Type 2 diabetic nephropathy with heart failure and mildly reduced or preserved ejection fraction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Agree to participate with an age greater than 18 years at the time of enrollment; 2. Meet the diagnostic criteria for Type 2 DKD; 3. 30 = eGFR 40% with evidence of structural heart disease; 3) NT-proBNP = 300 pg/mL (without atrial fibrillation) or = 600 pg/mL (with persistent atrial fibrillation); 6. Have been on ACEI/ARB therapy for more than 4 weeks; 7. Chinese medical diagnosis consistent with Qi deficiency and blood stasis syndrome; 8. Sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Allergy tocomponents; 2. Use of othertreatments for DKD/heart failure for less than 2 weeks; 3. Combined use of ACEI/ARB; 4. Type 1 diabetes; 5. HbA1c > 12%; 6. Serum potassium > 5.5 mmol/L; 7. Non-DKD kidney disease; 8. Acute kidney injury within the past 12 weeks; 9. History of kidney transplantation or planned transplantation; 10. Uncontrolled hypertension (SBP = 170 mmHg or DBP = 100 mmHg); 11. Hypotension (SBP 3 times the normal value); 23. Life expectancy < 12 months; 24. Pregnancy/breastfeeding; 25. Recent participation in other clinical trials; 26. History of drug abuse; 27. Investigator's judgment of unsuitability.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Estimated glomerular filtration rate (eGFR) slope; | — |
Secondary
| Measure | Time frame |
|---|---|
| Difference in the ratio of urinary protein to creatinine(uacr);Heart failure exacerbation;N-terminal pro-B-type natriuretic peptide (NT-proBNP);Kansas City Cardiomyopathy Questionnaire (KCCQ) Score;TCM Syndrome Score; | — |
Countries
China
Contacts
Shanghai Sixth People's Hospital