NCT03865914

Brief Summary

With the rapid increase of diabetic nephropathy worldwide, type 2 diabetes mellitus(DM) is the leading cause of end-stage renal disease(ESRD). Pathological types of diabetic kidney disease(DKD) could be mainly divided into diabetic nephropathy(DN)and non-diabetic renal diseases(NDRD). There are no accurate renal biopsy indications and standardized operation procedures for type 2 diabetic nephropathy. The clinical stages of type 2 diabetic nephropathy still referred to the Mogensen stage of type 1 diabetic nephropathy. Thus, our study aim to clarify the differences in clinical phenotype between type 2 DN and type 2 NDRD, analysis the correlation between clinical and pathological features, and offer the criteria for clinical staging and prognosis.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
2,000

participants targeted

Target at P75+ for all trials

Timeline
56mo left

Started Nov 2017

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress64%
Nov 2017Dec 2030

Study Start

First participant enrolled

November 30, 2017

Completed
1.3 years until next milestone

First Submitted

Initial submission to the registry

March 2, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 7, 2019

Completed
8.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2027

Expected
3.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2030

Last Updated

March 31, 2022

Status Verified

March 1, 2022

Enrollment Period

10 years

First QC Date

March 2, 2019

Last Update Submit

March 16, 2022

Conditions

Keywords

Diabetic kidney disease (DKD)Diabetic nephropathy(DN)non-diabetic renal diseases( NDRD)Clinical-pathological correlationsdifferential diagnosis

Outcome Measures

Primary Outcomes (1)

  • change in eGFR and urine protein from baseline

    eGFR is calculated using the CKD-EPI formula, involving gender, age, and serum creatinine.

    24months

Study Arms (1)

Type 2 diabetic nephropathy

The cohort will be followed for at least 10 years. The cohort will be divided into 2 groups according the pathological results of patients,and at least 3 groups according to clinical features such as renal function and proteinuria.

Eligibility Criteria

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

The aim of this study is to clarify the differences in clinical phenotype between type 2 DN and type 2 NDRD, analysis the correlation between clinical and pathological features, and offer the criteria for clinical staging and prognosis.

You may qualify if:

  • Age≥18, male or female
  • Clinical diagnosed as type 2 diabetes mellitus
  • The presence of renal impairment including: microalbuminuria or overt proteinuria or renal insufficiency
  • The renal biopsy was performed with complete renal pathological diagnosis
  • Obtaining the signed informed consent from patients

You may not qualify if:

  • The history of the disease was not complete
  • Clinical diagnosed as other secondary renal diseases
  • Patients with hereditary kidney disease
  • Autoimmune diseases
  • Patients with malignant tumor were expected to survive less than 6 months
  • Pregnancy and lactation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Chinese PLA General Hospital

Beijing, Beijing Municipality, 100853, China

RECRUITING

Related Publications (4)

  • Dong Z, Wang X, Pan S, Weng T, Chen X, Jiang S, Li Y, Wang Z, Cao X, Wang Q, Chen P, Jiang L, Cai G, Zhang L, Wang Y, Yang J, He Y, Lin H, Wu J, Tang L, Zhou J, Li S, Li Z, Fu Y, Yu X, Geng Y, Zhang Y, Wang L, Xu M, Chen X. A multimodal transformer system for noninvasive diabetic nephropathy diagnosis via retinal imaging. NPJ Digit Med. 2025 Jan 24;8(1):50. doi: 10.1038/s41746-024-01393-1.

  • Wang Q, Cheng H, Jiang S, Zhang L, Liu X, Chen P, Liu J, Li Y, Liu X, Wang L, Li Z, Cai G, Chen X, Dong Z. The relationship between diabetic retinopathy and diabetic nephropathy in type 2 diabetes. Front Endocrinol (Lausanne). 2024 Jan 26;15:1292412. doi: 10.3389/fendo.2024.1292412. eCollection 2024.

  • Zhang W, Liu X, Dong Z, Wang Q, Pei Z, Chen Y, Zheng Y, Wang Y, Chen P, Feng Z, Sun X, Cai G, Chen X. New Diagnostic Model for the Differentiation of Diabetic Nephropathy From Non-Diabetic Nephropathy in Chinese Patients. Front Endocrinol (Lausanne). 2022 Jun 30;13:913021. doi: 10.3389/fendo.2022.913021. eCollection 2022.

  • Qu YL, Dong ZY, Cheng HM, Liu Q, Wang Q, Yang HT, Mao YH, Li JJ, Liu HF, Geng YQ, Huang W, Liu WH, Xie HD, Peng F, Li S, Jiang SS, Li WZ, Duan SW, Feng Z, Zhang WG, Liu YN, Tian JZ, Chen XM. Evaluation of Renal Impairment in Patients with Diabetic Kidney Disease by Integrated Chinese and Western Medicine. Chin J Integr Med. 2023 Apr;29(4):308-315. doi: 10.1007/s11655-022-3520-0. Epub 2022 Jun 9.

Biospecimen

Retention: SAMPLES WITH DNA

Blood, urine, kidney tissue

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

  • Xiangmei Chen, MD.&Ph.D

    Chinese PLA General Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Xiangmei Chen, MD.&Ph.D

CONTACT

Zheyi Dong, MD.&Ph.D

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor,Chief physician,Academician of Chinese Academy of Engineering

Study Record Dates

First Submitted

March 2, 2019

First Posted

March 7, 2019

Study Start

November 30, 2017

Primary Completion (Estimated)

November 30, 2027

Study Completion (Estimated)

December 31, 2030

Last Updated

March 31, 2022

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will not share

The test has not been completed.

Locations