Efficacy and Safety Study of Probucol in Patients With Diabetic Nephropathy
Primary Purpose
Diabetic Nephropathy
Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Probucol 250mg/day
Probucol 500mg/day
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Diabetic Nephropathy focused on measuring Diabetic nephropathy, Albumin creatinine ratio, Probucol
Eligibility Criteria
Inclusion Criteria:
- The subject is male or female diagnosed with type 2 diabetes mellitus and must be aged 20 to 75 years at the time of screening visit
- Urinary albumin excretion > 300 mg/g Cr at screening visit
- Subjects administered ACEI or ARB without changing dosage prior to 3 months at the screening visit (if subjects administered ACEI or ARB)
- Subjects administered statins without changing dosage prior to 3 months at the screening visit(if subjects administered statins) or subjects have no plan to administered to statin(if subjects is not administered statin)
- 15 mL/min ≤ eGFR ≤ 90 mL min
- Subjects must be willing and able to give signed and dated written informed consent.
Exclusion Criteria:
- Type 1 DM or gestational diabetes
- Subjects on Renal replacement therapy or Renal transplantation prior to Screening visit
- Ventricular arrhythmia (multiple and multifocal premature ventricular contractions)
- Cardiac damage (abnormally levels of Troponin I)
- Subject with medical history of cardiac syncope or primary syncope
- Has condition that may prolong QTc interval (for man QTc interval>450msec, for woman QTc interval>470msec) at screening
- Pregnant or lactating woman before randomization
- Inflammatory bowel disease (ulcerative colitis, Crohn's disease)
- Cholestasis
- Congestive heart failure
- Subjects with a myocardial infarction, Unstable angina, or cerebral infarction within the latest 6 months
- Subjects has a diagnosis of NYHA grade III-IV status
- AST or ALT is 3.0 times higher than the upper limit of the normal range
- Active hepatitis Or Liver cirrhosis
- Subjects with Hyperkalemia (K>5.5 mEq/L)
- Subjects with Renal Artery stenosis
- Subjects with Malignancy within the 5 years at the time of screening visit(except for treated Basal cells carcinoma or squamous cell carcinoma)
- Urinary tract disease (urinary tract infection, Neurogenic bladder)
- Kidney disease (nephritis, chronic glomerulonephritis or polycystic kidney disease)
- Has an allergic history to probucol
- HbA1c > 9%
- Systolic blood pressure ≥ 160 mmHg or Diastolic blood pressure ≥ 100 mmHg
- Subjects taken probucol within 3 months prior to Screening
- The subject has received an investigational product or biological agent within 3 months prior to screening
- Subjects otherwise judged by the investigator or sub investigator to be inappropriate for inclusion in the trial
Sites / Locations
- The Catholic university of Korea, Bucheon St. Mary's Hospital
- Kyungpook National University
- Yeungnam University Medical Center
- Gil Hospital
- Inha University Hospital
- Chonbuk national University Hospital
- Eulji Hospital
- Kangbuk Samsung Hospital
- Kangnam Sacred Hospital
- Korea University Guro Hospital
- Kyunghee Univ Hospital at Kangdong
- Samsumg Medical Center
- Severance Hospital
- Seoul National University Bundang Hospital
- St. Vincent Hospital
- UIJEONGBU ST. MARY's HOSPITAL
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
Probucol 250mg/day
Probucol 500mg/day
Placebo
Arm Description
Probucol 250mg group: probucol 250mg 2 tablets, 16 weeks
Probucol 500mg group: probucol 250mg 2 tablets, 16 weeks
Placebo group: placebo 2 tablets, 16 weeks
Outcomes
Primary Outcome Measures
A/C ratio
The change in the A/C ratio from baseline to the end of treatment(16 week) [Time Frame: baseline to 16 weeks]
Secondary Outcome Measures
Serum creatinine
The change in the Serum creatinine from baseline to the end of treatment.
eGFR
The change in the eGFR from baseline to the end of treatment(16 week)
cystatin C
The change in the cystatin C from baseline to the end of treatment(16 week)
urine albumin
The change in the urine albumin from baseline to the end of treatment(16 week)
P/C ratio
The change in the P/C ratio from baseline to the end of treatment(16 week)
Full Information
NCT ID
NCT01726816
First Posted
October 31, 2012
Last Updated
May 1, 2017
Sponsor
Korea Otsuka Pharmaceutical Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT01726816
Brief Title
Efficacy and Safety Study of Probucol in Patients With Diabetic Nephropathy
Official Title
A Phase II, Multicenter, Randomized, Double Blind, Double-dummy, 16-week, Placebo Controlled Study to Evaluate the Efficacy and Safety of Probucol in Patients With Nephropathy Due to Type 2 Diabetes.
Study Type
Interventional
2. Study Status
Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
October 2012 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
September 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Korea Otsuka Pharmaceutical Co., Ltd.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This trial is randomized, placebo-controlled, double blind, double dummy, multi-centre trial.
Screening period (4 week)
Double blind treatment period (16 weeks)
Detailed Description
Usage: 16 week, BID, Prescribed Oral with the breakfast and dinner
Dosage:Placebo group: placebo 2 tablets, 16 weeks Probucol 250mg group: probucol 125mg 2 tablets, 16 weeks Probucol 500mg group: probucol 250 mg 2 tablets, 16 weeks
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Nephropathy
Keywords
Diabetic nephropathy, Albumin creatinine ratio, Probucol
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
126 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Probucol 250mg/day
Arm Type
Experimental
Arm Description
Probucol 250mg group: probucol 250mg 2 tablets, 16 weeks
Arm Title
Probucol 500mg/day
Arm Type
Experimental
Arm Description
Probucol 500mg group: probucol 250mg 2 tablets, 16 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo group: placebo 2 tablets, 16 weeks
Intervention Type
Drug
Intervention Name(s)
Probucol 250mg/day
Other Intervention Name(s)
Probucol 250mg group: probucol 250mg 2 tablets, 16 weeks
Intervention Description
Probucol 250mg + Placebo
Intervention Type
Drug
Intervention Name(s)
Probucol 500mg/day
Other Intervention Name(s)
Probucol 500mg group: probucol 250mg 2 tablets, 16 weeks
Intervention Description
Probucol 500mg + Placebo
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
placebo 2 tablets, 16 weeks
Intervention Description
Probucol matching placebo
Primary Outcome Measure Information:
Title
A/C ratio
Description
The change in the A/C ratio from baseline to the end of treatment(16 week) [Time Frame: baseline to 16 weeks]
Time Frame
16 week
Secondary Outcome Measure Information:
Title
Serum creatinine
Description
The change in the Serum creatinine from baseline to the end of treatment.
Time Frame
16 week
Title
eGFR
Description
The change in the eGFR from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
cystatin C
Description
The change in the cystatin C from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
urine albumin
Description
The change in the urine albumin from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
P/C ratio
Description
The change in the P/C ratio from baseline to the end of treatment(16 week)
Time Frame
16 week
Other Pre-specified Outcome Measures:
Title
Total Cholesterol
Description
The change in the Total cholesterol from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
Triglyceride
Description
The change in the Triglyceride from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
LDL-C
Description
The change in the LDL-C from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
HDL-C
Description
The change in the HDL-C from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
oxidized LDL
Description
The change in the oxidized LDL from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
d-ROM
Description
The change in the d-ROM from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
urinary fibronectin
Description
The change in the urinary fibronectin from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
urinary transferrin
Description
The change in the urinary transferrin from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
insulin
Description
The change in the insulin from baseline to the end of treatment(16 week)
Time Frame
16 week
Title
c-peptide
Description
The change in the c-peptide from baseline to the end of treatment(16 week)
Time Frame
16 week
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
The subject is male or female diagnosed with type 2 diabetes mellitus and must be aged 20 to 75 years at the time of screening visit
Urinary albumin excretion > 300 mg/g Cr at screening visit
Subjects administered ACEI or ARB without changing dosage prior to 3 months at the screening visit (if subjects administered ACEI or ARB)
Subjects administered statins without changing dosage prior to 3 months at the screening visit(if subjects administered statins) or subjects have no plan to administered to statin(if subjects is not administered statin)
15 mL/min ≤ eGFR ≤ 90 mL min
Subjects must be willing and able to give signed and dated written informed consent.
Exclusion Criteria:
Type 1 DM or gestational diabetes
Subjects on Renal replacement therapy or Renal transplantation prior to Screening visit
Ventricular arrhythmia (multiple and multifocal premature ventricular contractions)
Cardiac damage (abnormally levels of Troponin I)
Subject with medical history of cardiac syncope or primary syncope
Has condition that may prolong QTc interval (for man QTc interval>450msec, for woman QTc interval>470msec) at screening
Pregnant or lactating woman before randomization
Inflammatory bowel disease (ulcerative colitis, Crohn's disease)
Cholestasis
Congestive heart failure
Subjects with a myocardial infarction, Unstable angina, or cerebral infarction within the latest 6 months
Subjects has a diagnosis of NYHA grade III-IV status
AST or ALT is 3.0 times higher than the upper limit of the normal range
Active hepatitis Or Liver cirrhosis
Subjects with Hyperkalemia (K>5.5 mEq/L)
Subjects with Renal Artery stenosis
Subjects with Malignancy within the 5 years at the time of screening visit(except for treated Basal cells carcinoma or squamous cell carcinoma)
Urinary tract disease (urinary tract infection, Neurogenic bladder)
Kidney disease (nephritis, chronic glomerulonephritis or polycystic kidney disease)
Has an allergic history to probucol
HbA1c > 9%
Systolic blood pressure ≥ 160 mmHg or Diastolic blood pressure ≥ 100 mmHg
Subjects taken probucol within 3 months prior to Screening
The subject has received an investigational product or biological agent within 3 months prior to screening
Subjects otherwise judged by the investigator or sub investigator to be inappropriate for inclusion in the trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MoonKyu Lee, professor
Organizational Affiliation
Samsung Medical Center
Official's Role
Study Chair
Facility Information:
Facility Name
The Catholic university of Korea, Bucheon St. Mary's Hospital
City
Bucheon
Country
Korea, Republic of
Facility Name
Kyungpook National University
City
DaeGu
Country
Korea, Republic of
Facility Name
Yeungnam University Medical Center
City
DaeGu
Country
Korea, Republic of
Facility Name
Gil Hospital
City
Incheon
Country
Korea, Republic of
Facility Name
Inha University Hospital
City
InCheon
Country
Korea, Republic of
Facility Name
Chonbuk national University Hospital
City
JeonJu
Country
Korea, Republic of
Facility Name
Eulji Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Kangbuk Samsung Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Kangnam Sacred Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Korea University Guro Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Kyunghee Univ Hospital at Kangdong
City
Seoul
Country
Korea, Republic of
Facility Name
Samsumg Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Severance Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Seoul National University Bundang Hospital
City
SungNam
Country
Korea, Republic of
Facility Name
St. Vincent Hospital
City
Suwon
Country
Korea, Republic of
Facility Name
UIJEONGBU ST. MARY's HOSPITAL
City
Uijeongbu
Country
Korea, Republic of
12. IPD Sharing Statement
Citations:
PubMed Identifier
27493100
Citation
Jin SM, Han KA, Yu JM, Sohn TS, Choi SH, Chung CH, Park IeB, Rhee EJ, Baik SH, Park TS, Lee IK, Ko SH, Hwang YC, Cha BS, Lee HW, Nam MS, Lee MK. Probucol in Albuminuric Type 2 Diabetes Mellitus Patients on Renin-Angiotensin System Blockade: A 16-Week, Randomized, Double-Blind, Placebo-Controlled Trial. Arterioscler Thromb Vasc Biol. 2016 Oct;36(10):2108-14. doi: 10.1161/ATVBAHA.116.308034. Epub 2016 Aug 4.
Results Reference
derived
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Efficacy and Safety Study of Probucol in Patients With Diabetic Nephropathy
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