ClinicalTrials.gg
RecruitingNCT07764991Updated Aug 14, 2026

Lactoferrin Supplementation in Diabetic Nephropathy

A Phase 2 interventional study of Lactoferrin and Antidiabetic in Diabetic Nephropathy, sponsored by Ain Shams University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-14.

Sponsored by Ain Shams University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Aug 2025, registered Aug 2026).
  • Started Aug 2025; still recruiting 1 year 3 months later.

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Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 24 studies in Diabetic Nephropathies with a site in Egypt — 6 open to participants now, 6 under way, 1 of them phase 3. Diabetic Nephropathies · Egypt.

Planned enrollment
8th of 17
60 · median 60
Started
2025
with 4 others
Phase 2
4 of 24
1 open now
Registered
22nd of 24
by date
Lead sponsor
5 of 24
Ain Shams University

Among the 24 studies in Diabetic Nephropathies with a site in Egypt, this one is the 8th largest by planned enrollment of the 17 interventional ones that give a count, is one of 5 that started in 2025, is one of 4 in phase 2, and was the 22nd registered.

Diabetic Nephropathies

543 studies on the registry are indexed under Diabetic Nephropathies; 110 are open to participants now.

Browse Diabetic Nephropathies studies →

Open to participants now

6 of the 24 studies in Diabetic Nephropathies with a site in Egypt are open now. Recruiting first, the newest first:

All 6 open studies →

A study can be open while its sites in Egypt have not opened yet or have stopped. Only those recruiting at a site in Egypt →

Who these studies take

Of the 50 Diabetic Nephropathies studies recruiting now, 23 (46%) set no upper age limit and 16 (32%) stop at 75 or younger; 5 take children under 18; 8 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 24 studies in Diabetic Nephropathies with a site in Egypt, or all of them as a file.
02

Study summary

Multiple pathways and mediators, including oxidative stress, inflammation, and the over-activity of the renin-angiotensin-aldosterone system are involved in the development of albuminuria and progression of diabetic nephropathy (DN), of which oxidative stress is the most prominent. Previous research has shown that lactoferrin (LF) has multi-pharmacological properties, including antioxidant, anti-inflammatory, antiviral, anticancer, antibacterial, antifibrotic and immunogenic properties . Lactoferrin was reported to be a useful nutritional supplement to support immunity and antioxidant status and suppress systemic inflammatory and oxidative stress biomarkers ( ↓ TNF-α, ↓ IL-6, ↓ IFN-γ, ↓ IL-1β, ↑ IL-10) in previous studies. Lactoferrin, in vitro, has been reported to reduce oxidative stress, inflammation, apoptosis and fibrosis in acute and chronic kidney disease. Moreover, different rat models with kidney injury have proven the nephroprotective effect of LF through decreasing the levels of urinary albumin to creatinine ratio, serum creatinine, serum urea, and blood urea nitrogen (BUN) and also through reducing the expression of kidney damage markers; osteopontin, renin and IL-6. Furthermore, LF improved glycemic control and lipid markers through significant improvement of HbA1c, FBG, insulin resistance, body mass index and lipid markers.

Hence, this study aims to evaluate the effect of LF on the clinical outcomes of type 2 diabetic patients with DN.

03

Conditions studied

  • Diabetic Nephropathy

Keywords

  • lactoferrin
  • diabetic nephropathy
04

Who can participate

Ages eligible
18 Years to 75 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 ≥ 18 years
  • Type II diabetic patients with CKD stage 3 ( = 30 - 59 ml/min/1.73m2) or stage 4 (eGFR 15-29 ml/min/1.73m2)
  • Urinary albumin/Creatinine ratio (UACR): moderately and severely increased albuminuria (> 30 mg/g)
  • Stable standard therapy for at least three months prior to inclusion in the study.
  • >12 months.

Exclusion criteria

Exclusion Criteria:

  • Participation in other interventional trials
  • Current or previous treatment with LF supplements at least three months before inclusion.
  • Kidney donor or recipient
  • Pregnancy or breastfeeding
  • Active
  • Poor adherence potential (e.g. cognitive impairment, psychiatric instability)
  • Known intolerance or allergy to lactoferrin
Terms in these criteria, in plain language(3)

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Lactoferrin arm

    30 patients will receive standard therapy + LF in an oral dose of 250 mg/day for 12 weeks

    Dietary Supplement: Lactoferrin · Drug: Antidiabetic

  • Placebo comparator
    Placebo arm

    30 patients receiving standard therapy + placebo for 12 weeks.

    Drug: Antidiabetic · Other: Placebo

Interventions

  • Dietary supplementLactoferrin

    Lactoferrin 250mg/day

  • Antidiabetic (insulin+/oral hypoglycemics)

  • OtherPlacebo

    Placebo pills

06

What researchers measure

Primary outcomes

  1. Urinary albumin/creatinine ratio

    Time frame: Baseline and after 12 weeks

Secondary outcomes

  1. Kidney function tests (serum creatinine, estimated glomerular filteration rate ( by ckd-epi equation) and blood urea nitrogen).

    Time frame: Baseline and after 12 weeks

  2. Glycemic indices (fasting blood glucose and hemoglobin A1c).

    Time frame: Baseline and after 12 weeks

  3. Lipid profile (low-density lipoprotein cholesterol, high- density lipoprotein cholesterol, total cholesterol and triglycerides).

    Time frame: Baseline and after 12 weeks

  4. Body mass index

    Weight and height will be combined to report BMI in kg/m\^2

    Time frame: Baseline and after 12 weeks

  5. Osteopontin as a biomarker of oxidative stress

    Time frame: Baseline and after 12 weeks

  6. Quality of life using the Kidney Disease Quality of Life Instrument (KDQOL -36™ Survey)

    Time frame: Baseline and after 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar 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

Started Aug 2025 (actual). Primary completion is estimated for Feb 2027, 18 months after the start.

Of 52 phase 2 interventional studies under Diabetic Nephropathies, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 31. This study's planned 18 months is below that.

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

Registered
Aug 4, 2026
First posted
Aug 14, 2026
StartActual
Aug 1, 2025
Primary completionEst.
Feb 2027
CompletionEst.
Feb 2027
Last update
Aug 14, 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.
No changes since tracking began. The registry record was last updated on Aug 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07764991
Responsible party
Nihal Mohamed Halawa (Assistant lecturer of clinical pharmacy, Ain Shams University) — Principal investigator
First posted
Aug 14, 2026
Start date
Aug 1, 2025
Primary completion
Feb 2027 (estimated)
Completion
Feb 2027 (estimated)
Last update
Aug 14, 2026

Study contacts

Nihal Halawa, MSc in Clinical Pharmacy
Contact
nihal.halawa3@pharma.asu.edu.eg
00201009716047

Oversight

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

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