Prediction and Prevention of Asymptomatic Cardiovascular Insult in Type 1 Diabetic Children: Comparative Effectiveness of Cardioprotective Drugs

NCT ID: NCT03660293

Last Updated: 2019-06-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-01

Study Completion Date

2019-06-01

Brief Summary

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Diabetic cardiomyopathy (DCM) is a distinct clinical entity of diabetic heart muscle that describes diabetes associated changes in the structure and function of the myocardium in the absence of coronary artery disease, hypertension, and valvular disease. Oxidative stress plays a critical role in DCM development. DCM can be diagnosed using the novel methods of echocardiography (tissue Doppler imaging, Speckling tracking techniques and more recent real time 4D echocardiography). There is a possible cardioprotective effect of statins, Captopril and L-Carnitine in type 1 diabetic children and adolescents.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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diabetic- no cardioprotectives

25 child with type 1 diabetes mellitus will not receive any cardio protective drug

Group Type NO_INTERVENTION

No interventions assigned to this group

diabetic-Atorvastatin

25 child with type 1 diabetes mellitus will receive Statin (2 mg/kg/day)

Group Type EXPERIMENTAL

Atorvastatin

Intervention Type DRUG

cardio-protective agents

diabetic-Captopril

25 child with type 1 diabetes mellitus will receive Captopril (0.2 mg/kg/day)

Group Type EXPERIMENTAL

Captopril

Intervention Type DRUG

cardio-protective agents

diabetic-L-Carnitine

25 child with type 1 diabetes mellitus will receive L-carnitine (50 mg/kg/day)

Group Type EXPERIMENTAL

L-carnitine

Intervention Type DRUG

cardio-protective agents

Controls

50 healthy children, of matched age and sex, with no symptoms of cardiac diseases

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Atorvastatin

cardio-protective agents

Intervention Type DRUG

Captopril

cardio-protective agents

Intervention Type DRUG

L-carnitine

cardio-protective agents

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Children and adolescent suffering from type 1 Diabetes Mellitus, for at least 3 years from the onset of the disease.

Exclusion Criteria

* Children with Congenital Heart Diseases.
* Children with acquired cardiac diseases.
* Children with other systemic diseases.
* Symptomatic diabetic cardiomyopathy.
Minimum Eligible Age

3 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Rasha Mohamed Gamal

Ass. Professor of Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Medicine- Tanta University

Tanta, Gharbia Governorate, Egypt

Site Status

Countries

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Egypt

References

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Badreldeen A, El Razaky O, Erfan A, El-Bendary A, El Amrousy D. Comparative study of the efficacy of captopril, simvastatin, and L-carnitine as cardioprotective drugs in children with type 1 diabetes mellitus: a randomised controlled trial. Cardiol Young. 2021 Aug;31(8):1315-1322. doi: 10.1017/S1047951121000226. Epub 2021 Feb 4.

Reference Type DERIVED
PMID: 33536102 (View on PubMed)

Other Identifiers

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31499/04/17

Identifier Type: -

Identifier Source: org_study_id

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