Type 2 & other diabetes

Empagliflozin and Renal Sodium-Hydrogen Exchange in Healthy Subjects

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

In healthy young volunteers, empagliflozin acutely increases urinary pH while inducing a substrate shift toward lipid utilization and ketogenesis, without significant changes in renal NHE3 protein expression.

Study context

Population
Healthy male volunteers
Participants
20 vs 6
Comparison
Before vs after empagliflozin 2 × 25 mg
  • Empagliflozinn = 20
  • Time-controln = 6reference
Outcome
Urine pH
Follow-up
6 hours
Methodological detailsproof-of-concept, standardized hydration scheme, time-control study
  • Proof-of-concept
  • Standardized hydration scheme
  • Time-control study

Main finding

As reported in the abstract

Urine pH increased after empagliflozin (before → after; mean ± SD as printed)

5.81 ± 0.5 to 6.16 ± 0.6

P = .008

Further findings

Time-control study

Neither urine pH nor plasma and urinary parameters changed

Original publication

Empagliflozin and Renal Sodium-Hydrogen Exchange in Healthy Subjects. J Clin Endocrinol Metab. Published 16 February 2023. doi:10.1210/clinem/dgad088

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