Evaluation Study for the Programme DiaNe for People With Diabetic Nephropathy
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Purpose
This study is designated to evaluate the effect of a patients' educational program called DiaNe® for consultation and support people with diabetic kidney disease in an early stage. The aim of the study is to examine if the program is suitable to stop deterioration of kidney function and to maintain or improve glycemic control. The consultation and support program DiaNe® substantially contributes to a better understanding of the affected clients for this complex clinical picture, allows them for specific interventions and creates the rationale for an active therapeutic relationship.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetic Nephropathy |
Behavioral: DiaNe consultation and support program |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | A Prospective Controlled Randomized Multicenter Trial to Evaluate the Effect of a Structurized Multifactorial Behavior Modifying Consultation and Support Programme DiaNe for People With Diabetic Nephropathy |
- deterioration of kidney function in diabetic nephropathy [ Time Frame: 13 months ] [ Designated as safety issue: No ]
- HbA1c [ Time Frame: 13 months ] [ Designated as safety issue: No ]
| Enrollment: | 125 |
| Study Start Date: | July 2004 |
| Study Completion Date: | January 2007 |
| Primary Completion Date: | January 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: with DiaNe program
study subjects which participated in the DiaNe consultation and support program
|
Behavioral: DiaNe consultation and support program
the DiaNe consultation and support program for clients with diabetic nephropathy consists of 4 sessions at 90-120 minutes conducted every week in a period of 4 weeks
Other Name: DiaNe program, DiaNe(R)
|
|
No Intervention: without DiaNe program
study subjects which received standard care by diabetologist and/or nephrologist
|
Detailed Description:
According to statistics diabetes mellitus is considered to be the leading cause for end stage renal disease in Germany, approximately 35% of the patients starting on dialysis are affected by diabetes-induced nephropathy. This can be seen in countries all over the world. This situation has been known for years. To date, neither structured intervention methods nor educational programs have been designed for and targeting those affected, which would consequently allow for structured, multifactorial intervention at an early stage of diabetic nephropathy. Multifactorial interventions, as published in the Steno-2 trial, appear to be highly effective with regard to long-term complications of diabetes. In order to realize this approach for the affected as well as the medical staff caring for patients with diabetes-induced nephropathy we developed DiaNe®, a consultation and support program, which is designed to give detailed information to the affected in order to induce behavioral changes. We were able to show a clinically significant reduction of microalbuminuria within a first monocenter evaluation trial. We wanted to verify this effect by means of a prospective multicenter randomized cohort trial according to GCP-ICH guidelines.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- diabetes mellitus
- proven diabetic nephropathy by histological/lab findings and/or discretion of nephrologist
- ability to understand the German language
Exclusion Criteria:
- end stage renal disease and/or dialysis
- unable or unwilling to follow the protocol
- pregnant women
- discretion of nephrologist
Contacts and Locations| Germany | |
| Diabetes- und Nierenzentrum Dormagen | |
| Dormagen, NRW, Germany, D-41539 | |
| Principal Investigator: | Ludwig F Merker, MD | Diabetes- und Nierenzentrum Dormagen |
More Information
No publications provided
| Responsible Party: | Ludwig Merker, MD, Diabetes- und Nierenzentrum Dormagen |
| ClinicalTrials.gov Identifier: | NCT00782847 History of Changes |
| Other Study ID Numbers: | DiaNe-Studie |
| Study First Received: | October 30, 2008 |
| Last Updated: | October 30, 2008 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by DiaNe HCM GmbH:
|
diabetes mellitus diabetic nephropathy hypertension |
Additional relevant MeSH terms:
|
Diabetic Nephropathies Kidney Diseases Urologic Diseases Diabetes Complications Diabetes Mellitus Endocrine System Diseases Diane Cyproterone Cyproterone Acetate Androgen Antagonists |
Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Antineoplastic Agents Therapeutic Uses Contraceptive Agents, Male Contraceptive Agents Reproductive Control Agents |
ClinicalTrials.gov processed this record on May 23, 2013