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CTRI Number  CTRI/2024/05/068172 [Registered on: 31/05/2024] Trial Registered Prospectively
Last Modified On: 15/10/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effect of Hydroxychloroquine drug on progression of Diabetes related Kidney disease 
Scientific Title of Study   Effect of Hydroxychloroquine on Diabetic Nephropathy – a Randomized Controlled Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Varun Kumar Bandi 
Designation  Associate Professor, Dept Of Nephrology 
Affiliation  Dr. Pinnamaneni Siddhartha Institute of Medical Sciences 
Address  Dialysis Unit, Second Floor, Super Specilaity Block, Dr. Pinnamaneni Siddhartha Hospital, Chinna Avutapalli

Krishna
ANDHRA PRADESH
521286
India 
Phone  7708396309  
Fax    
Email  varun.vims@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Varun Kumar Bandi 
Designation  Associate Professor, Dept Of Nephrology 
Affiliation  Dr. Pinnamaneni Siddhartha Institute of Medical Sciences 
Address  Dialysis Unit, Second Floor, Super Specilaity Block, Dr. Pinnamaneni Siddhartha Hospital, Chinna Avutapalli


ANDHRA PRADESH
521286
India 
Phone  7708396309  
Fax    
Email  varun.vims@gmail.com  
 
Source of Monetary or Material Support  
Dr. Pinnamaneni Siddhartha Institute of Medical Sciences 
 
Primary Sponsor  
Name  Dr Varun Kumar Bandi 
Address  Dialysis Unit, Second Floor, Super Specilaity Block, Dr. Pinnamaneni Siddhartha Hospital, Chinna Avutapalli 
Type of Sponsor  Other [Self sponsor] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Varun Kumar Bandi  Dr Pinnamaneni Siddhartha Institute of Medical Sciences and RF  Chinna Avutapalli
Krishna
ANDHRA PRADESH 
7708396309

varun.vims@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E10||Type 1 diabetes mellitus, (2) ICD-10 Condition: E102||Type 1 diabetes mellitus with kidney complications, (3) ICD-10 Condition: E11||Type 2 diabetes mellitus, (4) ICD-10 Condition: E112||Type 2 diabetes mellitus with kidney complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Hydroxychloroquine  Hydroxychloroquine tablet is given at a dose of 200mg twice a day after food for 6 months. 
Comparator Agent  Placebo  Multivitamin tablets of similar size, shape, and color (Tab. Beplex forte) will be given as a placebo twice a day for 6 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Presence of Diabetic Nephropathy 
 
ExclusionCriteria 
Details  1. Pregnant Women
2. People not consenting for study
3. Participation in any other clinical trial
4. History of intolerance to study drug
5. Patients with history of cardiac arrhythmias or prolonged QT interval
6. Patients with severe retinopathy
7. Patients requiring in-patient admission at time of enrolment
8. Any other condition which in the opinion of the investigator, would put the safety of the participant at risk, impede compliance or hinder completion of the study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pharmacy-controlled Randomization 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Change in proteinuria
2. Change in estimated glomerular filtration rate 
12 weeks, 24 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. Effect of hydroxychloroquine on glycemic control
2. Effect of hydroxychloroquine on lipid profile 
6 months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   24/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Early identification and management of diabetes-related complications could help in preventing progression to End stage renal disease. Better management strategies lead to delaying the development of diabetic complications. 

All patients with type 2 diabetes presenting to the Department of General Medicine or Nephrology will be evaluated for inclusion in the study. The subjects will be followed up for a period of 6 months. It is a Single-center, randomized, double blind, placebo-controlled trial, with a total of 60 participants (30 experimental arm, 30 placebo arm). The study will have a 4 week run-in period during which telmisartan dose will be maximised, followed by drug initiation with a 6 month follow up. Participants will receive placebo or hydroxychloroquine twice a day. Hydroxychloroquine will be given at a dose of 200mg twice a day if subjects weight is more than 40kg, or 100mg od if less than 40kg. 

At baseline, demographic characteristics such as Age, Gender, duration of Diabetes Mellitus, history of Hypertension, Cardiac disease, and CKD will be obtained. The subject’s blood pressure, Hemoglobin, Random blood sugar, Creatinine, urine albumin to creatinine ratio (UACR) will be evaluated at randomisation. The following investigations will be done at the end of run-in period, and at end of 6 months: Hemoglobin, Fasting Blood Sugar, Serum Creatinine, highly sensitive C-reactive peptide, fasting serum Insulin, UACR, HbA1c and lipid profile.

 
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