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CompletedNCT01923597Updated Aug 4, 2016

Effect of Green Tea (Epigallocatechin Gallate) on Albuminuria in Patients With Diabetic Nephropathy.

A Phase 2 interventional study of Green tea extract in Diabetic Nephropathy and Hypertension, sponsored by University of Campinas, Brazil. Completed at 1 site in Brazil. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2016-08-04.

Sponsored by University of Campinas, Brazil · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
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Study summary

The purpose of this study is to determine the safety and effect of green tea (epigallocatechin gallate) in albuminuria in diabetic patients and nephropathy.

Read the detailed description

Clinical, prospective, randomized, double-blind, placebo-controlled, with analysis by intention to treat.

50 individuals will be selected with a diagnosis of diabetes / hypertension and has been followed in Diabetic Nephropathy Clinic of the Faculty of Medical Sciences, University of Campinas (UNICAMP). Participants are divided into 02 groups: 1) 25 patients treated with maximum dose of ACE-I and / or angiotensin II receptor blocker (ARBs) + Placebo (absence of epigallocatechin gallate) and 2) treated 25 patients with maximum dose of ACE-I and / or ARBs + green tea (epigallocatechin gallate).

The patients will receive four capsules Polyphenol E - epigallocatechin gallate (Polyphenon Pharma, NY) per day, corresponding to 800 mg of epigallocatechin gallate (EGCG), or placebo (no epigallocatechin gallate) for 3 months. Patients will not be aware of the treatment they are receiving. The subjects will be allocated for the treatment or placebo, stratified by sex. To avoid the influence of researchers, the randomization list will be generated and maintained by trained personnel in a different location from the study. Before treatment and immediately after 3 months of treatment will be obtained in the primary outcome measures (albuminuria) and secondary (plasma metabolites of flavonoids, level of urinary F2-isoprostane and 8-hydroxydeoxyguanosine). In these same times will be obtained: blood biochemistry (glucose, glycosylated hemoglobin, urea, creatinine, sodium, potassium, blood count, calcium, phosphorus, cholesterol, LDL, HDL, triglycerides, uric acid), 3 samples of first morning urine to determine albuminuria, glomerular filtration rate (GFR), blood pressure measurement of 24 h, physical examination, weight, blood pressure and heart rate. Adherence to the study will be evaluated by weekly phone and the expected increase in plasma of flavonoids using the green tea (epigallocatechin gallate). The antihypertensive drug may be adjusted to obtain the desired pressure (\<130/80 mmHg).

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Conditions studied

  • Diabetic Nephropathy
  • Hypertension

Keywords

  • Proteinuria
  • Oxidative stress
  • Epigallocatechin gallate
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In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's enrollment of 50 is below the median of 70 across 2,640 interventional studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

University of Campinas, Brazil is the lead sponsor of 166 studies on the registry; 13 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 18 years or more
  • prior diagnosis of diabetes mellitus (DM)
  • persistent micro-or macroalbuminuria (urinary albumin excretion> 30 mg / g creatinine (AUC) in 3 consecutive measurements on different days)
  • glycated hemoglobin \<10%
  • maximum dose of ACE-I and / or ARBs.

Exclusion criteria

Exclusion Criteria:

  • diagnosis of autoimmune diseases, HIV, hepatitis, cancer, inflammatory disease
  • pregnant or lactating patients
  • glomerular filtration rate (GFR) \<30 ml/min/1, 73m2 (estimated by the MDRD and the Cockcroft-Gault formula)
  • presence of kidney disease unrelated to diabetes
  • chronic urinary tract infection
  • diagnosis of congestive heart failure (CHF) New York Heart Association (NYHA) class III or IV
  • recent history (\<6 months) unstable angina, myocardial infarction, stroke, coronary intervention
  • history of alcohol and / or drugs
  • mental incapacity to understand the informed consent
  • intolerance to green tea
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    Green tea extract

    Patients will receive four capsules ( one capsula = 200mg of epigallocatechin gallate) of green tea extract per day for 3 months.

    Drug: Green tea extract

  • Placebo comparator
    Placebo (celulose)

    Patients will receive four capsules of placebo (celulose) daily for 3 months.

    Drug: Green tea extract

Interventions

  • DrugGreen tea extract

    200mg/capsule Administered orally 4 capsules per day For 3 months

    Also known as: Epigallocatechin gallate, Polyphenol e

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What researchers measure

Primary outcomes

  1. Effect of green tea (epigallocatechin gallate) in albuminuria in diabetic patients and nephropathy.

    Mean of 3 urinary albumin to creatinine ratio.

    Time frame: After 3 months of treatment

Secondary outcomes

  1. Effect of green tea (epigallocatechin gallate) on oxidative stress in patients with diabetic nephropathy.

    Urinary levels of F2-isoprostane and 8-hydroxydeoxyguanosine

    Time frame: After 3 months of treatment

  2. Effect of green tea (epigallocatechin gallate) on blood glucose control in patients with diabetic nephropathy.

    Glycemia and glycated hemoglobin

    Time frame: After 3 months of tretatment

  3. Effect of green tea (epigallocatechin gallate) on blood pressure in patients with diabetic nephropathy.

    24 h blood pressure monitoring

    Time frame: After 3 months of treatment

  4. Effect of green tea (epigallocatechin gallate) on plasma lipids in patients with diabetic nephropathy.

    Plasma levels of HDL.

    Time frame: After 3 months of treatment

  5. Effect of green tea (epigallocatechin gallate) on plasma metabolites of flavonoids in patients with diabetic nephropathy.

    Plasma levels of epigallocatechin gallate and epicatechin.

    Time frame: After 3 months of treatment

  6. Effect of green tea (epigallocatechin gallate) on plasma lipids in patients with diabetic nephropathy.

    Plasma levels of LDL.

    Time frame: After 3 months of treatment

  7. Effect of green tea (epigallocatechin gallate) on plasma lipids in patients with diabetic nephropathy.

    Plasma levels of triglycerides.

    Time frame: After 3 months of treatment

Other outcomes

  1. Effect of Green Tea (epigallocatechin gallate) in the glomerular filtration rate in patients with diabetic nephropathy.

    Estimated by Modification of Diet in Renal Disease (MDRD) formula.

    Time frame: After 3 months of treatment

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Study locations

1 site
  • Unicamp
    Campinas, São Paulo 13084-971, Brazil
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References and documents

Publications

  • Faria AM, Papadimitriou A, Silva KC, Lopes de Faria JM, Lopes de Faria JB. Uncoupling endothelial nitric oxide synthase is ameliorated by green tea in experimental diabetes by re-establishing tetrahydrobiopterin levels. Diabetes. 2012 Jul;61(7):1838-47. doi: 10.2337/db11-1241. Epub 2012 May 14. PubMed 22586583 ↗
  • Ribaldo PD, Souza DS, Biswas SK, Block K, Lopes de Faria JM, Lopes de Faria JB. Green tea (Camellia sinensis) attenuates nephropathy by downregulating Nox4 NADPH oxidase in diabetic spontaneously hypertensive rats. J Nutr. 2009 Jan;139(1):96-100. doi: 10.3945/jn.108.095018. Epub 2008 Dec 3. PubMed 19056645 ↗
  • Borges CM, Papadimitriou A, Duarte DA, Lopes de Faria JM, Lopes de Faria JB. The use of green tea polyphenols for treating residual albuminuria in diabetic nephropathy: A double-blind randomised clinical trial. Sci Rep. 2016 Jun 20;6:28282. doi: 10.1038/srep28282. PubMed 27320846 ↗

Related links

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 4, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01923597
Lead sponsor
University of Campinas, Brazil
Responsible party
Cynthia de Moura Borges (master's student, University of Campinas, Brazil) — Principal investigator
First posted
Aug 15, 2013
Start date
Nov 2013
Primary completion
Mar 2015
Completion
Mar 2015
Last update
Aug 4, 2016

Study contacts

José B. Lopes de Faria, MD
principal investigator · University of Campinas, Brazil

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2013. You cannot join it, but the record below documents what was studied.

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