Role of antioxidant therapy in preventing diabetic kidney disease

ISRCTN ISRCTN97358113
DOI https://doi.org/10.1186/ISRCTN97358113
Secondary identifying numbers 05/Q0803/57
Submission date
13/11/2007
Registration date
29/01/2009
Last edited
26/10/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
The aim of this study is to investigate the role of antioxidants (vitamin E and/or selenium) in the prevention of kidney disease in patients with type 2 diabetes.

Who can participate?
Adult patients with type 2 diabetes

What does the study involve?
Participants are randomly allocated to take either vitamin E or placebo (dummy supplement) and to take either selenium or placebo. The method of intake is oral and the duration of intake is 3 years. Kidney function is assessed every 6 months.

What are the possible benefits and risks of participating?
All patients could potentially benefit from having their general health reviewed more frequently than is the case with their usual care. Those patients receiving active treatment may benefit from preservation of their kidney function in the longer term. There is a possibility that by having more regular interactions with the research team than usual new health problems might be uncovered. Should this happen there will be appropriate further investigation and/or treatment which may or may not affect the participant's ability to continue in the study.

Where is the study run from?
St George's University of London (UK)

When is the study starting and how long is it expected to run for?
March 2006 to July 2016

Who is funding the study?
St George's Hospital NHS Trust Charitable Trust Foundation (UK)

Who is the main contact?
Dr Kenneth Earle

Contact information

Dr Kenneth Earle
Scientific

St. George's Hospital NHS Trust
St. George's Hospital Medical School
Thomas Addison Diabetes Centre
Lanesborough Wing
London
SW17 0QT
United Kingdom

Study information

Study designRandomised double-blind controlled study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleRole of antioxidant therapy in preventing diabetic kidney disease: a randomised, double-blind controlled study
Study objectivesSusceptibility to kidney disease failure in patients with diabetes is associated with reduction in kidney blood flow due to a chemical imbalance called oxidative stress. Therefore, the supplementation of antioxidants may reverse it.
Ethics approval(s)Wandsworth Local Research Ethics Committee, St George's Hospital, 01/08/2005, ref: 05/Q0803/57
Health condition(s) or problem(s) studiedType 2 diabetes
InterventionTwo month washout period, then patients will be randomised to receive vitamin E 400 IU daily or placebo and 200 µg daily selenium or placebo. The method of intake is oral and the duration of the intake is 3 years.
Intervention typeSupplement
Primary outcome measure1. Change in renal blood flow
2. Change in serum creatinine and creatinine clearance
Assessments every 6 months
Secondary outcome measures1. Systolic blood pressure
2. Diastolic blood pressure
3. Total cholesterol
4. Total triglycerides
5. Beta-2 microglobulin
6. Haemoglobin A1c
7. F2-alpha isoprostanes
8. Monocyte vascular endothelial growth factor (VEGF) production
9. Total antioxidant capacity
10. Urine monocyte chemoattractant protein-1 (MCP-1)
11. Urine albumin:creatinine ratio
Assessments every 6 months
Overall study start date01/03/2006
Completion date27/07/2016

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants400
Key inclusion criteria1. Adult ambulant patients with type two diabetes
2. Ability to give written informed consent
Key exclusion criteria1. History of cardiovascular disease
2. Evidence of severe renal impairment
3. Pregnancy
4. Malignancy
Date of first enrolment10/10/2011
Date of final enrolment29/04/2016

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

St George's University of London
London
SW17 0RE
United Kingdom

Sponsor information

St George's University of London
University/education

St George's Research Office
Cranmer Terrace
Tooting
London
SW17 0RE
England
United Kingdom

Website http://www.sgul.ac.uk/
ROR logo "ROR" https://ror.org/040f08y74

Funders

Funder type

Charity

St George's Hospital NHS Trust Charitable Trust Foundation (UK)

No information available

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

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 04/08/2016 Yes No
Preprint results results in preprint 19/02/2019 No No

Editorial Notes

26/10/2020: Preprint reference added.
29/06/2018: The following changes were made to the trial record:
1. The sponsor was changed from St George's Hospital NHS Trust to St George's University of London.
2. The recruitment dates were added.
3. The overall trial end date was changed from 28/02/2015 to 27/07/2016.
4. The plain English summary was added.
08/08/2016: Publication reference added.
23/12/2010: This record has been updated to include an extended overall trial end date due to delays with the setup of the study. The previous overall trial end date was 31/05/2010.