UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000272
Receipt number R000000341
Scientific Title Genome-wide case-control association study to identify susceptibility gene to diabetic nephropathy using single nucleotide polymorphisms.
Date of disclosure of the study information 2005/11/15
Last modified on 2008/10/21 19:03:26

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Basic information

Public title

Genome-wide case-control association study to identify susceptibility gene to diabetic nephropathy using single nucleotide polymorphisms.

Acronym

Study for susceptibility gene to diabetic nephropathy

Scientific Title

Genome-wide case-control association study to identify susceptibility gene to diabetic nephropathy using single nucleotide polymorphisms.

Scientific Title:Acronym

Study for susceptibility gene to diabetic nephropathy

Region

Japan


Condition

Condition

Diabetic nephropathy

Classification by specialty

Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

Diabetic nephropathy is the leading cause of end-stage renal disease, accounting for 25% of the patients receiving chronic dialysis therapy. The number of the patients with diabetic nephropathy is expected to continue to increase progressively, giving a serious concern in terms of medical economy. Recently, a large scale genetic approach may be a useful to identify loci involved in the susceptibility for common disorders, as well as in the responsiveness or side-effect of several drugs. Then, in this study to identify genes conferring susceptibility to diabetic nephropathy, we will perform a genomic-wide case-control association study using single nucleotide polymorphisms as genetic markers. Our goal is to provide the evidence showing the novel mechanism of the disease, and to obtain a useful target for new drugs to aid in the prevention and treatment of diabetic nephropathy.

Basic objectives2

Others

Basic objectives -Others

This study explores genes associated with the development and progress of diabetic nephropathy using a database for several hundred thousands of polymorphic markers existing on entire human genome. The results of this study will be expected to establish a method for the prevention and treatment of diabetic nephropathy.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Diabetic patients with diabetic retinopathy were divided into two groups: 1) nephropathy cases (DN):-patients with overt nephropathy, 2) controls (C):-patients showing no evidence of renal dysfunction (based on the urinary albumin levels). Our first screening involved genotyping 94 DNs and 94 Cs for 10,000 SNP loci, and we further analyzed the SNP loci showing significant differences in allelic frequencies between DN and C using a larger number of patients.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Type 2 diabetic patients were divided into two groups according to the stage of diabetic nephropathy and diabetic retinopathy.
1) Nephropathy cases:Patients with diabetic retinopathy as well as overt nephropathy, urinary albumin excretion rates (AER) greater than 200 micro-g/min or urinary albumin/creatinine rations (Alb/Cr) greater than 300 mg/gCr, or patients under chronic renal-replacement therapy.
2) Control:Patients with diabetic retinopathy but without any sign of renal dysfunction, AER less than 20 micro-g/min or Alb/Cr less than 30 mg/gCr.

Key exclusion criteria

Patients with other chronic renal diseases.

Target sample size

2000


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shiro Maeda

Organization

SNP Research Center, RIKEN

Division name

Laboratory for Diabetic Nephropathy

Zip code


Address

1-7-22 Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa 230-0045, Japan

TEL

045-503-9595

Email



Public contact

Name of contact person

1st name
Middle name
Last name Shiro Maeda

Organization

SNP Research Center, RIKEN

Division name

Laboratory for Diabetic Nephropathy

Zip code


Address

1-7-22 Suehiro-cho, Tsurumi-ku, Yokohama, Kanagawa 230-0045, Japan

TEL

045-503-9595

Homepage URL


Email

smaeda@src.riken.jp


Sponsor or person

Institute

RIKEN

Institute

Department

Personal name



Funding Source

Organization

RIKEN

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2005 Year 11 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Date of protocol fixation

2001 Year 06 Month 01 Day

Date of IRB


Anticipated trial start date

2001 Year 06 Month 01 Day

Last follow-up date

2010 Year 03 Month 01 Day

Date of closure to data entry

2010 Year 03 Month 01 Day

Date trial data considered complete


Date analysis concluded

2010 Year 03 Month 01 Day


Other

Other related information

81,315 SNP loci were successfully genotyped, and about 1,600 SNP loci were found to be statiscally significant (p<0.01). These SNP loci were analyzed further in a larger number of subjects to clarify their statistical significance. As a result, we could identify SLC12A3 and ELMO1 as novel candidates for conferring susceptibility to diabetic nephropathy. We are also examining other candidate loci (p<0.0001).


Management information

Registered date

2005 Year 10 Month 31 Day

Last modified on

2008 Year 10 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000341


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name