Niclosamide Role in Diabetic Nephropathy
Study Details
Study Description
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
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Treatment group Niclosamide tablets 1 gram once daily |
Drug: Niclosamide
Niclosamide tablets 1 gram once daily
|
Placebo Comparator: Control group Lactose tablets |
Drug: Placebo oral tablet
lactose tablets
|
Outcome Measures
Primary Outcome Measures
- Percent change in urinary albumin creatinine ratio (UACR) [6 months]
- Estimated glomerular filtration rate (eGFR) [After 6 months]
Secondary Outcome Measures
- Change of Urinary matrix metalloproteinase-7 (MMP-7) level [6 months]
- Change of Urinary podocalyxin level [6 months]
Other Outcome Measures
- Change of Urinary 8-hydroxy-2' -deoxyguanosine (8-OHdG) level [6 months]
Eligibility Criteria
Criteria
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Faculty of Pharmacy, Tanta University | Tanta | Egypt |
Sponsors and Collaborators
- Tanta University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NIC2020