About this trial
The prevalence of diabetes is increasing, with type 2 diabetes mellitus comprising over 90% of cases. Diabetes mellitus complications, including diabetic retinopathy (DR), impose significant health burdens. GLP-1 receptor agonists (GLP-1RAs) and dual GIP/GLP-1 receptor agonists show promise in improving cardiovascular and kidney outcomes, but their effects on retinal microvasculature and neuroprotection remain unclear. This study investigates the impact of GLP-1RAs (semaglutide, liraglutide) and GIP/GLP-1-dual agonists (tirzepatide) on ocular blood flow and retinal function in DM patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men and women aged ≥ 18 years
Signed informed consent
Previously diagnosed diabetes mellitus
Normal ophthalmic findings except diabetic retinopathy, unless the investigator considers an abnormality to be clinically irrelevant
Disqualifiers
Participation in a clinical trial in the 3 weeks preceding the screening visit
Symptoms of a clinically relevant illness in the 3 weeks before the first study day
Presence or history of a severe medical condition, except diabetes, as judged by the clinical investigator
Abuse of alcoholic beverages
Trial design
Single group
Treatments tested in this trial
• Laser Speckle Flowgraphy (LSFG)
DeviceLaser Speckle Flowgraphy (LSFG)
• Optical Coherence Tomography (OCT)
Device• Optical Coherence Tomography (OCT)
• Optical Coherence Tomography Angiography (OCT-A)
Device• Optical Coherence Tomography Angiography (OCT-A)
Treatment groups
Trial outcomes
Primary outcomes
Ocular blood flow (LSFG)
Ocular Blood Flow measured by Laser Speckle Flowgraphy (LSFG) in arbitrary units
Secondary outcomes
Retinal vessel diameter
Retinal vessel diameter with DVA
Retinal oxygen saturation
Retinal oxygen saturation with DVA
Retinal oxygen extraction
Retinal oxygen extraction will be calculated from measurements of ocular blood flow and retinal oxygen saturation. The calculation will be based on a formula integrating these parameters to estimate retinal oxygen extraction. Unit of Measure: Arbitrary units
Oxygen and carbon dioxide partial pressure in arterialized blood
Oxygen and carbon dioxide partial pressure in arterialized blood
Sponsors and contacts
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