Based upon the preclinical evidence in models of diabetic nephropathy under conditions approximating both type I and II diabetes, treatment with alagebrium appears to have favorable and advantageous effects on the biochemical, structural, pathological and functional hallmarks of diabetic nephropathy. The renoprotective effects of alagebrium in preclinical models favor the evaluation of this drug in patients with type I diabetes.
This study is a double-blind, randomized, placebo-controlled, parallel design trial enrolling 80 patients (2x40) with Type 1 diabetes and microalbuminuria. Patients will be randomized to either 200 mg Alagebrium twice daily or placebo for a period of 24 weeks after an 8 week run-in period. There will be a 8 week run-out period. All patients will receive ramipril during the entire study period. Efficacy measurements will be performed at baseline, at 12 weeks and at the end of the study. Measurements for albumin:creatinine ratio(mg/g), plasma renin level, collagen markers, AGE related markers and 24 hour blood pressure measurements will also be determined. A total of 9 visits will be performed during the entire study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
80
200 mg bid
bid
Royal Prince Alfred Hospital
Camperdown, New South Wales, Australia
International Diabetes Institute
Caulfield, Victoria, Australia
Dept. of Clinical and Biomedical Science Myers House
Geelong, Victoria, Australia
Austin Health
Heidelburg, Victoria, Australia
Change from baseline in albumin excretion rate (µg/min)
Time frame: 24 weeks
Albumin:creatinine ratio(mg/g), plasma renin level, collagen markers, AGE related markers, 24 hour blood pressure determinations
Time frame: 24 weeks
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The Alfred Hospital
Melbourne, Victoria, Australia
Steno Diabetes Center
Gentofte Municipality, Denmark