TY - JOUR A1 - Groop, Per-Henrik A1 - Cooper, Mark E. A1 - Perkovic, Vlado A1 - Sharma, Kumar A1 - Schernthaner, Guntram A1 - Haneda, Masakazu A1 - Hocher, Berthold A1 - Gordat, Maud A1 - Cescutti, Jessica A1 - Woerle, Hans-Juergen A1 - von Eynatten, Maximilian T1 - Dipeptidyl peptidase-4 inhibition with linagliptin and effects on hyperglycaemia and albuminuria in patients with type 2 diabetes and renal dysfunction: Rationale and design of the MARLINA-T2D trial JF - Diabetes & vascular disease research : official journal of the International Society of Diabetes and Vascular Disease N2 - Efficacy, Safety & Modification of Albuminuria in Type 2 Diabetes Subjects with Renal Disease with LINAgliptin (MARLINA-T2D), a multicentre, multinational, randomized, double-blind, placebo-controlled, parallel-group, phase 3b clinical trial, aims to further define the potential renal effects of dipeptidyl peptidase-4 inhibition beyond glycaemic control. A total of 350 eligible individuals with inadequately controlled type 2 diabetes and evidence of renal disease are planned to be randomized in a 1:1 ratio to receive either linagliptin 5mg or placebo in addition to their stable glucose-lowering background therapy for 24weeks. Two predefined main endpoints will be tested in a hierarchical manner: (1) change from baseline in glycated haemoglobin and (2) time-weighted average of percentage change from baseline in urinary albumin-to-creatinine ratio. Both endpoints are sufficiently powered to test for superiority versus placebo after 24weeks with =0.05. MARLINA-T2D is the first of its class to prospectively explore both the glucose- and albuminuria-lowering potential of a dipeptidyl peptidase-4 inhibitor in patients with type 2 diabetes and evidence of renal disease. KW - Dipeptidyl peptidase-4 inhibition KW - linagliptin KW - type 2 diabetes KW - chronic kidney disease KW - glycaemic control KW - albuminuria Y1 - 2015 U6 - https://doi.org/10.1177/1479164115579002 SN - 1479-1641 SN - 1752-8984 VL - 12 IS - 6 SP - 455 EP - 462 PB - Sage Publ. CY - London ER -