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Trial registered on ANZCTR
Registration number
ACTRN12617000240347p
Ethics application status
Submitted, not yet approved
Date submitted
28/11/2016
Date registered
16/02/2017
Date last updated
16/02/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Novel markers of diabetes related kidney complications.
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Scientific title
Isolation and characterisation of endothelial and urinary extracellular vesicles to identify potential biomarkers for diabetes and diabetic nephropathy.
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Secondary ID [1]
290634
0
BIDI-2016-09-688
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Universal Trial Number (UTN)
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Trial acronym
not applicable
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Linked study record
not applicable
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Health condition
Health condition(s) or problem(s) studied:
diabetes related kidney disease
301152
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Condition category
Condition code
Metabolic and Endocrine
300920
300920
0
0
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Diabetes
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Renal and Urogenital
301720
301720
0
0
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Kidney disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The study involves a screening visit to establish eligibility to the study based on presence or absence of diabetes status, renal impairment and macroalbuminia; and then a follow-up visit for blood and urine collection for isolation and characterisation of endothelial and urinary extracellular vesicles.
Comparisons will be made between three groups:
group 1 - type 2 diabetes, renal impairment [eGRF <60 ml/min] and no macroalbuminuria; group 2 - type 2 diabetes, renal impairment [eGFR <60 ml/min[ and macroalbuminuria
group 3 - no type 2 diabetes, no renal impairment [eGFR = to or > 60 ml/min] and no macroalbuminuria
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Intervention code [1]
296515
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Not applicable
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Comparator / control treatment
control group is "health controls without diabetes" defined as no type 2 diabetes, no renal impairment [eGFR = to or > 60 ml/min], and no macroalbuminuria
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Control group
Active
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Outcomes
Primary outcome [1]
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To determine the viability of identifying extracellular vesicles
i) from urine (exosomes)
ii) from plasma (microvesicles)
as biomarkers for diabetic nephropathy.
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Assessment method [1]
300332
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Timepoint [1]
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cross-sectional study with testing undertaken at the time of blood and urine sample collection
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Secondary outcome [1]
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To determine if there are differences in extracellular vesicles from
i) urine
ii) plasma
between patients with diabetic nephropathy and healthy controls.
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Assessment method [1]
331683
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Timepoint [1]
331683
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cross-sectional study with testing undertaken at the time of blood and urine sample collection
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Eligibility
Key inclusion criteria
(i) type 2 diabetes cohort
1. age 18-75 years
2. type 2 diabetes mellitus
with macroalbuminuria (urinary albumin:creatine = to or > 30mg/mmol and renal impairment (eGFR < 60 ml/min)
without albuminuria (urinary albumin:creatine < 3mg/mmol) but with renal impairment (eGFR < 60 ml/min)
(ii) healthy cohort
1. age 18-75 years
2. no type 2 diabetes
without albuminuria (urinary albumin:creatine < 3mg/mmol) but without renal impairment (eGFR = to or > 60 ml/min)
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
(i) type 2 diabetes cohort
1. pregnant females
2. known renal/renal tract disease other than diabetic nephropathy
(ii) healthy cohort
1. presence of any diabetes including history of gestational diabetes mellitus
2. presence renal impairment (eGFR < 60 ml/min)
3. known renal/renal tract disease other than diabetic nephropathy
4. pregnant females
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Differences between the three categories of participants (no type 2 diabetes/normal renal function/no albuminuria versus type 2 diabetes/renal impairment/no albuminuria versus type 2 diabetes/renal impairment/albuminuria) on baseline participant characteristics, and exosome and microvesicle amount and composition, will be by:
(i) ANOVA for continuous variables
(ii) chi2 test/Fisher exact for categorical variables.
The impact of clinical and biochemical factors on exosome and microvesicle amount and composition will be by:
(i) Pearson r correlation for normally distributed variables
(ii) Spearman rank correlation for non-normally distributed variables.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/04/2017
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Actual
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Date of last participant enrolment
Anticipated
31/10/2017
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Actual
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Date of last data collection
Anticipated
31/10/2017
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Actual
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Sample size
Target
55
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
295068
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Commercial sector/Industry
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Name [1]
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CSL Limited
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Address [1]
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45 Poplar Rd, Parkville, Victoria 3052, Australia
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Country [1]
295068
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Australia
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Primary sponsor type
Other
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Name
Baker Heart and Diabetes Institute
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Address
75 Commercial Road, Melbourne, Victoria 3004, Australia
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Country
Australia
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Secondary sponsor category [1]
293878
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None
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Name [1]
293878
0
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Address [1]
293878
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Country [1]
293878
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Other collaborator category [1]
279325
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Individual
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Name [1]
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Dr David Greening
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Address [1]
279325
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La Trobe University, Kingsbury Drive, Bundoora, Victoria 3086, Australia
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Country [1]
279325
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
296410
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Bellberry
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Ethics committee address [1]
296410
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129 Glen Osmond Road, Eastwood South Australia 5063, Australia
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Ethics committee country [1]
296410
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Australia
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Date submitted for ethics approval [1]
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28/11/2016
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Approval date [1]
296410
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Ethics approval number [1]
296410
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Summary
Brief summary
Cells release diverse types of small membrane vesicles called exosomes and microvesicles and collectively are known as extracellular vesicles. Exosomes have an endocytic origin and are released upon multivesicular body fusion with the plasma membrane. Microvesicles are released from the cell surface, and are a rich source of non-conventionally secreted proteins lacking a conventional signal peptide, and thus not secreted by the classical secretory pathways. Both types of extracellular vesicles play major roles in intercellular communication by serving as vehicles for transfer between cells of membrane and cytosolic proteins, lipids and RNA. These extracellular vesicles are fragments of virtually all cell types (mainly endothelium, platelets, leukocytes) released into all types of body fluids during cell apoptosis or cell activation. They are characterised by an integral plasma membrane containing a subset of proteins, lipids and nucleic acids that are derived from the cell from which they originated. Extracellular vesicles may have important roles in intercellular communication, both locally and systemically, by transferring their contents between cells. Endothelial microvesicles play key roles in coagulation, inflammation and angiogenesis and can be quantified by flow cytometry using specific endothelial markers. Diabetic nephropathy is a prevalent major microvascular complication defined by functional, structural and clinical abnormalities of the kidney that is caused by diabetes. This complication has become the most frequent cause of end-stage renal disease. Additionally, it is strongly associated with cardiovascular morbidity and mortality. Diagnosis is usually based on the measurement of high levels of albumin in the urine and evidence of reduced kidney function.
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Trial website
not applicable
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Trial related presentations / publications
none to date
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Public notes
nil
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Contacts
Principal investigator
Name
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A/Prof Esther Briganti
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Address
70798
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Baker Heart and Diabetes Institute
Level 4, 99 Commercial Road, Melbourne Victoria 3004, Australia
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Country
70798
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Australia
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Phone
70798
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+61 3 8532 1838
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Fax
70798
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+61 3 8532 1899
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Email
70798
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[email protected]
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Contact person for public queries
Name
70799
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Esther Briganti
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Address
70799
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Baker Heart and Diabetes Institute
Level 4, 99 Commercial Road, Melbourne Victoria 3004, Australia
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Country
70799
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Australia
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Phone
70799
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+61 3 8532 1838
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Fax
70799
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+61 3 8532 1899
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Email
70799
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[email protected]
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Contact person for scientific queries
Name
70800
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Esther Briganti
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Address
70800
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Baker Heart and Diabetes Institute
Level 4, 99 Commercial Road, Melbourne Victoria 3004, Australia
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Country
70800
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Australia
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Phone
70800
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+61 3 8532 1838
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Fax
70800
0
+61 3 8532 1899
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Email
70800
0
[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
No additional documents have been identified.
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