MIRACLE-T2D Montelukast Intervention for Renal, Cardiovascular and Eye Health in Type 2 Diabetes

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-80
SponsorUniversity of Colorado, Denver

About this trial

Diabetes mellitus type 2 is associated with significant morbidity and mortality; and identifying new treatments for diabetes complications to be used alone or in combination with other therapies is a high priority. Hyperglycemia triggers proinflammatory pathways leading to damage in the kidneys, eyes and blood vessels; thus targeting proinflammatory lipid mediators called leukotrienes may represent a promising therapy for diabetes complications. This clinical trial seeks to investigate whether montelukast, a leukotriene antagonist, improves kidney, eye and vascular function in adult participants with type 2 diabetes and kidney disease.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diabetes type 2

Urine albumin to creatinine ratio 30-5000 mg/g

CKD stage 2-3 (eGFR 30-89 ml/min/1.73m2)

Blood pressure < 140/90 mmHg prior to randomization

Disqualifiers

Type 1 diabetes

Uncontrolled hypertension

Hemoglobin A1C >10%

Pregnancy or planning to become pregnant or currently breastfeeding

Trial design

Design model

Parallel

Treatments tested in this trial

  • Montelukast

    Drug

    10 my by mouth daily

  • Placebo

    Drug

    One capsule by mouth daily

Treatment groups

110 Participants
are divided into 2 treatment groups
Group A: MontelukastExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change from baseline in urine albumin excretion at 12 months

24-hour urine albumin

Time frame
From enrollment to the end of treatment at 12 months

Secondary outcomes

1

Change from baseline in creatinine clearance at 12 months

Time frame
From time of enrollment until end of treatment at 12 months
2

Change from baseline in vascular endothelial function at 12 months

Measured by brachial artery flow mediated dilation

Time frame
From enrollment to the end of treatment at 12 months
3

Change from baseline in arterial stiffness at 12 months

Measured by aortic pulse wave velocity

Time frame
From enrollment until end of treatment at 12 months
4

Change from baseline in diabetic retinopathy at 12 months

Measured by OCTA

Time frame
From enrollment until to the end of treatment at 12 months

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: