NCT03621384

Brief Summary

Background: Diabetic kidney disease (DKD), as one of chronic complication of type 2 diabetes mellitus, is common cause of end stage renal disease (ESRD). Vitamin D deficiency is known as one of DKD risk factors. Recent studies on association between vitamin D deficiency and DKD had shown conflicting results. It may be due to vitamin D receptor gene polymorphisms, which is affected by BsmI, Cdx2, ApaI, FokI, and TaqI gene. The investigators conducted cross-sectional study to investigate association between BsmI polymorphisms in vitamin D receptor gene with diabetic kidney disease Hypothesis: BsmI polymorphisms in vitamin D receptor gene is associated with diabetic kidney disease (DKD)

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
93

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Nov 2014

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2014

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2015

Completed
3.2 years until next milestone

First Submitted

Initial submission to the registry

May 22, 2018

Completed
3 months until next milestone

First Posted

Study publicly available on registry

August 8, 2018

Completed
Last Updated

August 8, 2018

Status Verified

August 1, 2018

Enrollment Period

4 months

First QC Date

May 22, 2018

Last Update Submit

August 7, 2018

Conditions

Keywords

BsmIDiabetic kidney diseasePolymorphismsVitamin D receptor gene

Outcome Measures

Primary Outcomes (1)

  • Association between BsmI Polymorphisms in Vitamin D Receptor Gene and Diabetic Kidney Disease

    This study investigated association between BsmI polymorphisms in vitamin D receptor gene with diabetic kidney disease

    1 month

Study Arms (2)

Bb Genotype

Subjects with Bb genotype of BsmI polymorphisms in vitamin D receptor gene

bb Genotype

Subjects with bb genotype of BsmI polymorphisms in vitamin D receptor gene

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Target population: type 2 diabetes mellitus patients who live in Indonesia Accessible population: type 2 diabetes mellitus patients who visit internal medicine outpatient clinic of dr. Cipto Mangunkusumo Hospital Sample: accessible population which meet study criteria

You may qualify if:

  • Type 2 diabetes mellitus patient
  • Indonesian-Malay race
  • Had signed the informed consent

You may not qualify if:

  • Urinary tract infection
  • Pregnant patient
  • Fever
  • In menstrual period
  • Had undergone hemodialysis or peritoneal dialysis
  • Had used non steroid antiinflammatory drugs (NSAIDs)
  • Postexercise

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

dr. Cipto Mangunkusumo Hospital

Jakarta Pusat, DKI Jakarta, 10430, Indonesia

Location

Related Publications (18)

  • Perhimpunan Nefrologi Indonesia. Report of Indonesian Renal Registry. Jakarta; 2011.

    RESULT
  • Ramachandran A, Snehalatha C, Shetty AS, Nanditha A. Trends in prevalence of diabetes in Asian countries. World J Diabetes. 2012 Jun 15;3(6):110-7. doi: 10.4239/wjd.v3.i6.110.

  • Zhao HL, Thomas GN, Leung W, Tomlinson B, Hsu YH, Chan P. An update on the management of nephropathy in type 2 diabetes. J Chin Med Assoc. 2003 Nov;66(11):627-36.

  • Tseng CH. Lipid abnormalities associated with urinary albumin excretion rate in Taiwanese type 2 diabetic patients. Kidney Int. 2005 Apr;67(4):1547-53. doi: 10.1111/j.1523-1755.2005.00235.x.

  • Vedovato M, Lepore G, Coracina A, Dodesini AR, Jori E, Tiengo A, Del Prato S, Trevisan R. Effect of sodium intake on blood pressure and albuminuria in Type 2 diabetic patients: the role of insulin resistance. Diabetologia. 2004 Feb;47(2):300-3. doi: 10.1007/s00125-003-1303-5. Epub 2003 Dec 24.

  • Dullaart RP, Beusekamp BJ, Meijer S, van Doormaal JJ, Sluiter WJ. Long-term effects of protein-restricted diet on albuminuria and renal function in IDDM patients without clinical nephropathy and hypertension. Diabetes Care. 1993 Feb;16(2):483-92. doi: 10.2337/diacare.16.2.483.

  • Abbasi MA, Abro A, Sheikh M. Smoking is related to albumin excretion in type 2 diabetes mellitus. Pak J Physiol. 2006;2(2):45-8.

    RESULT
  • Koroshi A, Idrizi A. Renoprotective effects of Vitamin D and renin-angiotensin system. Hippokratia. 2011 Oct;15(4):308-11.

  • Bid HK, Konwar R, Aggarwal CG, Gautam S, Saxena M, Nayak VL, Banerjee M. Vitamin D receptor (FokI, BsmI and TaqI) gene polymorphisms and type 2 diabetes mellitus: a North Indian study. Indian J Med Sci. 2009 May;63(5):187-94.

  • Zhang H, Wang J, Yi B, Zhao Y, Liu Y, Zhang K, Cai X, Sun J, Huang L, Liao Q. BsmI polymorphisms in vitamin D receptor gene are associated with diabetic nephropathy in type 2 diabetes in the Han Chinese population. Gene. 2012 Mar 10;495(2):183-8. doi: 10.1016/j.gene.2011.12.049. Epub 2012 Jan 5.

  • Vedralova M, Kotrbova-Kozak A, Zeleznikova V, Zoubkova H, Rychlik I, Cerna M. Polymorphisms in the vitamin D receptor gene and parathyroid hormone gene in the development and progression of diabetes mellitus and its chronic complications, diabetic nephropathy and non-diabetic renal disease. Kidney Blood Press Res. 2012;36(1):1-9. doi: 10.1159/000339021. Epub 2012 Jun 18.

  • Dewi K. Penurunan fungsi ginjal pada pasien DM tipe 2 di Poliklinik Endokrin Metabolik RSUPN Cipto Mangunkusumo. University of Indonesia; 2007.

    RESULT
  • Indra T. Asosiasi antara status vitamin D (25(OH)D) dengan albuminuria pada pasien diabetes melitus tipe 2. University of Indonesia; 2013.

    RESULT
  • Giunti S, Barit D, Cooper ME. Mechanisms of diabetic nephropathy: role of hypertension. Hypertension. 2006 Oct;48(4):519-26. doi: 10.1161/01.HYP.0000240331.32352.0c. Epub 2006 Sep 4. No abstract available.

  • Bayliss G, Weinrauch LA, D'Elia JA. Pathophysiology of obesity-related renal dysfunction contributes to diabetic nephropathy. Curr Diab Rep. 2012 Aug;12(4):440-6. doi: 10.1007/s11892-012-0288-1.

  • Abbate M, Zoja C, Remuzzi G. How does proteinuria cause progressive renal damage? J Am Soc Nephrol. 2006 Nov;17(11):2974-84. doi: 10.1681/ASN.2006040377. Epub 2006 Oct 11.

  • Nosratabadi R, Arababadi MK, Salehabad VA, Shamsizadeh A, Mahmoodi M, Sayadi AR, Kennedy D. Polymorphisms within exon 9 but not intron 8 of the vitamin D receptor are associated with the nephropathic complication of type-2 diabetes. Int J Immunogenet. 2010 Dec;37(6):493-7. doi: 10.1111/j.1744-313X.2010.00953.x. Epub 2010 Aug 19.

  • Inassi J, Vijayalakshmy R. Role of duration of diabetes in the development of nephropathy in type 2 diabetic patients. Natl J Med Res. 2013;3(1):8-11.

    RESULT

Biospecimen

Retention: SAMPLES WITH DNA

Urea, creatinine, estimated glomerular filtration rate (eGFR), fasting blood glucose (FBG), 2-hours postprandial blood glucose, HbA1c, total cholesterol, triglyceride, low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, BsmI polymorphisms in vitamin D receptor gene

MeSH Terms

Conditions

Diabetic Nephropathies

Condition Hierarchy (Ancestors)

Kidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesDiabetes ComplicationsDiabetes MellitusEndocrine System Diseases

Study Officials

  • Pringgodigdo Nugroho, MD

    Indonesia University

    PRINCIPAL INVESTIGATOR
  • Suhardjono, Prof., MD, PhD

    Indonesia University

    PRINCIPAL INVESTIGATOR
  • Aida Lydia, MD, PhD

    Indonesia University

    PRINCIPAL INVESTIGATOR
  • Kuntjoro Harimurti, MD, PhD

    Indonesia University

    PRINCIPAL INVESTIGATOR
  • Dekta Filantropi Esa, MD

    Indonesia University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Head of Dialysis Unit, Dr Cipto Mangunkusumo General Hospital

Study Record Dates

First Submitted

May 22, 2018

First Posted

August 8, 2018

Study Start

November 1, 2014

Primary Completion

March 1, 2015

Study Completion

March 1, 2015

Last Updated

August 8, 2018

Record last verified: 2018-08

Locations