Type2 Diabetes Mellitus
Conditions
Brief summary
This study aims to evaluate the possible nephroprotective effect of nicorandil in patients with type 2 diabetes mellitus .
Interventions
Nicorandil 10 MG oral tablet twice daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients newly diagnosed with T2DM with diet control and good glycemic index ( Hb A1C\< 7 ) * Age range between 18 and 60 years old. * Both sexes. * Stage 1and Stage 2 CKD according to KDIGO . * Controlled HTN .
Exclusion criteria
* Pregnant and lactating females. * Patients with hypersensitivity to nicorandil. * Other Causes of CKD or Nephropathy eg : Uncontrolled HTN , Renal Malignancy , collagen disease as Amyloidosis and some autoimmune disease as ( SLE and Rh.fever ) . * Uncontrolled HTN and its antihypertensive medications ( ACEI , ARB ) and other antihypertensive medications . * Patients receiving nephrotoxic drugs as aminoglycosides, non-steroidal anti inflammatory drugs and contrast media.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| prevention of progression of kidney disease as measured by KDIGO. | 12 weeks | Patients wii undergo clinical assesment for progression of diabetic nephropathy as measured by KDIGO at baseline and after 12 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in the serum concentrations of Kidney injury molecule 1(Kim-1). | 12 weeks | Venous blood will be collected before treatment and after 12 week . |
| change in the serum concentrations of Interleukin 18 (IL-18). | 12 weeks | Venous blood will be collected before treatment and after 12 week . |
| change in the serum concentrations of Nitric oxide (NO). | 12 weeks | Venous blood will be collected before treatment and after 12 week . |
Countries
Egypt