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临床试验/NCT04755946
NCT04755946Unknown3 期

Clinical Study Evaluating the Possible Efficacy and Safety of Roflumilast in Patients With Diabetic Nephropathy

Tanta University0 个研究点目标入组 48 人开始时间: 2021年3月10日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
入组人数
48
主要终点
Percent change in urinary albumin creatinine ratio (UACR)

研究概览

简要总结

adding roflumilast to the standard therapy for diabetic nephropathy and studying the progression of many outcomes including urinary albumin to creatinine ratio, estimated GFR, biomarkers of diabetic nephropathy

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • diabetic patients with persistent micro- or macroalbuminuria despite treatment with the maximum tolerated dose of ACE inhibitors for at least 8 weeks before the screening and randomization
  • Type I or II diabetic patient with stage 2 CKD (eGFR = 60 - 89 ml/min) ,stage 3 CKD (eGFR = 30 - 59 ml/min) or stage 4 (eGFR 15-29 ml/min)

排除标准

  • moderate to severe hepatic disease (Child-Pugh B or C) severe renal disease (eGFR<15 ml/min) body-mass index below 25 kg/m2 concomitant use of strong cytochrome P450 inducers (e.g. rifampicin, phenobarbital, carbamazepine, phenytoin) known psychiatric illness, congestive heart disease patients with allergy for roflumilast pregnant and lactating women

研究组 & 干预措施

roflumilast arm

Experimental

干预措施: Roflumilast (Drug)

placebo arm

Placebo Comparator

干预措施: Placebo (Drug)

结局指标

主要结局

Percent change in urinary albumin creatinine ratio (UACR)

时间窗: Baseline and 3 months

measuring UACR pre and post experiment and substracting and dividing on baseline level

Absolute change in Estimated glomerular filtration rate (eGFR)

时间窗: Baseline and 3 months

substracting pre-treatment from post-treatment values of EGFR

次要结局

  • Change in Urinary pro-inflammatory cytokine MCP-1(Baseline and 3 months)
  • Change in serum irisin level(Baseline and 3 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Hisham Mohammad Abd-El-Galil El-Nahhas

Pharm D

Tanta University

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