Diabetic nephropathy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 30 - 70 years; 2. A documented diagnosis of type 2 diabetes mellitus > 1year (WHO 1999); 3. Diabetic nephropathy with overt proteinuria: morning urine ACR >=300mg/g; sCr 88 - 265 umol/L; 4. With or without hypertension (>=130/80 mmHg): ACEIs and ARBs must be discontinued for at least 10-day prior to cellection of the first urine sample.
Exclusion criteria
Exclusion criteria: 1. T2DM patients 10%; 3. Patients with diabetic acute complications, or sever diabetic chronic complications, i.e retinal hemorrhage, sCr>= 266umol/L, diabetic feet with infection; 4. Patients with hemorrhagic tendency, or active hemorrhage within 1 week; 5. Clinically significant heart disease, stroke, renal artery stenosis, hepatic dysfunction; 6. Electrolyte imbalance, serum potassium level >5.5mmol/L; 7. Absence of diabetic retinopathy; 8. Low or rapidly decreasing GFR; 9. Rapidly increasing proteinuria or nephrotic syndrome; 10. Uncontrolled hypertension >=160/100mmHg; 11. Presence of active urinary sediment or urinary tract infection; 12. Signs or symptoms of other systemic disease; 13. >30% reduction in GFR within 2-3 months after initiation of an ACE inhibitor or ARB; 14. Known hypersensitivity to any component of the study medications.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24h urine protein excretion;eGFR; | — |
Secondary
| Measure | Time frame |
|---|---|
| 24h urine albumin excretion;morning urine albumin- creatinine ratio;serum creatinin; | — |
Countries
China