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Effect of Pentoxifylline on Proteinuria in Korean Type 2 Diabetic Patients

Effect of Pentoxifylline on Proteinuria in Korean Type 2 Diabetic Patients : Prospective, Randomized, Double Blinded Active Control, Multicenter Study

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01382303
Enrollment
174
Registered
2011-06-27
Start date
2010-10-25
Completion date
2013-12-20
Last updated
2017-06-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes

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

DRUGPentoxifylline

Pentoxifylline 400mg three times a day

DRUGPlacebo

placebo tablet three times a day

Sponsors

Bundang CHA Hospital
CollaboratorOTHER
Hallym University Medical Center
CollaboratorOTHER
Gangnam Severance Hospital
CollaboratorOTHER
Yonsei University
CollaboratorOTHER
Myongji Hospital
CollaboratorOTHER
Ajou University School of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Percentage Change in Proteinuiabaseline and 24 weeksChanges of urine protein to creatinie ratio from baseline to 24 weeks

Secondary

MeasureTime frameDescription
Percentage Change in Albuminuriabaseline and 24 weeksChanges of urine albumin to creatinie ratio from baseline to 24 weeks
Mean Change of eGFRbaseline and 24 weekschanges in eGFR from baseline to 24 weeks
Mean Change of Creatininebaseline and 24 weekschanges serum creatinine from baseline to 24 weeks
Mean Change of Fasting Glucosebaseline and 24 weekschanges serum fasting glucose from baseline to 24 weeks
Mean Change of TNF-abaseline and 24 weekschanges in TNF-a from baseline to 24 weeks

Countries

South Korea

Participant flow

Participants by arm

ArmCount
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
Total174

Baseline characteristics

CharacteristicPlaceboTotalPentoxifylline
Age, Continuous63.8 years
STANDARD_DEVIATION 9.4
63.8 years
STANDARD_DEVIATION 9
63.7 years
STANDARD_DEVIATION 10.1
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
Korea, Republic of
87 participants174 participants87 participants
Sex: Female, Male
Female
31 Participants71 Participants40 Participants
Sex: Female, Male
Male
56 Participants103 Participants47 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
20 / 873 / 87
serious
Total, serious adverse events
0 / 870 / 87

Outcome results

Primary

Percentage Change in Proteinuia

Changes of urine protein to creatinie ratio from baseline to 24 weeks

Time frame: baseline and 24 weeks

ArmMeasureValue (MEAN)
PentoxifyllinePercentage Change in Proteinuia-23 % change from baseline
PlaceboPercentage Change in Proteinuia-4 % change from baseline
Secondary

Mean Change of Creatinine

changes serum creatinine from baseline to 24 weeks

Time frame: baseline and 24 weeks

ArmMeasureValue (MEAN)Dispersion
PentoxifyllineMean Change of Creatinine0.03 mg/dLStandard Deviation 0.16
PlaceboMean Change of Creatinine0.04 mg/dLStandard Deviation 0.15
Secondary

Mean Change of eGFR

changes in eGFR from baseline to 24 weeks

Time frame: baseline and 24 weeks

ArmMeasureValue (MEAN)Dispersion
PentoxifyllineMean Change of eGFR-1.05 ml/min per 1.73m2Standard Deviation 18.2
PlaceboMean Change of eGFR-3.59 ml/min per 1.73m2Standard Deviation 14.2
Secondary

Mean Change of Fasting Glucose

changes serum fasting glucose from baseline to 24 weeks

Time frame: baseline and 24 weeks

ArmMeasureValue (MEAN)Dispersion
PentoxifyllineMean Change of Fasting Glucose-10.0 mg/dLStandard Deviation 38.9
PlaceboMean Change of Fasting Glucose8.4 mg/dLStandard Deviation 37.4
Secondary

Mean Change of TNF-a

changes in TNF-a from baseline to 24 weeks

Time frame: baseline and 24 weeks

ArmMeasureValue (MEAN)Dispersion
PentoxifyllineMean Change of TNF-a-0.24 pg/mLStandard Deviation 3.11
PlaceboMean Change of TNF-a0.14 pg/mLStandard Deviation 0.71
Secondary

Percentage Change in Albuminuria

Changes of urine albumin to creatinie ratio from baseline to 24 weeks

Time frame: baseline and 24 weeks

ArmMeasureValue (MEAN)
PentoxifyllinePercentage Change in Albuminuria-10 % change from baseline
PlaceboPercentage Change in Albuminuria-6 % change from baseline

Source: ClinicalTrials.gov · Data processed: Mar 4, 2026