Effect of HMP on Diabetic Microangiopaemia in T2DM

NCT ID: NCT05095922

Last Updated: 2024-07-09

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

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-28

Study Completion Date

2024-05-30

Brief Summary

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The study mainly investigates the therapeutic effect of Heart-Protecting Musk Pill (HMP) on patients with diabetic microangiopathy. According to the indicators of diabetic nephropathy (DN), diabetic retinopathy (DR), oxidative stress and inflammatory factor in patients with diabetic microvascular disease after using HMP, the investigators aim to evaluate the effect of HMP on diabetic microangiopathy, oxidative stress and inflammation.

Detailed Description

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Diabetes can lead to many diseases as diabetic macrovascular and microvascular complications which result in high disability and mortality rate, thereby seriously affecting the quality of life and life expectancy of diabetic patients. It not only aggravates the family burden of patients, but also becomes the main burden of public health services around the world.

Diabetic nephropathy (DN) and diabetic retinopathy (DR) are more serious in diabetic microangiopathy. The glomerulus and retina have the similar tissue structure and physiological function. Therefore, when they are exposured to the same risk factors can lead to microcirculation damage of kidney and retina. DN and DR have similar pathogenesis and development processes. Although the susceptibility genes and cytokines of DN and DR are different, the two can still be predictors of each other and they often coexist in diabetic patients.

At present, there are few drugs with definite curative effect on the treatment of diabetic microangiopathy, therefore the treatment of diabetic microangiopathy is an aspect that urgently needs a breakthrough in chronic complications of diabetes. Traditional Chinese medicine has a history of preventing and treating diabetes for thousands of years. For the treatment of chronic complications of diabetes by Chinese medicine, although there are not many Chinese medicines that have obtained curative effects, it has indeed accumulated rich experience in the process of research and clinical treatment that Western medicine could not obtain. Therefore, seeking Chinese medicine to effectively treat diabetic microvascular disease has become a direction worthy of attention and research.

Heart-Protecting Musk Pill (HMP) is a commonly used drug in clinical treatment, which comprises seven medicinal substances: Radix Ginseng, Venenum Bufonis, Styrax, Calculus Bovis Artifactus, Cortex Cinnamomi, Borneolum Syntheticum and Artificial Moschus. HMP is a traditional Chinese medicinal compound, which has been effectively used for treating coronary heart disease (CHD) and diabetic macrovascular disease. However, studies on Chinese medicines that are partially similar to HMP have shown that they can improve diabetic retinopathy. Therefore, the study of the efficacy of HMP on diabetic microangiopathy is extremely valuable. Previous researches have shown that HMP owns the effects of reducing oxidative stress, improving inflammation, anti-plateleting aggregation, promoting plasmin activity, and improving hemodynamics. It is possible that HMP can delay or improve the occurrence and development of diabetic microangiopathy through the above effects and even other unclear mechanisms.

At present, the drugs used for clinical treatment of type 2 diabetic microangiopathy are limited. Although the pharmacological indications of HMP can be used to deal with the pathogenesis of diabetic microvascular complications, there is still no clinical study of HMP for the treatment of diabetic microvascular complications. Therefore, this study compared the differences in indicators related to diabetic nephropathy, diabetic retinopathy, oxidative stress, and inflammatory factors between the control group and the HMP group before and after treatment to clarify the therapeutic effect of HMP on diabetic microangiopaemia.

Conditions

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Diabetes Mellitus, Type 2 Diabetic Angiopathies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The type 2 diabetes subjects with diabetic microangiopathy
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Heart-Protecting Musk Pill group

Heart-Protecting Musk Pill (pill, 45mg, three times a day, 3 months)+Valsartan Capsules(capsule, 80mg, once a day, 3 months)+Calcium Dobesilate Capsules (capsule, 500mg, three times a day, 3 months)

Group Type EXPERIMENTAL

Heart-Protecting Musk Pill

Intervention Type DRUG

Heart-Protecting Musk Pill (pill, 45mg, three times a day, 3 months)

Valsartan Capsules

Intervention Type DRUG

Valsartan Capsules(capsule, 80mg, once a day, 3 months)

Calcium Dobesilate Capsules

Intervention Type DRUG

Calcium Dobesilate Capsules(capsule, 500mg, three times a day, 3 months)

Control group

Valsartan Capsules(capsule, 80mg, once a day, 3 months), Calcium Dobesilate Capsules (capsule, 500mg, three times a day, 3 months)

Group Type PLACEBO_COMPARATOR

Valsartan Capsules

Intervention Type DRUG

Valsartan Capsules(capsule, 80mg, once a day, 3 months)

Calcium Dobesilate Capsules

Intervention Type DRUG

Calcium Dobesilate Capsules(capsule, 500mg, three times a day, 3 months)

Interventions

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Heart-Protecting Musk Pill

Heart-Protecting Musk Pill (pill, 45mg, three times a day, 3 months)

Intervention Type DRUG

Valsartan Capsules

Valsartan Capsules(capsule, 80mg, once a day, 3 months)

Intervention Type DRUG

Calcium Dobesilate Capsules

Calcium Dobesilate Capsules(capsule, 500mg, three times a day, 3 months)

Intervention Type DRUG

Other Intervention Names

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Heart-Protecting Musk Pill,National Medicine Permission Number Z31020068,86900674000453 Valsartan Capsules,National Medicine Permission Number H20040217,86900100000095 Doxium,H20140641

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of Diabetes mellitus
* Prescribed for Valsartan Capsules and Calcium Dobesilate Capsules

Exclusion Criteria

* Type 1 diabetes mellitus
* Secondary diabetes
* Malignant tumors
* Active infection
* Acute diabetic complications
* Macrovascular complications
* Mental illness
* Intellectual disability
* Impaired heart function
* Impaired liver function
* Impaired kidney function
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Affiliated Hospital of Nantong University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xinlei Wang

Role: STUDY_DIRECTOR

Affiliated Hospital of Nantong University

Locations

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Affiliated Hospital of Nantong University

Nantong, Jiangsu, China

Site Status

Countries

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China

References

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Zhang X, Saaddine JB, Chou CF, Cotch MF, Cheng YJ, Geiss LS, Gregg EW, Albright AL, Klein BE, Klein R. Prevalence of diabetic retinopathy in the United States, 2005-2008. JAMA. 2010 Aug 11;304(6):649-56. doi: 10.1001/jama.2010.1111.

Reference Type BACKGROUND
PMID: 20699456 (View on PubMed)

Geraldes P, King GL. Activation of protein kinase C isoforms and its impact on diabetic complications. Circ Res. 2010 Apr 30;106(8):1319-31. doi: 10.1161/CIRCRESAHA.110.217117.

Reference Type BACKGROUND
PMID: 20431074 (View on PubMed)

Deng X, Sun L, Lai X, Xiang L, Li Q, Zhang W, Zhang L, Sun S. Tea Polypeptide Ameliorates Diabetic Nephropathy through RAGE and NF-kappaB Signaling Pathway in Type 2 Diabetes Mice. J Agric Food Chem. 2018 Nov 14;66(45):11957-11967. doi: 10.1021/acs.jafc.8b04819. Epub 2018 Nov 1.

Reference Type BACKGROUND
PMID: 30354109 (View on PubMed)

Lu L, Qin Y, Chen C, Zhang X, Xu X, Lv C, Wan X, Ruan W, Guo X. The atheroprotective roles of heart-protecting musk pills against atherosclerosis development in apolipoprotein E-deficient mice. Ann Transl Med. 2019 Dec;7(23):714. doi: 10.21037/atm.2019.12.22.

Reference Type BACKGROUND
PMID: 32042730 (View on PubMed)

Fan X, Shi M, Wang Y, Liang Q, Luo G. Transcriptional profiling analysis of HMP-treated rats with experimentally induced myocardial infarction. J Ethnopharmacol. 2011 Sep 1;137(1):199-204. doi: 10.1016/j.jep.2011.05.010. Epub 2011 May 13.

Reference Type BACKGROUND
PMID: 21605651 (View on PubMed)

Other Identifiers

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HMP2008007p

Identifier Type: -

Identifier Source: org_study_id

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