Status:

ACTIVE_NOT_RECRUITING

Efficacy of Dapagliflozin in Early Diabetic Nephropathy in Type 1 Diabetes

Lead Sponsor:

The First Affiliated Hospital with Nanjing Medical University

Conditions:

Diabetic Kidney Disease

Type 1 Diabetes

Eligibility:

All Genders

18-65 years

Phase:

PHASE4

Brief Summary

Diabetic kidney disease (DKD) is a leading cause of chronic and end-stage kidney disease, affecting 25-40% of type 1 diabetes (T1D) patients and 5-40% of type 2 diabetes (T2D) patients. Despite standa...

Detailed Description

This is an open-label, randomized, parallel-group study to evaluate the effects of dapagliflozin on urinary albumin/creatinine ratio (UACR) in participants with early diabetic nephropathy and type 1 d...

Eligibility Criteria

Inclusion

  • Age between 18 and 65 years;
  • Diagnosed with type 1 diabetes mellitus with a disease duration of more than 5 years;
  • Glycated hemoglobin (HbA1c) ≤ 7.5% at screening;
  • Diagnosed with diabetic nephropathy;
  • UACR between 30 and 300 and eGFR ≥ 60 ml/min/1.73 m².

Exclusion

  • Other types of diabetes;
  • Use of any antidiabetic medications (excluding insulin) within 1 month prior to screening;
  • History of diabetic ketoacidosis within 3 months prior to screening, or a diagnosed episode of diabetic ketoacidosis within the past 1 month;
  • History of poor blood glucose control requiring hospitalization (due to hyperglycemia or hypoglycemia) within 1 month prior to screening;
  • Frequent severe hypoglycemia or unconscious hypoglycemia (more than once requiring medical intervention or emergency care) within 1 month prior to screening;
  • Use of SGLT2 inhibitors or other renal protective medications within 6 months prior to screening;
  • Women who are planning to become pregnant, pregnant, or breastfeeding;
  • Cardiovascular disease (within 6 months prior to screening);
  • Unstable/rapidly progressing renal disease (within 6 months prior to screening), or renal artery stenosis;
  • Major liver disease or malignant tumors (within 5 years prior to screening).

Key Trial Info

Start Date :

July 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2026

Estimated Enrollment :

54 Patients enrolled

Trial Details

Trial ID

NCT06532682

Start Date

July 1 2024

End Date

October 1 2026

Last Update

August 1 2024

Active Locations (1)

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1

Nanjing Medical University First Affiliated Hospital

Nanjing, Jiangsu, China, 210000