Diabetic Nephropathies
Conditions
Keywords
Diabetes - Niclosamide - Diabetic kidney disease
Brief summary
This study is randomized, controlled, parallel, prospective clinical study will be conducted on 60 patients diagnosed with type 2 diabetes mellitus at least five years ago. Patients will be recruited from Tanta University Hospital, Tanta, Egypt. Accepted patients will be randomized into 2 groups as the following: Control group: 30 patients will receive maximum tolerated dose of ACEI plus placebo pills for six months Treatment group: 30 patients will receive maximum tolerated dose of ACEI plus niclosamide tablets 1 gram once daily for six months The primary end point will be the change in Urinary albumin to creatinine ratio (UACR) and estimated glomerular filtration rate (eGFR) after six months of treatment
Interventions
Niclosamide tablets 1 gram once daily
lactose tablets
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with Type 2 diabetes mellitus at least 5 years ago * Stage 2 and 3 diabetic nephropathy (persistent micro- or macroalbuminuria with urinary albumin creatinine ratio (UACR) \>30mg/g) despite treatment with maximum tolerated dose of ACE inhibitors for at least 8 weeks prior to the screening * Hemoglobin A1c \> 6.5 % with regular use of insulin and/or oral glucose lowering agents
Exclusion criteria
* Type 1 diabetes mellitus * Severe renal impairment (eGFR\< 30 mL/min/1.73 m2 at screening) * Pregnant or lactating women * Chronic heart failure * Inflammatory or autoimmune disease * History of kidney disease other than diabetic nephropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in urinary albumin creatinine ratio (UACR) | 6 months |
| Estimated glomerular filtration rate (eGFR) | After 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Change of Urinary matrix metalloproteinase-7 (MMP-7) level | 6 months |
| Change of Urinary podocalyxin level | 6 months |
Other
| Measure | Time frame |
|---|---|
| Change of Urinary 8-hydroxy-2' -deoxyguanosine (8-OHdG) level | 6 months |
Countries
Egypt