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Trial registered on ANZCTR
Registration number
ACTRN12610000779077
Ethics application status
Approved
Date submitted
12/09/2010
Date registered
20/09/2010
Date last updated
20/09/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Bromocriptine effect on left ventricular hypertrophy in patients with diabetic nephropathy
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Scientific title
Bromocriptine effect on left ventricular hypertrophy in patients with diabetic nephropathy
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Secondary ID [1]
1006
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Cochrane Renal Group: CRG020600041
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Universal Trial Number (UTN)
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Trial acronym
BELVHD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Left ventricular hypertrophy
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Type 2 diabetes mellitus (DM2)
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Stage IV of chronic kidney disease
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Condition category
Condition code
Metabolic and Endocrine
252108
252108
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0
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Diabetes
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Cardiovascular
258380
258380
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0
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Coronary heart disease
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Renal and Urogenital
258381
258381
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Bromocriptine oral tablets 2.5 mg or bromocriptine placebo oral tablets 2.5 mg . The daily doses administered were as follows: Week 1: 1x2.5 mg oral tablet per day, taken after the night meal;Week 2: 2 x 2.5 mg oral tablets per day (5 mg), taken in the morning meal and after the night meal; Weeks 3 - 24 : 3 x 2.5 mg oral tablets per day (7.5 mg) taken after meals. The subjects received this medication in addition to their current treatment.
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Intervention code [1]
241346
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Treatment: Drugs
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Comparator / control treatment
The placebo oral tablets looks like the bromocriptine tablets, same color, size and appearance, but made of starch.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Changes in left ventricular hypertrophy, assessed by two dimensionally guided M-mode echocardiography). This study was done by an expert who didn't know the treatment of the patients, and he followed the recomendations of the American Society of Cardiology. The measures assesed were: left ventricular mass, left ventricular posterior wall thikness, left ventricular septum thikness, left ventricular diastolic diameter and left ventricular mass index that was calculated according with Devereux formula.
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Assessment method [1]
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Timepoint [1]
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Baseline, three and six months following randomisation
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Primary outcome [2]
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Systolic, diastolic and mean blood pressured assesed by 24h ambulatory blood pressure, using a 24 h ambulatory non invasive device.
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Assessment method [2]
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Timepoint [2]
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Baseline, three and six months after randomisation
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Secondary outcome [1]
257754
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24h creatinine clearance. assessed in a 24h urine sample and blood sample.
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Assessment method [1]
257754
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Timepoint [1]
257754
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Baseline, three and six months after randomization
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Secondary outcome [2]
257755
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Pro brain natriuretic peptide,determined in blood sample after a fasting period of 10 h. the samples were obtained after 30 minutes resting in bed.
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Assessment method [2]
257755
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Timepoint [2]
257755
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Baseline, three and six months after randomization
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Secondary outcome [3]
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Prolactin plasma levels determined in blood samples
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Assessment method [3]
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Timepoint [3]
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Baseline and three and six months following randomization
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Eligibility
Key inclusion criteria
type 2 diabetes mellitus
Left ventricular mass > or = 116 g/m2in men and 104 g/m2 in women.
Creatinine clearance < or =30 ml/min.
24h Ambulatory blood pressure (AMBP) > or = 130/80 mmHg.
Patients who give written informed consent
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Minimum age
40
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients treated with dopamine (DA2) receptors antagonists.
Cardiac insuficiency.
Cardiac stroke.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subjects were randomised through table of random numbers by permuted block randomization, that were saved in opaque sealed envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A table of random numbers were used.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
19/11/2004
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2043
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Mexico
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State/province [1]
2043
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Michoacan
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Funding & Sponsors
Funding source category [1]
243802
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Charities/Societies/Foundations
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Name [1]
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Fondo de Fomento a la Investigacion del Instituto mexicano del Seguro Social
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Address [1]
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Paseo de la Reforma No 476.
Colonia Juarez. Delegacion Cuauhtemoc.
CP. 06600 . Mexico DF
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Country [1]
243802
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Mexico
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Primary sponsor type
University
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Name
Escuela Superior de Medicina del Instituto Politecnico Nacional (IPN)
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Address
Plan de San Luis y Diaz Miron.
Mexico D.F. C.P. 11340
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Country
Mexico
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Unidad de Medicna Familiar No 80 del Instituto Mexicano del Seguro Social (IMSS)
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Address [1]
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Ave Madero poniente 1200. Colonia Centro
Morelia, Michoacan, C.P. 58000
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Country [1]
237151
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Mexico
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Secondary sponsor category [2]
237154
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Hospital
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Name [2]
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Hospital General Regional No 1/ Unidad de Medicina Familiar No 80 del Instituto Mexicano del Seguro Social
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Address [2]
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Ave Heroes de Nocupetaro S/N
Morelia, Michoacan . CP. 58010
Mexico
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Country [2]
237154
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Mexico
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Comite Local de Investigacion No 1602
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Ethics committee address [1]
259686
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Instituto Mexicano del Seguro Social Hospital General Regional No 1 Ave Nocupetaro S/N C.P. 58010 Morelia, Michoacan . Mexico
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Ethics committee country [1]
259686
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Mexico
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Date submitted for ethics approval [1]
259686
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02/09/2003
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Approval date [1]
259686
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23/10/2003
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Ethics approval number [1]
259686
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2003.296.00016
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Summary
Brief summary
Left ventricular hypertrophy (LVH) is a major cardiovascular risk factor in patients with diabetic nephropathy and chronic kidney disease (CKD), it predicts myocardial infarction, stroke and cardiovascular death. The prevalence of LVH increases as the renal function declines. High blood pressure, obesity and abnormal lipid profile which often coexist with diabetes have an important role in its development. The mechanism by which LVH develops includes activation of the renin-angiotensin system, aldosterone secretion, and sympathetic over activity. Bromocriptine a DA2 receptor agonist inhibits norepinephrine release and decrease blood pressure acting at the presynaptic receptors. In the kidney it mediates vasodilatation and decreases tubular sodium reabsorption, it also decreases the expression of type-1 angiotensin II receptors in renal proximal tubule and inhibits aldosterone secretion. All of these actions could exert an antiproliferative effect on LVH and modulate kidney function. The objective of this study was to analyze the effect of bromocriptine on left ventricular hypertrophy and its influence in residual renal function in patients with diabetic nephropathy, LVH and stage IV of CKD.
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Trial website
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Trial related presentations / publications
5to Congreso Estatal de Ciencia y Tecnologia clebrated in Morelia, Michoacan , Mexico. Date: november 12 and 13 2009. Poster presentation: "Efecto de bromocriptina en la hipertrofia ventricular izquierda en pacientes con nefropatia diabetica IV" XXI Congreso Nacional de Medicina Familiar Date: 1 to may 3 2008 Guadalajara , Jalisco. Mexico Poster presentation. "Efecto de bromocriptina en la hipertrofia ventricular izquierda en pacientes con nefropatia diabetica IV"
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr, Ramon Paniagua-Sierra
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Address
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Unidad de Investigacion en Enfermedades Nefrologicas
Centro Medico Nacional Siglo XXI. IMSS
Ave Cuauhtemoc No 330
Col. Doctores
México DF. C.P. 06725
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Country
13422
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Mexico
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Phone
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52 55 57 52 59 67 ext 21371
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr, Oliva, Mejia-Rodriguez
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Address
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Instituto Mexicano del Seguro Social
Unidad de Medicina Familiar No 80
Avenida Madero poniente No 1200
Morelia, Michoacan
C.P. 58000
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Country
4350
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Mexico
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Phone
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52 443 3 12 28 80 ext 31407
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Fax
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52 443 3 13 70 26
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Cardiovascular and Renal Effects of Bromocriptine in Diabetic Patients with Stage 4 Chronic Kidney Disease
2013
https://doi.org/10.1155/2013/104059
N.B. These documents automatically identified may not have been verified by the study sponsor.
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