【ChiCTR2600131951】The effect of Sodium-Glucose Cotransporter-2 Inhibitors and Dipeptidyl Peptidase-4 Inhibitors on Diabetic Retinal Disease
ChiCTR2600131951
尚未开始
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2026-09-08
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Diabetes retinopathy
The effect of Sodium-Glucose Cotransporter-2 Inhibitors and Dipeptidyl Peptidase-4 Inhibitors on Diabetic Retinal Disease
The effect of Sodium-Glucose Cotransporter-2 Inhibitors and Dipeptidyl Peptidase-4 Inhibitors on Diabetic Retinal Disease
Aim 1: To evaluate the effect of SGLT-2i, DPP-4i, or their combination on the development and progression of DR, PDR, and DME. Aim 2: To evaluate the effect of SGLT-2i and DPP-4i on the rate of thinning of the macular ganglion cell-inner plexiform layer (GCIPL) and macular retinal nerve fiber layer (RNFL). Aim 3: To assess and compare the change in a serial quantitative optical coherence tomography-angiography (OCT-A) metric among four groups, including only SGLT-2i, DPP-4i, both medications, and control. Aim 4: To estimate and compare the rate of thinning in macular GCIPL and macular RNFL before and after the initiation of SGLT-2i and DPP-4i usage.
横断面
回顾性研究
None
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Department of Ophthalmology and Visual Sciences (DOVS), Chinese University of Hong Kong
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500
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2026-10-01
2029-05-31
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1. Participants who had been followed for at least three years after baseline visit from Hong Kong Eye Hospital (HKEH) (KC/KE-15-0137/ER-3) between 29 July 2015 and 26 July 2021 and Prince of Wales Hospital (PWH) (CRE2016.511) between 7 February 2017 and 29 June 2021; 2. Participants with complete medication records from the time of enrollment in the cohort study; 3. For participants receiving SGLT-2i or DPP-4i, only those who initiated these drugs after the baseline examination will be included (i.e., new-user design); 4. Participants receiving neither SGLT-2i nor DPP-4i will be included in the control group. 1. Participants who had been followed for at least three years after baseline visit from Hong Kong Eye Hospital (HKEH) (KC/KE-15-0137/ER-3) between 29 July 2015 and 26 July 2021 and Prince of Wales Hospital (PWH) (CRE2016.511) between 7 February 2017 and 29 June 2021;2. Participants with complete medication records from the time of enrollment in the cohort study;3. For participants receiving SGLT-2i or DPP-4i, only those who initiated these drugs after the baseline examination will be included (i.e., new-user design);4. Participants receiving neither SGLT-2i nor DPP-4i will be included in the control group.;
请登录查看Participants, eyes, or images that met the following exclusion criteria: 1. Participants received GLP-1RA during the study period; 2. Participants without post-medication images after adopting the new-user design; 3. Eyes with ungradable FP or OCT scans, for example, due to media opacities; 4. Eyes with established PDR or DME prior to the commencement of the medications.;
请登录查看Department of Ophthalmology and Visual Sciences (DOVS), Chinese University of Hong Kong
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