Type 2 Diabetes
Conditions
Keywords
Type 2 Diabetes, pentoxifylline, proteinuria
Brief summary
This multi-center, randomized controlled study aims to evaluate the effects of pentoxifylline on proteinuria in Korean type 2 diabetic patients.
Detailed description
The investigators will recruit adults patients with type 2 diabetes aged over 20 years with spot urine albumin to creatinine ratio over 30mg/g in two consecutive measurements. Enrolled patients will be randomly assigned to receive pentoxifylline (400mg three times daily) or placebo for 24 weeks. Fasting blood and spot urine will be collected at baseline, 12 weeks and 24 weeks. The investigators will evaluate the impact of pentoxifylline on proteinuria in type 2 diabetic patients.
Interventions
Pentoxifylline 400mg three times a day
placebo tablet three times a day
Sponsors
Study design
Eligibility
Inclusion criteria
* type 2 diabetes mellitus * age \>=20 years * spot urine albumin/creatinine ratio \> 30mg/g in two consecutive measurements * patients on ACE-inhibitor or ARB as an anti-hypertensive drug * blood pressure \<= 150/100 mmHg * HbA1c \<10%
Exclusion criteria
* taking insulin pentoxifylline, cilostazol, ketas, viagra in 3 months * ischemic heart disease, stroke, malignant disease, severe infection in 6 months * serum creatinine \> 2.0mg/dl * severe liver disease or AST, ALT \> 3\* ULM * taking systemic steroid in 1 month * pregnant or plan to become pregnant during the clinical trial * lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage Change in Proteinuia | baseline and 24 weeks | Changes of urine protein to creatinie ratio from baseline to 24 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage Change in Albuminuria | baseline and 24 weeks | Changes of urine albumin to creatinie ratio from baseline to 24 weeks |
| Mean Change of eGFR | baseline and 24 weeks | changes in eGFR from baseline to 24 weeks |
| Mean Change of Creatinine | baseline and 24 weeks | changes serum creatinine from baseline to 24 weeks |
| Mean Change of Fasting Glucose | baseline and 24 weeks | changes serum fasting glucose from baseline to 24 weeks |
| Mean Change of TNF-a | baseline and 24 weeks | changes in TNF-a from baseline to 24 weeks |
Countries
South Korea
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Pentoxifylline Pentoxifylline 400mg three times a day
Pentoxifylline: Pentoxifylline 400mg three times a day | 87 |
| Placebo placebo tablet
Placebo: placebo tablet three times a day | 87 |
| Total | 174 |
Baseline characteristics
| Characteristic | Placebo | Total | Pentoxifylline |
|---|---|---|---|
| Age, Continuous | 63.8 years STANDARD_DEVIATION 9.4 | 63.8 years STANDARD_DEVIATION 9 | 63.7 years STANDARD_DEVIATION 10.1 |
| Race and Ethnicity Not Collected | — | 0 Participants | — |
| Region of Enrollment Korea, Republic of | 87 participants | 174 participants | 87 participants |
| Sex: Female, Male Female | 31 Participants | 71 Participants | 40 Participants |
| Sex: Female, Male Male | 56 Participants | 103 Participants | 47 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 20 / 87 | 3 / 87 |
| serious Total, serious adverse events | 0 / 87 | 0 / 87 |
Outcome results
Percentage Change in Proteinuia
Changes of urine protein to creatinie ratio from baseline to 24 weeks
Time frame: baseline and 24 weeks
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Pentoxifylline | Percentage Change in Proteinuia | -23 % change from baseline |
| Placebo | Percentage Change in Proteinuia | -4 % change from baseline |
Mean Change of Creatinine
changes serum creatinine from baseline to 24 weeks
Time frame: baseline and 24 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Pentoxifylline | Mean Change of Creatinine | 0.03 mg/dL | Standard Deviation 0.16 |
| Placebo | Mean Change of Creatinine | 0.04 mg/dL | Standard Deviation 0.15 |
Mean Change of eGFR
changes in eGFR from baseline to 24 weeks
Time frame: baseline and 24 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Pentoxifylline | Mean Change of eGFR | -1.05 ml/min per 1.73m2 | Standard Deviation 18.2 |
| Placebo | Mean Change of eGFR | -3.59 ml/min per 1.73m2 | Standard Deviation 14.2 |
Mean Change of Fasting Glucose
changes serum fasting glucose from baseline to 24 weeks
Time frame: baseline and 24 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Pentoxifylline | Mean Change of Fasting Glucose | -10.0 mg/dL | Standard Deviation 38.9 |
| Placebo | Mean Change of Fasting Glucose | 8.4 mg/dL | Standard Deviation 37.4 |
Mean Change of TNF-a
changes in TNF-a from baseline to 24 weeks
Time frame: baseline and 24 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Pentoxifylline | Mean Change of TNF-a | -0.24 pg/mL | Standard Deviation 3.11 |
| Placebo | Mean Change of TNF-a | 0.14 pg/mL | Standard Deviation 0.71 |
Percentage Change in Albuminuria
Changes of urine albumin to creatinie ratio from baseline to 24 weeks
Time frame: baseline and 24 weeks
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Pentoxifylline | Percentage Change in Albuminuria | -10 % change from baseline |
| Placebo | Percentage Change in Albuminuria | -6 % change from baseline |