Type 2 diabetic patients with microalbuminuria
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Type 2 diabetes 2. Age >=20, 75> years on the date of submission of informed consent 3. Submission of written informed consent for participation in the study The following criteria are confirmed by data available on the visit for eligibility confirmation. 4. HbA1c=<10%(NGSP) In case of patients with age >=65, 75> years administered with SU and/or glinide, 6.5%=<HbA1c=<10%(NGSP) 5. Blood pressure: <140/90mmHg 6. Urinary albumin: 30.0-299.9mg/g.Cr (first morning voids) 7. eGFR>=45mL/min/1.73m2
Exclusion criteria
Exclusion criteria: 1. Type 1 diabetes 2. The following drugs are administered (the date of submission of informed consent)SGLT2 inhibitor Insulin GLP-1receptor agonist 3. History of hypersensitivity to canagliflozin 4. Has severe ketosis, diabetic coma or semi-coma 5. Has severe infection, trauma or perioperative 6. Possible or definitive pregnant women or nursing mother 7. Has malignant tumor or suspicious for 8. Has urinary tract infection 9. Has NYHA class IV heart failure 10. Has severe anemia 11. Considered not eligible for the study by principal or other investigators due to other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent change in the 24-hour urine albumin excretion level (mg/day) from baseline to 12 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes or percent changes in the following markers from baseline to 12 weeks. 1) HbA1c, fasting blood glucose 2) Body weight, BMI 3) eGFR (by serum creatinine, serum cystatin C), creatinine clearance 4) Urinary albumin (first morning voids, creatinine ratio) 5) Tubular and glomerular damage marker: Urinary type IV collagen, urinary transferrin, urinary NAG, urinary L-FABP, urinary B2 microglobulin, urinary NGAL, urinary KIM-1, serum TNFR1, serum TNFR2 6) Inflammatory marker: Serum IL-18, Serum high-sensitivity C-reactive protein 7) Oxidative stress marker: Urinary 8-OHdG 8) Blood pressure, serum uric acid, urinary aldosterone, serum aldosterone, plasma renin activity 9) Hematocrit 10) Serum erythropoietin 11) Absolute change in the 24-hour urine albumin (mg/day) | — |
Countries
Japan
Contacts
Nakakinen clinic Medical Corporation Kensei-kai department of clinical research