Impact of c242T Polymorphism of p22phox in Diabetic type1 Nephropathy (NEPHRODIANOX)

This study is currently recruiting participants.
Verified December 2011 by University Hospital, Grenoble
Sponsor:
Information provided by (Responsible Party):
University Hospital, Grenoble
ClinicalTrials.gov Identifier:
NCT01371955
First received: June 10, 2011
Last updated: December 15, 2011
Last verified: December 2011

June 10, 2011
December 15, 2011
January 2011
January 2013   (final data collection date for primary outcome measure)
Not Provided
Not Provided
Complete list of historical versions of study NCT01371955 on ClinicalTrials.gov Archive Site
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Impact of c242T Polymorphism of p22phox in Diabetic type1 Nephropathy
Impact of c242T Polymorphism of p22phox in the Development of Diabetic Nephropathy,in Caucasian Diabetic Type 1 Patient.

The physiopathology of diabetic nephropathy (DN) is unclear. To investigate risk factor, the investigators choose to look about some oxidative stress genes. Today a one-gene explanation is not really possible. So the theory of some genetic predisposition to DN is more likely.

The aim of the study is to look about the association of the C282T polymorphism of P22phox, a sub unit of the nicotinamide adenine dinucleotide phosphate-oxidase (NADPH oxidase) in the occurrence of DN. To follow the oxidative stress pathway of the DN, the investigators also investigate three other polymorphisms: -429 T/C, -374 T/A polymorphism of advanced glycation end-products receptor (AGER) and the p.Arg261Gln polymorphism of the 12 lipoxygenase (ALOX 12). Discordant data suggest a link between the first 2 polymorphisms and DN. The last polymorphism is correlated to albuminuria in diabetic patients.

To avoid confounding factors, we choose type 1 diabetic patients. We plan, with the data of literature a number need to be significative with a power of 80% and an Alpha risk at 5%, the inclusion of 160 patients for our primary analyze of p 22 phox. Those patients are included consequentially from the diabetic consultation of the university hospital of Grenoble, if they have a history of more than 20 years of diabetes. Those patients have been separated according to the existence of DN, and their polymorphism. Then we estimate with the Fisher test the prevalence of DN in risky patient, and the prevalence of the risky phenotype in the nephropathic patients. Then we investigate with the same statistical test the -429 T/C,he -374 T/A AGER and p.Arg261Gln 12 ALOX polymorphisms.

Observational
Observational Model: Cohort
Time Perspective: Prospective
Not Provided
Retention:   Samples With DNA
Description:

We will include 60 patients to reach the required number. We take 2 blood samples: one for genetic analysis and one to determine HBA1c and plasma creatinine. We also take one urinary sample to determine the urinary albumine / creatinine ratio

Probability Sample

caucasian diabetic type 1 patients with more than 20 years of diabetes duration

  • Type 1 Diabetes Mellitus
  • Diabetic Nephropathy
Not Provided
  • diabetic nephropathy group
    patient with diabetic nephropathy, defined as Albuminuria > 30 mg/day or urinary Albumine/ creatinine ratio > 3 mg/mmol ; or GFR estimated by MDRD less than 60 ml/min.1,73m². With no other etiology of diabetic nephropathy.
  • diabetic retinopathy group
    patient with diabetic retinopathy defined as showing at least one micro aneurysm on retinography. Without nephropathy defined as above
  • no complication group
    patient without diabetic nephropathy or retinopathy
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
160
January 2013
January 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • caucasian
  • diabetic type 1
  • older than 18 years old
  • written consent

Exclusion Criteria:

  • other etiology of diabetic nephropathy
  • pregnancy
  • other type of diabetes
Both
18 Years and older
No
Contact: BENHAMOU pierre yves 0476767575
Contact: FRANKO benoit 0476766265
France
 
NCT01371955
1020, 2010-A01074-35
Yes
University Hospital, Grenoble
University Hospital, Grenoble
Not Provided
Principal Investigator: BENHAMOU pierre yves, MD PhD service de diabétologie
University Hospital, Grenoble
December 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP