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RecruitingNCT07409714Updated Oct 6, 2026

SMART 2D: Study of Montelukast's Effects on Renal and Cardiovascular Health in Adolescents and Young Adults With Type 2 Diabetes

An Early Phase 1 interventional study of Montelukast and Montelukast Placebo in Type 2 Diabetes, sponsored by University of Colorado, Denver. Recruiting at 1 site in United States. Open to participants aged 14 Years to 24 Years. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by University of Colorado, Denver · Early Phase 1, Interventional, and Treatment

Updated Oct 5, 2026Start date movedPrimary completion moved+1 moreGo to Updates ↓
Phase
Early Phase 1
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
14 Years to 24 Years
Sex
All
01

Study summary

Adolescents and young adults (AYA) with type 2 diabetes (T2D) have a more severe phenotype than what is seen in youth-onset type 1 diabetes or adult-onset T2D including earlier kidney and cardiovascular disease complications; and prioritizing new treatments, either for standalone use or in combination with other therapies is critical. T2D triggers the release of proinflammatory mediators called cysteinyl leukotrienes leading to damage to the kidneys and blood vessels. This clinical trial will evaluate the effects of montelukast, a cysteinyl leukotriene inhibitor, on kidney and vascular function in AYA with T2D to help direct future diabetes care to limit diabetic kidney and cardiovascular disease complications.

02

Conditions studied

  • Type 2 Diabetes

Keywords

  • montelukast
  • diabetes
  • type two diabetes
  • kidney function
  • blood vessel function
  • inflammation
  • smart2d
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 50 is below the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

University of Colorado, Denver is the lead sponsor of 1,543 studies on the registry; 317 are open to participants now.

Of its 147 completed or terminated interventional studies of FDA-regulated products, 92 (63%) have results posted.

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

04

Who can participate

Ages eligible
14 Years to 24 Years
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

  • Age 14-24 years
  • Tanner stage >2
  • Diabetes onset \<18 years of age and \<10 years duration prior to study start
  • HgbA1c \<10%
  • Blood pressure \<130/80 mm Hg prior to randomization
  • Stable anti-hypertensive regimen for at least one month prior to randomization
  • \< 40 kg/m2
  • If on SGLT2 inhibitor, ACEi/ARB or GLP-1RA, stable dose for 4 weeks
  • Patient or guardian able to provide consent

Exclusion criteria

Exclusion Criteria:

  • T1D
  • Episode of diabetic ketoacidosis or hyperosmolar hyperglycemia within 60 days
  • Uncontrolled hypertension
  • \<30 ml/min/1.73m2
  • Macroalbuminuria with urine albumin to creatinine ratio >300 mg/g
  • Current participation in another research study
  • Pregnancy or planning to become pregnant or currently breastfeeding
  • Allergy to aspirin
  • Severe hepatic impairment ( Class C)
  • History of major psychiatric disorder
  • Use of inhaled or systemic or long-acting beta agonists
  • Iodine or shellfish allergy
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Montelukast

    Drug: Montelukast

  • Placebo comparator
    Placebo

    Drug: Montelukast Placebo

Interventions

  • montelukast 10 mg daily for patients aged 15 and older, 5 mg daily for patients aged 14

  • DrugMontelukast Placebo

    one microcrystalline cellulose tablet daily

06

What researchers measure

Primary outcomes

  1. Change in renal vascular resistance (RVR)

    Change in RVR from baseline to 6 months. RVR is calculated as mean arterial pressure (MAP)/renal blood flow (RBF). MAP is measured using a blood pressure cuff and RBF is calculated using p-aminohippurate clearance (PAH clearance).

    Time frame: 0 and 6 months

Secondary outcomes

  1. Change in Brachial artery flow mediated dilation (FMD)

    Change in FMD from baseline to 6 months, measured using high-resolution ultrasonography

    Time frame: 0 and 6 months

  2. Change in aortic pulse-wave velocity (PWV)

    Change in PWV from baseline to 6 months, measured using a transcutaneous tonometer

    Time frame: 0 and 6 months

  3. Change in endovascular biopsy

    Change in endovascular biopsy from baseline to 6 months. Venous endothelial cells will be collected from the intima of the vessel using 2 sterile J-wires advanced and retracted through an 18-gauge catheter, then will be incubated with monoclonal antibodies for Nf-KB.

    Time frame: 0 and 6 months

  4. Change in urinary sCD163

    Time frame: 0 and 6 months

  5. Change in urinary MCP-1

    Time frame: 0 and 6 months

  6. Change in plasma MCP-1

    Time frame: 0 and 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Dec 2030, 50 months later.

Of 62 non-industry phase 1 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 41. This study's planned 50 months is above that.

Counting every sponsor, half of 514 studies reached it within 6 months; a quarter within 2 and three quarters within 14.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 5, 2026: start Aug 2026 → Oct 2026, primary completion Feb 2030 → Dec 2030 and completion Feb 2030 → Dec 2031.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jan 16, 2026
First posted
Feb 13, 2026
StartEst.
Oct 12, 2026was Aug 2026
Primary completionEst.
Dec 2030was Feb 2030
CompletionEst.
Dec 2031was Feb 2030
Last update
Oct 6, 2026
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.
Start date
Aug 7, 2026→Oct 12, 2026
Oct 5, 2026
Primary completion
Feb 2030→Dec 2030
Oct 5, 2026
Study completion
Feb 2030→Dec 2031
Oct 5, 2026
Show all 1 update
  1. Oct 5, 2026
    Start date Aug 7, 2026→Oct 12, 2026
    Primary completion Feb 2030→Dec 2030
    Study completion Feb 2030→Dec 2031
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07409714
Responsible party
Sponsor
First posted
Feb 13, 2026
Start date
Oct 12, 2026 (estimated)
Primary completion
Dec 2030 (estimated)
Completion
Dec 2031 (estimated)
Last update
Oct 6, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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Studies of the drug tested here: Montelukast

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