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Shortfall in funding
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To explore the efficacy of Ivabradine for the treatment of microalbuminuria in patients with type 2 diabetes and coronary heart disease.
This is a multi-center, randomized, open-label, investigator-initiated study with a parallel design. Patients with type 2 diabetes and coronary heart disease who are microalbuminuric [urinary albumin excretion (UAE): 30-500 mg/day], will be randomized after informed consent, in a 1:1 ratio to the following treatment groups: Group Α: Ivabradine 5mg twice a day (on day 0), heart rate evaluated at day 14 and 28 repeatedly, and the targeted value of heart rate 50-60bpm, the largest dosage 7.5mg twice a day.
Group Β: Placebo. Urinary albumin excretion (UAE) assessment will be performed before randomization (Day 0), 28-day after randomization (Day 28), and 90-day after randomization (Day 28).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ivabradine | Experimental | Ivabradine 5mg twice a day (on day 0), heart rate evaluated at day 14 and 28 repeatedly, and the targeted value of heart rate 50-60bpm, the largest dosage 7.5mg twice a day. |
|
| Sham Comparator | Sham Comparator | Urinary albumin excretion (UAE) assessment will be performed before randomization (Day 0), 28-day after randomization (Day 28), and 90-day after randomization (Day 28). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ivabradine | Drug | Ivabradine 5mg twice a day (on day 0), heart rate evaluated at day 14 and 28 repeatedly, and the targeted value of heart rate 50-60bpm, the largest dosage 7.5mg twice a day. |
| Measure | Description | Time Frame |
|---|---|---|
| Urinary albumin excretion | Urinary albumin excretion at 3 month | 3 month |
| Measure | Description | Time Frame |
|---|---|---|
| Serum creatinine | Serum creatinine at 3 month | 3 month |
| Blood urea nitrogen | Blood urea nitrogen at 3 month | 3 month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shaoliang Chen, MD | Nanjing First Hospital, Nanjing Medical University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanjing First Hospital | Nanjing | Jiangsu | 210006 | China |
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| ID | Term |
|---|---|
| D003928 | Diabetic Nephropathies |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D000077550 | Ivabradine |
| ID | Term |
|---|---|
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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Urinary albumin excretion at 3 month
| Sham Comparator | Other | Urinary albumin excretion (UAE) assessment will be performed before randomization (Day 0), 28-day after randomization (Day 28), and 90-day after randomization (Day 28). |
|
| Cyscatin-c | Cyscatin-c at 3 month | 3 month |
| Hypersensitive c-reactive protein (hsCRP) | Hypersensitive c-reactive protein (hsCRP) at 3 month | 3 month |
| β2-microglobulin | β2-microglobulin at 3 month | 3 month |
| Neutrophil gelatinase-associated lipocalin(NGAL) | Neutrophil gelatinase-associated lipocalin(NGAL) at 3 month | 3 month |
| Albuminuria and urine creatinine ratio (ACR) | Albuminuria and urine creatinine ratio (ACR) at 3 month | 3 month |
| N-acyl-β-D-glucosidase | N-acyl-β-D-glucosidase at 3 month | 3 month |
| Retinol binding protein | Retinol binding protein at 3 month | 3 month |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |