About this trial
Kidney disease is a common problem among people with type 1 diabetes and can lead to disability, dialysis, and early death. Inflammation plays a key role in the development of kidney disease in type 1 diabetes and targeting leukotrienes, inflammatory chemicals the body releases in response to allergic reactions, may represent a promising therapy to slow the progression of diabetic kidney disease. The current proposal will investigate whether montelukast, a leukotriene blocker, lowers increased levels of protein in the urine (an early marker of diabetic kidney disease), and improves kidney and cardiovascular function in people with type 1 diabetes and kidney disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-80 years
Type 1 diabetes for at least 5 years
Urine albumin to creatinine ratio 30-5000 mg/g on first morning void
eGFR 30-89 ml/min/1.73m2 at time of screening
Disqualifiers
Significant comorbid conditions that lead the investigator to conclude that life expectancy is less than 1 year
Uncontrolled hypertension
Factors judged to limit adherence to interventions
Anticipated initiation of dialysis or kidney transplantation within 6 months
Trial design
Parallel
Treatments tested in this trial
Montelukast
Drug10mg daily
Placebo
Other intervention1 capsule daily
Treatment groups
Trial outcomes
Primary outcomes
Change in Albuminuria
Change in albuminuria from baseline to 6 months
Secondary outcomes
Change in Brachial artery flow mediated dilation (FMD)
Change in FMD from baseline to 6 months
Change in Large Elastic Artery Stiffness
Change in aortic pulse wave velocity from baseline to 6 months
Sponsors and contacts
Click on the lead sponsor to view all of their trials.