NCT04317430

Brief Summary

This study is randomized, controlled, parallel, prospective clinical study will be conducted on 60 patients diagnosed with type 2 diabetes mellitus at least five years ago. Patients will be recruited from Tanta University Hospital, Tanta, Egypt. Accepted patients will be randomized into 2 groups as the following: Control group: 30 patients will receive maximum tolerated dose of ACEI plus placebo pills for six months Treatment group: 30 patients will receive maximum tolerated dose of ACEI plus niclosamide tablets 1 gram once daily for six months The primary end point will be the change in Urinary albumin to creatinine ratio (UACR) and estimated glomerular filtration rate (eGFR) after six months of treatment

Trial Health

87
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Feb 2020

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

February 1, 2020

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

March 18, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 23, 2020

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2022

Completed
Last Updated

October 20, 2022

Status Verified

October 1, 2022

Enrollment Period

2.2 years

First QC Date

March 18, 2020

Last Update Submit

October 19, 2022

Conditions

Keywords

Diabetes - Niclosamide - Diabetic kidney disease

Outcome Measures

Primary Outcomes (2)

  • Change in urinary albumin creatinine ratio (UACR)

    6 months

  • Estimated glomerular filtration rate (eGFR)

    After 6 months

Secondary Outcomes (2)

  • Change of Urinary matrix metalloproteinase-7 (MMP-7) level

    6 months

  • Change of Urinary podocalyxin level

    6 months

Other Outcomes (1)

  • Change of Urinary 8-hydroxy-2' -deoxyguanosine (8-OHdG) level

    6 months

Study Arms (2)

Treatment group

ACTIVE COMPARATOR

Niclosamide tablets 1 gram once daily

Drug: Niclosamide

Control group

PLACEBO COMPARATOR

Lactose tablets

Drug: Placebo oral tablet

Interventions

Niclosamide tablets 1 gram once daily

Treatment group

lactose tablets

Control group

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with Type 2 diabetes mellitus at least 5 years ago
  • Stage 2 and 3 diabetic nephropathy (persistent micro- or macroalbuminuria with urinary albumin creatinine ratio (UACR) \>30mg/g) despite treatment with maximum tolerated dose of ACE inhibitors for at least 8 weeks prior to the screening
  • Hemoglobin A1c \> 6.5 % with regular use of insulin and/or oral glucose lowering agents

You may not qualify if:

  • Type 1 diabetes mellitus
  • Severe renal impairment (eGFR\< 30 mL/min/1.73 m2 at screening)
  • Pregnant or lactating women
  • Chronic heart failure
  • Inflammatory or autoimmune disease
  • History of kidney disease other than diabetic nephropathy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of Pharmacy, Tanta University

Tanta, Egypt

Location

Related Publications (1)

  • El-Fatatry BM, El-Haggar SM, Ibrahim OM, Shalaby KH. Niclosamide from an anthelmintic drug to a promising adjuvant therapy for diabetic kidney disease: randomized clinical trial. Diabetol Metab Syndr. 2023 Feb 16;15(1):22. doi: 10.1186/s13098-023-00995-1.

MeSH Terms

Conditions

Diabetic Nephropathies

Interventions

Niclosamide

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

SalicylanilidesAnilidesAmidesOrganic ChemicalsSalicylamidesAniline CompoundsAmines

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr

Study Record Dates

First Submitted

March 18, 2020

First Posted

March 23, 2020

Study Start

February 1, 2020

Primary Completion

April 1, 2022

Study Completion

April 1, 2022

Last Updated

October 20, 2022

Record last verified: 2022-10

Locations