, including blood pressure
reduction improved cardiovascular outcomes, renoprotection, lipid improvement,
and weight, visceral fat, and serum uric acid level reduction. |