To Improve the Ability of Early Screening and Diagnosis in Patients With Diabetic Nephropathy
NCT ID: NCT05047471
Last Updated: 2022-05-27
Study Results
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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UNKNOWN
10000 participants
OBSERVATIONAL
2021-12-25
2023-06-30
Brief Summary
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Detailed Description
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Albuminuria is the earliest manifestation of DKD, which is mostly asymptomatic at the early stage, if the albuminuria is poorly controlled, it may develop into clinical DKD. Therefore, it is very important to improve the patients' awareness of DKD, regularly screen early kidney diseases and use drugs rationally.
In order to promote the standardization of diagnosis and treatment of patients with DKD, improve the knowledge and screening rate of patients with DKD, help the formation of health literacy, healthy behavior and lifestyle, the investigators planned the study.
STUDY OBJECTIVES:
1. To understand the epidemiological disease burden of DKD in China, and to investigate the prevalence rate, awareness rate and screening rate of DKD;
2. To understand the treatment status of patients with DKD in China;
3. To provide real-world data on the efficacy and safety of SGLT2i in the treatment of DKD in China;
Conditions
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Study Design
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COHORT
PROSPECTIVE
Eligibility Criteria
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Inclusion Criteria
* Gender and age: men and women who are at least 18 years old with informed consent.
* Patients are willing and able to provide written informed consent before participating in this study.
Exclusion Criteria
* Patients with severe ketosis, diabetic coma, severe infection or severe trauma
* Perioperative patients
* Patients with severe renal impairment and advanced nephropathy (eGFR \< 45 ml/min/1.73m2)
* Renal transplant patients
* Patients are participating in or have participated in any other clinical trials in the past 3 months
* Any disease with a life expectancy of less than 2 years according to the clinical judgment of the investigator
* Pregnant or lactating women
* Patients judged by the investigator to be unsuitable for participating in the study.
18 Years
ALL
No
Sponsors
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Yiming Mu
OTHER
Responsible Party
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Yiming Mu
Director of department
Principal Investigators
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Yimin Mu, MD
Role: PRINCIPAL_INVESTIGATOR
The First Medical Center of Chinese PLA General Hospital
Locations
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Airport Area of Peking University Third Hospital
Beijing, , China
Beijing Haidian Hospital
Beijing, , China
Beijing Luhe Hospital, Capital Medical University
Beijing, , China
Peking University Third Hospital Yanqing Hospital
Beijing, , China
Peking University Third Hospital
Beijing, , China
Strategic Support Force Specialty Medical Center
Beijing, , China
The 3th Medical Center of Chinese PLA General Hospital
Beijing, , China
The 4th Medical Center of Chinese PLA General Hospital
Beijing, , China
The 5th Medical Center of Chinese PLA General Hospital
Beijing, , China
The 6th Medical Center of Chinese PLA General Hospital
Beijing, , China
The 7th Medical Center of Chinese PLA General Hospital
Beijing, , China
The 8th Medical Center of Chinese PLA General Hospital
Beijing, , China
The First Medical Center of Chinese PLA General Hospital
Beijing, , China
Guangdong Provincial People's Hospital
Guangzhou, , China
Guangzhou First People's Hospital
Guangzhou, , China
Guangzhou Red Cross Hospital
Guangzhou, , China
Nanfang Hospital, Southern Medical University
Guangzhou, , China
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, , China
Guiyang First People's Hospital
Guiyang, , China
Guiyang Second People's Hospital
Guiyang, , China
The Affiliated Hospital of Guizhou Medical University
Guiyang, , China
The Second Affiliated Hospital of Guizhou Medical University
Guiyang, , China
The First Affiliated Hospital of Anhui Medical University
Hefei, , China
NanjingNanjing Drum Tower Hospital( the Affiliated Hospital of Nanjing University Medical School)
Nanjin, , China
Nanjing First Hospital
Nanjing, , China
Nantong First People's Hospital
Nantong, , China
Qingdao Eighth People's Hospital
Qingdao, , China
Qingdao Third People's Hospital
Qingdao, , China
The Affiliated Hospital of Qingdao University
Qingdao, , China
People's Hospital of Rizhao
Rizhao, , China
Qingpu Branch of Zhongshan Hospital affiliated to Fudan University
Shanghai, , China
Shanghai Minhang District Central Hospital
Shanghai, , China
Shanghai Xuhui District Central Hospital
Shanghai, , China
Wusong Hospital, Zhongshan Hospital affiliated to Fudan University
Shanghai, , China
Zhongshan Hospital affiliated to Fudan University
Shanghai, , China
Second Affiliated Hospital of Soochow University
Suzhou, , China
The First Affiliated Hospital of Soochow University
Suzhou, , China
Taizhou Second People's Hospita
Taizhou, , China
Weihai Municipal Hospital
Weihai, , China
Renmin Hospital of Wuhan University
Wuhan, , China
The Central Hospital of Wuhan
Wuhan, , China
Tongji Hospital, Tongji Medical College Of HUST
Wuhan, , China
Wuhan No. 1 Hospital
Wuhan, , China
Wuhan No. 3 Hospital
Wuhan, , China
Wuhan No. 4 Hospital
Wuhan, , China
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, , China
Yixing People's Hospital
Yixing, , China
Zhenjiang First People's Hospital
Zhenjiang, , China
The Affiliated Hospital of Zunyi Medical University
Zunyi, , China
Zunyi First People's Hospital
Zunyi, , China
Countries
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References
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Wen CP, Chang CH, Tsai MK, Lee JH, Lu PJ, Tsai SP, Wen C, Chen CH, Kao CW, Tsao CK, Wu X. Diabetes with early kidney involvement may shorten life expectancy by 16 years. Kidney Int. 2017 Aug;92(2):388-396. doi: 10.1016/j.kint.2017.01.030. Epub 2017 Jun 1.
Zinman B, Wanner C, Lachin JM, Fitchett D, Bluhmki E, Hantel S, Mattheus M, Devins T, Johansen OE, Woerle HJ, Broedl UC, Inzucchi SE; EMPA-REG OUTCOME Investigators. Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes. N Engl J Med. 2015 Nov 26;373(22):2117-28. doi: 10.1056/NEJMoa1504720. Epub 2015 Sep 17.
Neal B, Perkovic V, Mahaffey KW, de Zeeuw D, Fulcher G, Erondu N, Shaw W, Law G, Desai M, Matthews DR; CANVAS Program Collaborative Group. Canagliflozin and Cardiovascular and Renal Events in Type 2 Diabetes. N Engl J Med. 2017 Aug 17;377(7):644-657. doi: 10.1056/NEJMoa1611925. Epub 2017 Jun 12.
Wiviott SD, Raz I, Bonaca MP, Mosenzon O, Kato ET, Cahn A, Silverman MG, Zelniker TA, Kuder JF, Murphy SA, Bhatt DL, Leiter LA, McGuire DK, Wilding JPH, Ruff CT, Gause-Nilsson IAM, Fredriksson M, Johansson PA, Langkilde AM, Sabatine MS; DECLARE-TIMI 58 Investigators. Dapagliflozin and Cardiovascular Outcomes in Type 2 Diabetes. N Engl J Med. 2019 Jan 24;380(4):347-357. doi: 10.1056/NEJMoa1812389. Epub 2018 Nov 10.
Perkovic V, Jardine MJ, Neal B, Bompoint S, Heerspink HJL, Charytan DM, Edwards R, Agarwal R, Bakris G, Bull S, Cannon CP, Capuano G, Chu PL, de Zeeuw D, Greene T, Levin A, Pollock C, Wheeler DC, Yavin Y, Zhang H, Zinman B, Meininger G, Brenner BM, Mahaffey KW; CREDENCE Trial Investigators. Canagliflozin and Renal Outcomes in Type 2 Diabetes and Nephropathy. N Engl J Med. 2019 Jun 13;380(24):2295-2306. doi: 10.1056/NEJMoa1811744. Epub 2019 Apr 14.
Cannon CP, Pratley R, Dagogo-Jack S, Mancuso J, Huyck S, Masiukiewicz U, Charbonnel B, Frederich R, Gallo S, Cosentino F, Shih WJ, Gantz I, Terra SG, Cherney DZI, McGuire DK; VERTIS CV Investigators. Cardiovascular Outcomes with Ertugliflozin in Type 2 Diabetes. N Engl J Med. 2020 Oct 8;383(15):1425-1435. doi: 10.1056/NEJMoa2004967. Epub 2020 Sep 23.
McMurray JJV, Solomon SD, Inzucchi SE, Kober L, Kosiborod MN, Martinez FA, Ponikowski P, Sabatine MS, Anand IS, Belohlavek J, Bohm M, Chiang CE, Chopra VK, de Boer RA, Desai AS, Diez M, Drozdz J, Dukat A, Ge J, Howlett JG, Katova T, Kitakaze M, Ljungman CEA, Merkely B, Nicolau JC, O'Meara E, Petrie MC, Vinh PN, Schou M, Tereshchenko S, Verma S, Held C, DeMets DL, Docherty KF, Jhund PS, Bengtsson O, Sjostrand M, Langkilde AM; DAPA-HF Trial Committees and Investigators. Dapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction. N Engl J Med. 2019 Nov 21;381(21):1995-2008. doi: 10.1056/NEJMoa1911303. Epub 2019 Sep 19.
Bailey CJ, Gross JL, Hennicken D, Iqbal N, Mansfield TA, List JF. Dapagliflozin add-on to metformin in type 2 diabetes inadequately controlled with metformin: a randomized, double-blind, placebo-controlled 102-week trial. BMC Med. 2013 Feb 20;11:43. doi: 10.1186/1741-7015-11-43.
Strojek K, Yoon KH, Hruba V, Elze M, Langkilde AM, Parikh S. Effect of dapagliflozin in patients with type 2 diabetes who have inadequate glycaemic control with glimepiride: a randomized, 24-week, double-blind, placebo-controlled trial. Diabetes Obes Metab. 2011 Oct;13(10):928-38. doi: 10.1111/j.1463-1326.2011.01434.x.
Guo K, Zhang L, Zhao F, Lu J, Pan P, Yu H, Bao Y, Chen H, Jia W. Prevalence of chronic kidney disease and associated factors in Chinese individuals with type 2 diabetes: Cross-sectional study. J Diabetes Complications. 2016 Jul;30(5):803-10. doi: 10.1016/j.jdiacomp.2016.03.020. Epub 2016 Mar 17.
Shikata K, Kodera R, Utsunomiya K, Koya D, Nishimura R, Miyamoto S, Tajima N; JDCP study group. Prevalence of albuminuria and renal dysfunction, and related clinical factors in Japanese patients with diabetes: The Japan Diabetes Complication and its Prevention prospective study 5. J Diabetes Investig. 2020 Mar;11(2):325-332. doi: 10.1111/jdi.13116. Epub 2019 Sep 25.
Mok KY, Chan PF, Lai LKP, Chow KL, Chao DVK. Prevalence of diabetic nephropathy among Chinese patients with type 2 diabetes mellitus and different categories of their estimated glomerular filtration rate based on the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation in primary care in Hong Kong: a cross-sectional study. J Diabetes Metab Disord. 2019 Nov 15;18(2):281-288. doi: 10.1007/s40200-018-00382-y. eCollection 2019 Dec.
Jitraknatee J, Ruengorn C, Nochaiwong S. Prevalence and Risk Factors of Chronic Kidney Disease among Type 2 Diabetes Patients: A Cross-Sectional Study in Primary Care Practice. Sci Rep. 2020 Apr 10;10(1):6205. doi: 10.1038/s41598-020-63443-4.
Pollock C, Stefansson B, Reyner D, Rossing P, Sjostrom CD, Wheeler DC, Langkilde AM, Heerspink HJL. Albuminuria-lowering effect of dapagliflozin alone and in combination with saxagliptin and effect of dapagliflozin and saxagliptin on glycaemic control in patients with type 2 diabetes and chronic kidney disease (DELIGHT): a randomised, double-blind, placebo-controlled trial. Lancet Diabetes Endocrinol. 2019 Jun;7(6):429-441. doi: 10.1016/S2213-8587(19)30086-5. Epub 2019 Apr 13.
Shi L, Xue Y, Yu X, Wang Y, Hong T, Li X, Ma J, Zhu D, Mu Y. Prevalence and Risk Factors of Chronic Kidney Disease in Patients With Type 2 Diabetes in China: Cross-Sectional Study. JMIR Public Health Surveill. 2024 Aug 30;10:e54429. doi: 10.2196/54429.
Related Links
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Guideline for the prevention and treatment of type 2 diabetes mellitus in China (2020 edition)
Other Identifiers
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2021BY01
Identifier Type: -
Identifier Source: org_study_id
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