To Improve the Ability of Early Screening and Diagnosis in Patients With Diabetic Nephropathy

NCT ID: NCT05047471

Last Updated: 2022-05-27

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Total Enrollment

10000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-12-25

Study Completion Date

2023-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is a large-scale, multi-center, observational study. It is planned to establish a large database of 10,000 patients with type 2 diabetes mellitus to investigate the prevalence, awareness and screening rates of diabetes kidney disease (DKD), and provide real-world data on the efficacy and safety of sodium glucose cotransporter 2 inhibitors (SGLT2i) in patients with type 2 diabetes mellitus (T2DM).

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Among the various complications of diabetes mellitus, DKD is considered as a major threat and is one of the manifestations of diabetic microangiopathy. it is one of the main causes of death for patients with T2DM.

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

See the medical conditions and disease areas that this research is targeting or investigating.

Diabetic Kidney Disease

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* It is known that patients with T2DM has a history of more than 12 months (the WHO1999 Standard) and is treated with at least one anti-diabetic agent.
* 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

* Type 1 diabetes mellitus (DM)
* 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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Yiming Mu

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Yiming Mu

Director of department

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Yimin Mu, MD

Role: PRINCIPAL_INVESTIGATOR

The First Medical Center of Chinese PLA General Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Airport Area of Peking University Third Hospital

Beijing, , China

Site Status

Beijing Haidian Hospital

Beijing, , China

Site Status

Beijing Luhe Hospital, Capital Medical University

Beijing, , China

Site Status

Peking University Third Hospital Yanqing Hospital

Beijing, , China

Site Status

Peking University Third Hospital

Beijing, , China

Site Status

Strategic Support Force Specialty Medical Center

Beijing, , China

Site Status

The 3th Medical Center of Chinese PLA General Hospital

Beijing, , China

Site Status

The 4th Medical Center of Chinese PLA General Hospital

Beijing, , China

Site Status

The 5th Medical Center of Chinese PLA General Hospital

Beijing, , China

Site Status

The 6th Medical Center of Chinese PLA General Hospital

Beijing, , China

Site Status

The 7th Medical Center of Chinese PLA General Hospital

Beijing, , China

Site Status

The 8th Medical Center of Chinese PLA General Hospital

Beijing, , China

Site Status

The First Medical Center of Chinese PLA General Hospital

Beijing, , China

Site Status

Guangdong Provincial People's Hospital

Guangzhou, , China

Site Status

Guangzhou First People's Hospital

Guangzhou, , China

Site Status

Guangzhou Red Cross Hospital

Guangzhou, , China

Site Status

Nanfang Hospital, Southern Medical University

Guangzhou, , China

Site Status

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, , China

Site Status

Guiyang First People's Hospital

Guiyang, , China

Site Status

Guiyang Second People's Hospital

Guiyang, , China

Site Status

The Affiliated Hospital of Guizhou Medical University

Guiyang, , China

Site Status

The Second Affiliated Hospital of Guizhou Medical University

Guiyang, , China

Site Status

The First Affiliated Hospital of Anhui Medical University

Hefei, , China

Site Status

NanjingNanjing Drum Tower Hospital( the Affiliated Hospital of Nanjing University Medical School)

Nanjin, , China

Site Status

Nanjing First Hospital

Nanjing, , China

Site Status

Nantong First People's Hospital

Nantong, , China

Site Status

Qingdao Eighth People's Hospital

Qingdao, , China

Site Status

Qingdao Third People's Hospital

Qingdao, , China

Site Status

The Affiliated Hospital of Qingdao University

Qingdao, , China

Site Status

People's Hospital of Rizhao

Rizhao, , China

Site Status

Qingpu Branch of Zhongshan Hospital affiliated to Fudan University

Shanghai, , China

Site Status

Shanghai Minhang District Central Hospital

Shanghai, , China

Site Status

Shanghai Xuhui District Central Hospital

Shanghai, , China

Site Status

Wusong Hospital, Zhongshan Hospital affiliated to Fudan University

Shanghai, , China

Site Status

Zhongshan Hospital affiliated to Fudan University

Shanghai, , China

Site Status

Second Affiliated Hospital of Soochow University

Suzhou, , China

Site Status

The First Affiliated Hospital of Soochow University

Suzhou, , China

Site Status

Taizhou Second People's Hospita

Taizhou, , China

Site Status

Weihai Municipal Hospital

Weihai, , China

Site Status

Renmin Hospital of Wuhan University

Wuhan, , China

Site Status

The Central Hospital of Wuhan

Wuhan, , China

Site Status

Tongji Hospital, Tongji Medical College Of HUST

Wuhan, , China

Site Status

Wuhan No. 1 Hospital

Wuhan, , China

Site Status

Wuhan No. 3 Hospital

Wuhan, , China

Site Status

Wuhan No. 4 Hospital

Wuhan, , China

Site Status

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, , China

Site Status

Yixing People's Hospital

Yixing, , China

Site Status

Zhenjiang First People's Hospital

Zhenjiang, , China

Site Status

The Affiliated Hospital of Zunyi Medical University

Zunyi, , China

Site Status

Zunyi First People's Hospital

Zunyi, , China

Site Status

Countries

Review the countries where the study has at least one active or historical site.

China

References

Explore related publications, articles, or registry entries linked to this study.

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.

Reference Type BACKGROUND
PMID: 28577854 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26378978 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 28605608 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30415602 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30990260 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32966714 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31535829 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 23425012 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 21672123 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 27068269 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31317670 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31890652 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32277150 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30992195 (View on PubMed)

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.

Reference Type DERIVED
PMID: 39213031 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

http://med.wanfangdata.com.cn/Paper/Detail?dbid=WF_QK&id=PeriodicalPaper_zhtnb202104005

Guideline for the prevention and treatment of type 2 diabetes mellitus in China (2020 edition)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2021BY01

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Effects of PH3 in Diabetic Nephropathy
NCT01068041 COMPLETED PHASE2