Unique ID issued by UMIN | UMIN000005981 |
---|---|
Receipt number | R000007024 |
Scientific Title | Therapeutic effect by spherical oral adsorbent(Kremezin®) on vascular endothelial function in type 2 diabetic patients with overt nephropathy. |
Date of disclosure of the study information | 2011/07/15 |
Last modified on | 2014/08/14 16:53:31 |
Therapeutic effect by spherical oral adsorbent(Kremezin®) on vascular endothelial function in type 2 diabetic patients with overt nephropathy.
Therapeutic effect by spherical oral adsorbent(Kremezin®) on vascular endothelial function in type 2 diabetic patients with overt nephropathy.
Therapeutic effect by spherical oral adsorbent(Kremezin®) on vascular endothelial function in type 2 diabetic patients with overt nephropathy.
Therapeutic effect by spherical oral adsorbent(Kremezin®) on vascular endothelial function in type 2 diabetic patients with overt nephropathy.
Japan |
Type 2 diabetic patients with overt nephropathy.
Endocrinology and Metabolism |
Others
NO
Therapeutic effect by spherical oral adsorbent(Kremezin®) on vascular endothelial function in type 2 diabetic patients with overt nephropathy is examined. The association between uremic toxin(i.e., indoxyl sulfate) and vascular endothelial function is examined as well.
Safety,Efficacy
Flow-mediated vasodilation(FMD)
Changes of estimated GFR by Japanese equation, urinary protein to urinary creatinine ratio, parameters related to vascular endothelial function and atherosclerosis (i.e., ADMA, NOx, vWF), NT-proBNP, uremic toxin (i.e., indoxyl sulfate), and oxidative stress(urinary 8-OHdG).
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
2
Treatment
Medicine |
Control group based on conventional treatment.
Treatment group based on Kremezin 6g per day(sachet or capsule) added to conventional treatment.
20 | years-old | <= |
80 | years-old | > |
Male and Female
Inclusion criteria.
Type 2 diabetic patients with overt nephropathy and Patients that meet any of the following Inclusion Criteria may be enrolled into the study:
1) eGFR ≥ 30mL/min/1.73 m2 and eGFR ≤ 50mL/min/1.73 m2 and urinary albumin to urinary creatinine ratio ≥ 300mg/g·creatinine at the enrollment
2) Outpatient
3) Age ≥ 20 years old and Age < 80 years old at the time of consent to participate in the study
4) Patients not required changes in anti-hypertensive medications or doses in the last 4 weeks prior to the enrollment
5) Patients being treated for hypertension(as anti-hypertensive regimen)
Patients who fully understand purpose, contents, anticipated adverse events , and risks of this clinical trial and patients with willingness to comply with the study and sign a written informed consent
Exclusion Criteria
Patients that meet any of the following Exclusion Criteria must not be enrolled into the study:
1) Patients with transit disorder in the digestive tract or peptic ulcer and esophageal varix (this product may irritate affected area.) and patients whom physician judges as inappropriate
2) Patients with a predisposition to severe and habitual constipation (this product may exacerbate constipation) and patients whom physician judges as inappropriate
3) Patients with severe ketosis, diabetic coma, or precoma
4) Patients with severe infection, before and after operation, or severe injury
5) Patients with hematuria
6) Patients with a previous history of medication allergy
7) Patients who is currently pregnant, or plan to become pregnant during the study period
8) Patients with active diabetic proliferative retinopathy (except for patients with proliferative retinopathy who conducted retinal photocoagulation therapy and were stable on the retina)
9) Patients whom physician determines as inappropriate
30
1st name | |
Middle name | |
Last name | Daisuke Koya |
Kanazawa Medical University Hospital
Endocrinolgy and Metabolism
Daigaku1-1 Uchinadamachi Kahokugun Ishikawa
1st name | |
Middle name | |
Last name | Daisuke Koya |
Kanazawa Medical University Hospital
Endocrinolgy and Metabolism
Daigaku1-1 Uchinadamachi Kahokugun Ishikawa
Kanazawa Medical University Diabetes and Endocrinology
Kanazawa Medical University and Endocrinology
Self funding
NO
2011 | Year | 07 | Month | 15 | Day |
Unpublished
Completed
2011 | Year | 04 | Month | 08 | Day |
2011 | Year | 07 | Month | 01 | Day |
2011 | Year | 07 | Month | 15 | Day |
2014 | Year | 08 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007024