DKD
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Signed written informed consent; (2) Age 18-80 years; (3) Patients with type 2 diabetes; (4) Patients with pathological diagnosis of diabetic nephropathy; (5) eGFR = 25ml/min/1.73m2 or UACR = 1000mg/g; (6) Serum potassium = 5.0mmol/l at the initial visit; (7) No other immunosuppressants were used within 3 months.
Exclusion criteria
Exclusion criteria: (1) Type 1 diabetes or other types of diabetes; (2) Those who are allergic to drug ingredients; (3) Other reasons for instability or rapid decline of renal function, such as acute kidney injury (previous events are not excluded); (4) Have diabetic acidosis and / or hyperosmolar hyperglycemia; (5) Recurrent genitourinary tract infections occurred within half a year; (6) Patients with severe heart, liver and kidney dysfunction; (7) Previous history of organ transplantation or chronic liver disease; (8) Non-menopausal women who are pregnant, breastfeeding, or still have pregnancy plans, or cannot accept the potential reproductive toxic side effects of T; (9) Patients with symptomatic hypotension and / or systolic blood pressure <90 mmHg, or low blood volume as judged by clinicians; (10) White blood cell count < 3.0 × 109 /L; (11) Being or recently using glucagon-like peptide-1 receptor agonists; (12) The expected life of the screening period is less than 2 years; (13) Patients with confirmed malignancies; (14) A history of drug or alcohol abuse; (15) Participated in other drug clinical studies 3 months before screening; (16) Those who have lost the ability to act autonomously; (17) The investigator considered it inappropriate to participate in the clinical study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24-hour urinary protein excretion; | — |
Secondary
| Measure | Time frame |
|---|---|
| Urinary biochemistry (UACR);Liver and kidney function;Blood routine;Urinalysis;Complement;Glycosylated hemoglobin;Serum electrolytes;eGFR; | — |
Countries
China
Contacts
Nephrology Department of Xijing Hospital