ClinicalTrials.gg
TerminatedNCT00108485Updated Jun 22, 2016Results posted

Study of the Use of Niaspan for Treatment of Dyslipidemia in Diabetic Nephropathy

A Phase 3 interventional study of Extended release niacin and Placebo in Diabetes Mellitus, Type 2, Kidney Failure, Chronic and Hyperlipidemia, sponsored by University of Miami. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-06-22.

Sponsored by University of Miami · Phase 3, Interventional, and Treatment

Why this study was terminated
Unable to recruit sufficient study subjects
Phase
Phase 3
Study type
Interventional
Enrollment
9
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to test the effectiveness and tolerability of Niaspan® to improve the levels of blood fats ("good" and "bad" cholesterol and triglyceride levels) in people who have kidney damage due to diabetes. A secondary goal is to test whether Niaspan® slows down further development of kidney damage.

Read the detailed description

Diabetic nephropathy is the leading cause of end stage kidney disease in the United States. Patients with chronic kidney disease have a markedly increased risk of death from cardiovascular disease, and traditional risk factors such as hyperlipidemia have been shown to be of critical importance. Almost 90% of patients with diabetes and chronic kidney disease have lipid abnormalities. Here, we investigate whether Niaspan, taken in addition to lipid-lowering drugs referred to as "statins", will decrease LDL cholesterol and increase LDL particle size, increase HDL, reduce proteinuria, and reduce the speed of loss of renal function.

02

Conditions studied

  • Diabetes Mellitus, Type 2
  • Kidney Failure, Chronic
  • Hyperlipidemia

Keywords

  • Diabetes Mellitus, Type 2
  • Kidney Failure, Chronic
  • Hyperlipidemia
  • Randomized Controlled Trials
03

In context

Diabetes Mellitus, Type 2

9,589 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,332 are open to participants now.

This study's enrollment of 9 is below the median of 81 across 7,713 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

University of Miami is the lead sponsor of 838 studies on the registry; 164 are open to participants now.

Of its 114 completed or terminated interventional studies of FDA-regulated products, 96 (84%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of type 2 diabetes
  • Diagnosis of chronic kidney disease stage 2 or 3 with an estimated GFR of 30-89 ml/min using the four variable MDRD (Modification of Diet in Renal Disease Study Group) formula
  • Presence of microalbuminuria or proteinuria less than 3.5 g/d
  • Diagnosis of hyperlipidemia currently treated with a "statin" drug

Exclusion criteria

Exclusion Criteria:

  • Not meeting inclusion criteria
  • HDL-C > 40 mg/dL for men, > 50 mg/dL for women
  • TG (triglycerides) \< 150 mg/dL and > 800 mg/dL
  • Documented intolerance to Niaspan or Aspirin
  • Treatment with other lipid-lowering agents (fibrates, BAS [bile acid sequestrants], or ezetimibe)
  • Elevated transaminases (AST or ALT >1.3 x ULN)
  • Unstable type 2 diabetes (FBG >200 mg/dL or HbA1c >9.5%)
  • Known seropositivity for Hepatitis B, C, or HIV
  • Documented history of malignancy
  • Age \< 18 years
  • Pregnant women or nursing mothers
  • Inability to give informed consent
  • Start or change in "statin" dose \< 2 months ago
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
9 participants (actual)

Study arms

  • Active comparator
    Extended release niacin

    Extended release niacin 1500-2000 mg daily versus placebo comparator

    Drug: Extended release niacin

  • Placebo comparator
    Placebo

    Placebo tablets

    Other: Placebo

Interventions

  • Extended release niacin 1500-2000mg once daily

    Also known as: Niaspan

  • OtherPlacebo

    Placebo tablets

06

What researchers measure

Primary outcomes

  1. Change in Proteinuria

    Time frame: Baseline, 1 year

07

Results

Posted May 12, 2016
Limitations and caveats
Early termination of study lead to small number of subjects analyzed.

Participant flow

Participant flow — Overall Study
MilestoneExtended Release NiacinPlacebo
Started54
Completed22
Not completed32
Withdrew: Withdrawal by subject30
Withdrew: Lost to follow-up02

Outcome measures

PrimaryChange in Proteinuria
Time frame:
Baseline, 1 year
Reported as:
Number · mg/dL
Change in Proteinuria
mg/dLExtended Release NiacinPlacebo
Change in Proteinuria4263

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Extended Release Niacin—0/5 (0%)3/5 (60%)
Placebo—0/4 (0%)3/4 (75%)
Most frequent other events
Most frequent other events
EventExtended Release NiacinPlacebo
BronchitisRespiratory, thoracic and mediastinal disorders0/51/4
Bilateral Calf PainMusculoskeletal and connective tissue disorders0/51/4
DiarrheaGastrointestinal disorders0/51/4
Back and Shoulder PainMusculoskeletal and connective tissue disorders0/51/4
Leg Muscle PainMusculoskeletal and connective tissue disorders0/51/4
Blurred VisionEye disorders1/50/4
Subpleural NoduleVascular disorders1/50/4
FlushingVascular disorders1/50/4
Itching Upper ExtremetiesSkin and subcutaneous tissue disorders1/50/4
Chest PainGeneral disorders1/50/4

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Extended Release NiacinPlaceboTotal
<=18 years000
Between 18 and 65 years426
>=65 years123
Sex: Female, Male
Sex: Female, Male(Participants)Extended Release NiacinPlaceboTotal
Female325
Male224
Region of Enrollment
Region of Enrollment(participants)Extended Release NiacinPlaceboTotal
United States549
08

Study locations

1 site
  • Univesity of Miami/Diabetes Research Institute
    Miami, Florida 33136, United States
09

References and documents

Publications

  • Grundy SM, Vega GL, McGovern ME, Tulloch BR, Kendall DM, Fitz-Patrick D, Ganda OP, Rosenson RS, Buse JB, Robertson DD, Sheehan JP; Diabetes Multicenter Research Group. Efficacy, safety, and tolerability of once-daily niacin for the treatment of dyslipidemia associated with type 2 diabetes: results of the assessment of diabetes control and evaluation of the efficacy of niaspan trial. Arch Intern Med. 2002 Jul 22;162(14):1568-76. doi: 10.1001/archinte.162.14.1568. PubMed 12123399 ↗
  • Wolfe ML, Vartanian SF, Ross JL, Bansavich LL, Mohler ER 3rd, Meagher E, Friedrich CA, Rader DJ. Safety and effectiveness of Niaspan when added sequentially to a statin for treatment of dyslipidemia. Am J Cardiol. 2001 Feb 15;87(4):476-9, A7. doi: 10.1016/s0002-9149(00)01410-7. PubMed 11179541 ↗
  • Guyton JR, Blazing MA, Hagar J, Kashyap ML, Knopp RH, McKenney JM, Nash DT, Nash SD. Extended-release niacin vs gemfibrozil for the treatment of low levels of high-density lipoprotein cholesterol. Niaspan-Gemfibrozil Study Group. Arch Intern Med. 2000 Apr 24;160(8):1177-84. doi: 10.1001/archinte.160.8.1177. PubMed 10789612 ↗
  • Whitney EJ, Krasuski RA, Personius BE, Michalek JE, Maranian AM, Kolasa MW, Monick E, Brown BG, Gotto AM Jr. A randomized trial of a strategy for increasing high-density lipoprotein cholesterol levels: effects on progression of coronary heart disease and clinical events. Ann Intern Med. 2005 Jan 18;142(2):95-104. doi: 10.7326/0003-4819-142-2-200501180-00008. PubMed 15657157 ↗
  • Owada A, Suda S, Hata T. Antiproteinuric effect of niceritrol, a nicotinic acid derivative, in chronic renal disease with hyperlipidemia: a randomized trial. Am J Med. 2003 Apr 1;114(5):347-53. doi: 10.1016/s0002-9343(02)01567-x. PubMed 12714122 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Apr 2005, a primary completion of Dec 2012 and a completion of Dec 2012. It does not say whether these dates are actual or estimated.

Results were first posted in May 2016, 3 years 5 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 15, 2005
First posted
Apr 18, 2005
Start
Apr 2005
Primary completionActual
Dec 2012
CompletionActual
Dec 2012
Results first posted
May 12, 2016
Last update
Jun 22, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 22, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00108485
Responsible party
Ronald Goldberg (Professor of Medicine, University of Miami) — Principal investigator
First posted
Apr 18, 2005
Start date
Apr 2005
Primary completion
Dec 2012
Completion
Dec 2012
Results posted
May 12, 2016
Last update
Jun 22, 2016

Study contacts

Ronald Goldberg, MD
principal investigator · University of Miami, Miami, FL

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in May 2016. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Niacin

Start the discussion