Unique ID issued by UMIN | C000000370 |
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Receipt number | R000000466 |
Scientific Title | Multicenter study for the effect preserving renal function of HMG-CoA reductase inhibitor (simvastatin) in type 2 diabetic nephropathy with hyperlipidemia (MIDN Study) |
Date of disclosure of the study information | 2006/03/27 |
Last modified on | 2009/11/06 10:41:53 |
Multicenter study for the effect preserving renal function of HMG-CoA reductase inhibitor (simvastatin) in type 2 diabetic nephropathy with hyperlipidemia (MIDN Study)
Multicenter study for the effect preserving renal function of HMG-CoA reductase inhibitor in type 2 diabetic nephropathy (MIDN Study)
Multicenter study for the effect preserving renal function of HMG-CoA reductase inhibitor (simvastatin) in type 2 diabetic nephropathy with hyperlipidemia (MIDN Study)
Multicenter study for the effect preserving renal function of HMG-CoA reductase inhibitor in type 2 diabetic nephropathy (MIDN Study)
Japan |
Type 2 diabetic nephropathy with hyperlipidemia
Medicine in general | Cardiology | Endocrinology and Metabolism |
Nephrology |
Others
NO
The blood pressure of patients with type 2 diabetic nephropathy has been stable for more than 3 months by antihypertensive agents including an angiotensin II receptor blocker. In this condition, we divide the subjects into an intensive therapy group with simvastatin and a standard therapy group. We make the different target of LDL-C level in each group and compare the preventive effects against renal lesions.
Safety,Efficacy
urine albumin/creatinine ratio and its reduction rate.
urine protein/creatinine ratio and its reduction rate.
creatinine clearance (Ccr).
reciprocal of serum creatinine (1/Scr).
HOMA-IR.
urine protein, albumin and type IV collagen.
serum total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, cystatin C, glucose and insulin.
Interventional
Parallel
Randomized
Open -no one is blinded
Active
2
Treatment
Medicine |
Treated with simvastatin at 10 to 20mg/day per os for 1 year. An achieved LDL cholesterol level is 100mg/dL.
Treated with dietary intervention and antihyperlipidemic agents except HMG-CoA reductase inhibitors. An achieved LDL cholesterol level is 120mg/dL.
30 | years-old | <= |
75 | years-old | >= |
Male and Female
1) The subject has not needed to be treated with insulin during 6 months after the diagnosis of type 2 diabetes mellitus.
2) The subject is hyperlipidemic with more than 200mg/dL of serum total cholesterol or more than 120mg/dL of serum LDL cholesterol.
3) The subject's urine protein/creatinine ratio is between 300 and 3500mg/gCr.
4) The subject's blood pressure has been controlled in less than 140/90mmHg for more than 3months.
5) The subject has voluntarily signed a document of the informed consent.
1) Type 1 diabetes mellitus.
2) The subject has cardio-vascular complications as follows:
receiving coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA) within 3 months; unstable angina; myocardial infarction; transient ischemic attack (TIA) within 6 months, congestive heart failure classified into class III or IV of New York Heart Association (NYHA); cerebral infarction within 3months.
3) The subject has non diabetic nephropathy such as chronic glomerulonephritis, nephrotic syndrome and polycystic kidney.
4) The subject's serum creatinine is more than 2.5mg/dL.
5) The subject has secondary hypertension except that due to diabetes.
6) The subject's HbA1c is more than 9%.
7) The subject is inappropriate for participation in the study for other reasons, as determined by an investigator.
200
1st name | |
Middle name | |
Last name | Takao Saito |
Fukuoka University School of Medicine
Division of Nephrology and Rheumatology, Department of Internal Medicine
7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan
1st name | |
Middle name | |
Last name | Takao Saito |
Japanese Society of Kidney and Lipids
Division of Nephrology and Rheumatology, Fukuoka University Hospital
092-801-1011ext.3374
http://www.evidence.jp/midn/
tsaito@fukuoka-u.ac.jp
Japanese Society of Kidney and Lipids
Japan Kidney Foundation
Non profit foundation
NO
2006 | Year | 03 | Month | 27 | Day |
Published
Completed
2004 | Year | 03 | Month | 13 | Day |
2004 | Year | 07 | Month | 01 | Day |
2007 | Year | 12 | Month | 01 | Day |
2008 | Year | 04 | Month | 01 | Day |
2008 | Year | 04 | Month | 01 | Day |
2009 | Year | 03 | Month | 01 | Day |
2006 | Year | 03 | Month | 25 | Day |
2009 | Year | 11 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000466
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