The effect of experimental hyperglycemia and AT1 receptor blockade on renal hemodynamics in impaired glucose tolerance

ISRCTN ISRCTN07427212
DOI https://doi.org/10.1186/ISRCTN07427212
Secondary identifying numbers 1
Submission date
21/12/2007
Registration date
09/01/2008
Last edited
29/02/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Helga Frank
Scientific

Nephrology Department
Klinikum rechts der Isar
Ismaninger Strasse 22
Munich
81675
Germany

Study information

Study designSingle-centre, open, prospective, longitudinal, non-randmoised controlled trial.
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Not specified
Study typeNot Specified
Scientific title
Study acronymIGT-FRA-oo30-I
Study objectivesThe study aim is to investigate whether:
1. Experimental hyperglycemia reduces renal hemodynamics (glomerula filtration rate, renal plasma flow)
2. Angiotensin II Type 1 (AT1) receptor blocker treatment prevents hyperglycemia induced changes of renal hemodynamics
Ethics approval(s)The study was approved by the Ethical Committee of the Technical University of Munich.
Health condition(s) or problem(s) studiedImpaired glucose tolerance/ renal changes in prediabetes
Intervention12 participants were recruited in each of the two groups. Statistical calculation was carried out by the Institute of Statistics, Technical University of Munich.

Participants of both groups (control and IGT-group) received the following two interventions:
1. Experimental hyperglycemia (clamp technique)
2. Valsartan (AT1 receptor blocker)(oral, taken once a day in the morning) treatment for 4 weeks. The initial dose was 80 mg/day, and the dosage was increased after 7 +/- 2 days of administration to 160 mg /day.

A safety visit was made at 5 +/- 2 days after the beginning of the study for the measurement of serum creatintine, potassium and blood pressure.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)AT1 receptor blocker
Primary outcome measureThe following were measured at rest (U1 rest, U2 rest) and during hyperglycemic stress testing (U1 stress, U2 stress) with and without AT1 receptor blocker treatment:
1. Glomerular filtration rate (inulin clearance)
2. Renal plasma flow (Para-AminoHippurate [PAH] clearance)

U1: Without AT1 receptor blocker
U2: After a 4-week treatment with valsartan
Secondary outcome measuresThe following were assessed at U1 and U2:
1. High-sensitivity C-Reactive Protein (CRP)
2. Adiponectin
3. HbA1c (blood tests)

U1: Without AT1 receptor blocker
U2: After a 4-week treatment with valsartan
Overall study start date26/07/2005
Completion date20/10/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit70 Years
SexMale
Target number of participants24
Key inclusion criteria1. Males
2. 18-70 years old
3. Impaired Glucose Tolerance (for the intervention group [IGT-Group]) (tested by the oral glucose tolerance test according to the World Health Organisation) and normoglycemic patients (for control group [healthy subjects])
Key exclusion criteria1. Renal or liver insufficiency
2. Micro-or macro-albuminuria
3. Overt diabetes mellitus
Date of first enrolment26/07/2005
Date of final enrolment20/10/2006

Locations

Countries of recruitment

  • Germany

Study participating centre

Nephrology Department
Munich
81675
Germany

Sponsor information

Technical University of Munich (Germany)
University/education

Ismaninger Strasse 22
Munich
81675
Germany

Phone +49 89 4140 2231
Email Helga.Frank@lrz.tum.de
ROR logo "ROR" https://ror.org/02kkvpp62

Funders

Funder type

Industry

Novartis (International)
Government organisation / For-profit companies (industry)
Alternative name(s)
Novartis AG, Novartis International AG
Location
Switzerland

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan