UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024530
Receipt number R000028235
Scientific Title Identification of New Biomarkers to Explore Pathology of Renal Tissue and to Predict Outcomes of Diabetic Nephropathy Study
Date of disclosure of the study information 2017/04/01
Last modified on 2019/05/08 18:10:51

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Basic information

Public title

Identification of New Biomarkers to Explore Pathology of Renal Tissue and to Predict Outcomes of Diabetic Nephropathy Study

Acronym

NExT-DN

Scientific Title

Identification of New Biomarkers to Explore Pathology of Renal Tissue and to Predict Outcomes of Diabetic Nephropathy Study

Scientific Title:Acronym

NExT-DN

Region

Japan


Condition

Condition

Diabetes
Diabetic nephropathy

Classification by specialty

Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate new prognostic and diagnostic indicators of diabetic nephropathy

Basic objectives2

Others

Basic objectives -Others

To explore the new therapeutic target of diabetic nephropathy

Trial characteristics_1


Trial characteristics_2

Others

Developmental phase



Assessment

Primary outcomes

eGFR 30-40% decline from baseline

Key secondary outcomes

1. Investigation of clinicopathologic indocators of renal progression in diabetic nephropathy
I. eGFR decline > 3-5 ml/min/1.73m2/year
II. Commencement of dialysis or renal transplantation because of end stage renal disease
III. Development of albuminuric stage

2. Investigation of other major complications of diabetes
I.Development of diabetic retinopathy
II.CVD event
III.Death

3. Exploration of new biomarkers to predict diabetic nephropathy in patients with diabetes.
I. Diabetic nephrpathy vs no renal disease
II. Diabetic nephropathy vs other renal diseases
* Investigation of biomarmers to differenciate I and II


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Maneuver

Interventions/Control_1

To evaluate renal disease in patients with diabetes by renal biopsy

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

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

1. Patients who go to our department from the time after approval of this study by the ethics committee of our hospital to March 31th, 2024.
2. Patients who agreee IC
3. Patients whose age is no less than 20 and no more than 80 at the time of IC.

Key exclusion criteria

1. Patients with diabetes due to other reasons except for type 1 and 2 diabetes, such as steroid-induced diabetes, Cushing syndrome, and genetic diabetes
2. Female in pregnancy or with possibility of pregnancy
3. Patients with high risk of renal biopsy
High risk is defined as any one of the following 6 criteria.
i. Platelet count < 100,000 (/ul) or definite disordered coagulation
ii. Usage of antiplatelet drug and anticoagulated drug which can not be stopped temporarily.
iii. Progressive anemia except for renal anemia
iv. Patients who can not keep a position in bed during renal biopsy.
v. Morphologic problems revealed by image information
Specifically, multiple cysts on the puncture line, renal cortex thickness < 10mm, and so on.
vi. Patients whom primary physician clinically defined as patients at high risk because of other reasons.
4. Patients under the emergency situations, such as life-threatening and infectious situation.
5. Baseline eGFR < 15ml/min/1.73m2

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Jun
Middle name
Last name Wada

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Division name

Department of Nephrology, Rheumatology, Endocrinology and Metabolism

Zip code

700-8558

Address

2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan

TEL

81-86-235-7235

Email

junwada@okayama-u.ac.jp


Public contact

Name of contact person

1st name Koki
Middle name
Last name Mise

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Division name

Department of Nephrology, Rheumatology, Endocrinology and Metabolism

Zip code

700-8558

Address

2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan

TEL

81-86-235-7235

Homepage URL


Email

kokims-frz@okayama-u.ac.jp


Sponsor or person

Institute

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Department of Nephrology, Rheumatology, Endocrinology and Metabolism

Institute

Department

Personal name



Funding Source

Organization

Nothing

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Center for Innovative Clinical Medicine, Ethics Committee

Address

2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan

Tel

086-235-6503

Email

mae6605@adm.okayama-u.ac.jp


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

Okayama university hospital


Other administrative information

Date of disclosure of the study information

2017 Year 04 Month 01 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

Enrolling by invitation

Date of protocol fixation

2016 Year 12 Month 26 Day

Date of IRB

2017 Year 02 Month 21 Day

Anticipated trial start date

2017 Year 03 Month 31 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 10 Month 23 Day

Last modified on

2019 Year 05 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028235


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name