UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000370
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

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Basic information

Public title

Multicenter study for the effect preserving renal function of HMG-CoA reductase inhibitor (simvastatin) in type 2 diabetic nephropathy with hyperlipidemia (MIDN Study)

Acronym

Multicenter study for the effect preserving renal function of HMG-CoA reductase inhibitor in type 2 diabetic nephropathy (MIDN Study)

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)

Scientific Title:Acronym

Multicenter study for the effect preserving renal function of HMG-CoA reductase inhibitor in type 2 diabetic nephropathy (MIDN Study)

Region

Japan


Condition

Condition

Type 2 diabetic nephropathy with hyperlipidemia

Classification by specialty

Medicine in general Cardiology Endocrinology and Metabolism
Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

urine albumin/creatinine ratio and its reduction rate.
urine protein/creatinine ratio and its reduction rate.

Key secondary outcomes

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.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Treated with simvastatin at 10 to 20mg/day per os for 1 year. An achieved LDL cholesterol level is 100mg/dL.

Interventions/Control_2

Treated with dietary intervention and antihyperlipidemic agents except HMG-CoA reductase inhibitors. An achieved LDL cholesterol level is 120mg/dL.

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

30 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takao Saito

Organization

Fukuoka University School of Medicine

Division name

Division of Nephrology and Rheumatology, Department of Internal Medicine

Zip code


Address

7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Takao Saito

Organization

Japanese Society of Kidney and Lipids

Division name

Division of Nephrology and Rheumatology, Fukuoka University Hospital

Zip code


Address


TEL

092-801-1011ext.3374

Homepage URL

http://www.evidence.jp/midn/

Email

tsaito@fukuoka-u.ac.jp


Sponsor or person

Institute

Japanese Society of Kidney and Lipids

Institute

Department

Personal name



Funding Source

Organization

Japan Kidney Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



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

2006 Year 03 Month 27 Day


Related information

URL releasing protocol


Publication of results

Published


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

Completed

Date of protocol fixation

2004 Year 03 Month 13 Day

Date of IRB


Anticipated trial start date

2004 Year 07 Month 01 Day

Last follow-up date

2007 Year 12 Month 01 Day

Date of closure to data entry

2008 Year 04 Month 01 Day

Date trial data considered complete

2008 Year 04 Month 01 Day

Date analysis concluded

2009 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 03 Month 25 Day

Last modified on

2009 Year 11 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000466


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name