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Evaluation Study for the Programme DiaNe for People With Diabetic Nephropathy
This study has been completed.
First Received: October 30, 2008   No Changes Posted
Sponsors and Collaborators: DiaNe HCM GmbH
Roche Pharma Deutschland GmbH, Grenzach-Wyhlen, Germany
Institute for Medical Outcom Research GmbH, Loerrach, Germany
Information provided by: DiaNe HCM GmbH
ClinicalTrials.gov Identifier: NCT00782847
  Purpose

This study is designated to evaluate the effect of a patients' educational program called DiaNe® for consultation and support people with diabetic kidney disease in an early stage. The aim of the study is to examine if the program is suitable to stop deterioration of kidney function and to maintain or improve glycemic control. The consultation and support program DiaNe® substantially contributes to a better understanding of the affected clients for this complex clinical picture, allows them for specific interventions and creates the rationale for an active therapeutic relationship.


Condition Intervention Phase
Diabetic Nephropathy
Behavioral: DiaNe consultation and support program
Phase III

MedlinePlus related topics: Diabetes Diabetic Kidney Problems
Drug Information available for: Cyproterone acetate Cyproterone
U.S. FDA Resources
Study Type: Interventional
Study Design: Supportive Care, Randomized, Open Label, Parallel Assignment, Efficacy Study
Official Title: A Prospective Controlled Randomized Multicenter Trial to Evaluate the Effect of a Structurized Multifactorial Behavior Modifying Consultation and Support Programme DiaNe for People With Diabetic Nephropathy

Further study details as provided by DiaNe HCM GmbH:

Primary Outcome Measures:
  • deterioration of kidney function in diabetic nephropathy [ Time Frame: 13 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • HbA1c [ Time Frame: 13 months ] [ Designated as safety issue: No ]

Enrollment: 125
Study Start Date: July 2004
Study Completion Date: January 2007
Primary Completion Date: January 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
with DiaNe program: Active Comparator
study subjects which participated in the DiaNe consultation and support program
Behavioral: DiaNe consultation and support program
the DiaNe consultation and support program for clients with diabetic nephropathy consists of 4 sessions at 90-120 minutes conducted every week in a period of 4 weeks
without DiaNe program: No Intervention
study subjects which received standard care by diabetologist and/or nephrologist

Detailed Description:

According to statistics diabetes mellitus is considered to be the leading cause for end stage renal disease in Germany, approximately 35% of the patients starting on dialysis are affected by diabetes-induced nephropathy. This can be seen in countries all over the world. This situation has been known for years. To date, neither structured intervention methods nor educational programs have been designed for and targeting those affected, which would consequently allow for structured, multifactorial intervention at an early stage of diabetic nephropathy. Multifactorial interventions, as published in the Steno-2 trial, appear to be highly effective with regard to long-term complications of diabetes. In order to realize this approach for the affected as well as the medical staff caring for patients with diabetes-induced nephropathy we developed DiaNe®, a consultation and support program, which is designed to give detailed information to the affected in order to induce behavioral changes. We were able to show a clinically significant reduction of microalbuminuria within a first monocenter evaluation trial. We wanted to verify this effect by means of a prospective multicenter randomized cohort trial according to GCP-ICH guidelines.

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • diabetes mellitus
  • proven diabetic nephropathy by histological/lab findings and/or discretion of nephrologist
  • ability to understand the German language

Exclusion Criteria:

  • end stage renal disease and/or dialysis
  • unable or unwilling to follow the protocol
  • pregnant women
  • discretion of nephrologist
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00782847

Locations
Germany, NRW
Diabetes- und Nierenzentrum Dormagen
Dormagen, NRW, Germany, D-41539
Sponsors and Collaborators
DiaNe HCM GmbH
Roche Pharma Deutschland GmbH, Grenzach-Wyhlen, Germany
Institute for Medical Outcom Research GmbH, Loerrach, Germany
Investigators
Principal Investigator: Ludwig F Merker, MD Diabetes- und Nierenzentrum Dormagen
  More Information

No publications provided

Responsible Party: Diabetes- und Nierenzentrum Dormagen ( Ludwig Merker, MD )
Study ID Numbers: DiaNe-Studie
Study First Received: October 30, 2008
Last Updated: October 30, 2008
ClinicalTrials.gov Identifier: NCT00782847     History of Changes
Health Authority: Germany: Ethics Commission

Keywords provided by DiaNe HCM GmbH:
diabetes mellitus
diabetic nephropathy
hypertension

Study placed in the following topic categories:
Diabetic Nephropathies
Hormone Antagonists
Cyproterone Acetate
Hormones, Hormone Substitutes, and Hormone Antagonists
Diabetes Mellitus
Cyproterone
Endocrine System Diseases
Hormones
Androgen Antagonists
Urologic Diseases
Kidney Diseases
Endocrinopathy
Diane
Diabetes Complications
Hypertension
Androgens

Additional relevant MeSH terms:
Androgen Antagonists
Diabetic Nephropathies
Urologic Diseases
Hormone Antagonists
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Diabetes Mellitus
Endocrine System Diseases
Kidney Diseases
Diane
Pharmacologic Actions
Diabetes Complications

ClinicalTrials.gov processed this record on May 07, 2009