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Resveratrol's Effects in Diabetic Nephropathy

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Shiraz University of Medical Sciences

关键词

抽象

The aim of this study is to evaluate the safety and effects of resveratrol in treatment of diabetic nephropathy.

描述

Diabetes mellitus (DM) is one of the most important public health burdens, and its prevalence has rapidly increased worldwide over the past decades. One of the most important complications of DM is nephropathy.

Resveratrol (3, 5, 4'-trihydroxystilbene) is a natural polyphenolic compound belongs to the large group of polyphenols found in different plant species. The richest natural source of resveratrol is Polygonum cuspidatum — a plant root extract of which have been used in oriental folk medicine. Considerable amounts of resveratrol were also found in skin of red grapes, peanuts, groundnuts, and red vine.

Resveratrol is considered to have beneficial effects on glucose tolerance and insulin sensitivity, the cardiovascular system, as it has been found to improve vasodilatation, ischaemic preconditioning, both of which seem to be the result of the activation of the endothelial NO synthase enzyme, and to inhibit both platelet aggregation and vascular smooth muscle cell proliferation. Resveratrol itself is an efficient antioxidant, as evidenced by both in vitro and in vivo studies, and, it has also been shown to improve diabetes-related impairments in animals.

We hypothesized that resveratrol may have a favorable effects on control of diabetic nephropathy. The aim of this study is to evaluate the safety and effects of resveratrol in treatment of diabetic nephropathy.

日期

最后验证: 09/30/2017
首次提交: 03/03/2016
提交的预估入学人数: 03/05/2016
首次发布: 03/09/2016
上次提交的更新: 10/02/2017
最近更新发布: 10/04/2017
实际学习开始日期: 02/29/2016
预计主要完成日期: 01/31/2017
预计完成日期: 01/31/2017

状况或疾病

Diabetic Nephropathy

干预/治疗

Drug: Resveratrol

Drug: Placebo

Drug: Losartan

-

手臂组

干预/治疗
Experimental: Resveratrol
Resveratrol + Losartan
Drug: Resveratrol
Resveratrol 500mg daily
Placebo Comparator: Placebo
Placebo + Losartan
Drug: Placebo
Placebo 1 capsule daily

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Type 2 diabetes mellitus (DM)

- Controlled blood sugar [fasting blood sugar (FBS) <130mg/dl and glycosylated hemoglobin (A1C)<7%

- Urine albumin >20mg/lit in two separate occasions during the last 3 months period

- Serum creatinin < or = 2mg/dl

Exclusion Criteria:

- Pregnancy

- Lactation

- Alcoholism

- Liver failure (acute or chronic)

- Renal failure: serum creatinin >2mg/dl

- Glomerulonephritis

- Uncontrolled hypertension

- Congestive heart failure

- Prostate disease

- Malignancy

- Bilateral renal artery stenosis

- Any systemic disease other than DM

- Any infection or rheumatologic disorder

- Use of warfarin

结果

主要结果指标

1. Urine albumin level [3 months]

2. Serum creatinin [3 months]

次要成果指标

1. Fasting blood sugar (FBS) [3 months]

2. Glycosylated hemoglobin (A1C) [3 months]

3. Liver aminotransferases (ALT and AST) [3 months]

4. Serum insulin level [3 months]

5. Number of patients with adverse events [3 months]

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