Trial Outcomes & Findings for Improving Screening and Therapy for Hispanic/Latinx at Risk for CKD (NCT NCT05734989)

NCT ID: NCT05734989

Last Updated: 2026-04-24

Results Overview

Recruitment status

COMPLETED

Target enrollment

248 participants

Primary outcome timeframe

up to 3 months after screening

Results posted on

2026-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
Hispanic/Latinx Patients at Risk for CKD
Adult Hispanic individuals in the Durham community screened for CKD Urine protein/glucose screening, blood pressure measurements, and BMI measures will be conducted, in addition to obtaining information about family history of diabetes, to identify participants with or at risk for chronic kidney disease. Those identified as being at risk will be referred to PCP for follow up/treatment.
Screening/Treatment Group
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, eligible for one or more of the following screens/interventions: 1) Annual urine albumin/creatinine screen; 2) Initiation of renin-angiotensin-aldosterone system (RAAS) inhibitor; 3) Initiation of sodium-glucose cotransporter-2 (SGLT2) inhibitor, and/or glucagon-like peptide-1 (GLP-1) receptor agonist (RA)
Optimal Care Group
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, not eligible for any of the screens/interventions
Overall Study
STARTED
59
97
92
Overall Study
COMPLETED
31
97
92
Overall Study
NOT COMPLETED
28
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Hispanic/Latinx Patients at Risk for CKD
Adult Hispanic individuals in the Durham community screened for CKD Urine protein/glucose screening, blood pressure measurements, and BMI measures will be conducted, in addition to obtaining information about family history of diabetes, to identify participants with or at risk for chronic kidney disease. Those identified as being at risk will be referred to PCP for follow up/treatment.
Screening/Treatment Group
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, eligible for one or more of the following screens/interventions: 1) Annual urine albumin/creatinine screen; 2) Initiation of renin-angiotensin-aldosterone system (RAAS) inhibitor; 3) Initiation of sodium-glucose cotransporter-2 (SGLT2) inhibitor, and/or glucagon-like peptide-1 (GLP-1) receptor agonist (RA)
Optimal Care Group
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, not eligible for any of the screens/interventions
Overall Study
Lost to Follow-up
28
0
0

Baseline Characteristics

Improving Screening and Therapy for Hispanic/Latinx at Risk for CKD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hispanic/Latinx Patients at Risk for CKD
n=59 Participants
Adult Hispanic individuals in the Durham community screened for CKD Urine protein/glucose screening, blood pressure measurements, and BMI measures will be conducted, in addition to obtaining information about family history of diabetes, to identify participants with or at risk for chronic kidney disease. Those identified as being at risk will be referred to PCP for follow up/treatment.
Screening/Treatment Group
n=97 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, eligible for one or more of the following screens/interventions: 1) Annual urine albumin/creatinine screen; 2) Initiation of renin-angiotensin-aldosterone system (RAAS) inhibitor; 3) Initiation of sodium-glucose cotransporter-2 (SGLT2) inhibitor, and/or glucagon-like peptide-1 (GLP-1) receptor agonist (RA)
Optimal Care Group
n=92 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, not eligible for any of the screens/interventions
Total
n=248 Participants
Total of all reporting groups
Age, Continuous
40.61 years
STANDARD_DEVIATION 12.09 • n=2 Participants
63.5 years
STANDARD_DEVIATION 14.2 • n=1 Participants
62.8 years
STANDARD_DEVIATION 13.3 • n=3 Participants
57.8 years
STANDARD_DEVIATION 13.4 • n=24 Participants
Sex: Female, Male
Female
34 Participants
n=2 Participants
63 Participants
n=1 Participants
58 Participants
n=3 Participants
155 Participants
n=24 Participants
Sex: Female, Male
Male
25 Participants
n=2 Participants
34 Participants
n=1 Participants
34 Participants
n=3 Participants
93 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
59 Participants
n=2 Participants
7 Participants
n=1 Participants
3 Participants
n=3 Participants
69 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=2 Participants
90 Participants
n=1 Participants
88 Participants
n=3 Participants
178 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=2 Participants
0 Participants
n=1 Participants
1 Participants
n=3 Participants
1 Participants
n=24 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Asian
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=2 Participants
91 Participants
n=1 Participants
89 Participants
n=3 Participants
180 Participants
n=24 Participants
Race (NIH/OMB)
White
49 Participants
n=2 Participants
1 Participants
n=1 Participants
2 Participants
n=3 Participants
52 Participants
n=24 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants
n=2 Participants
5 Participants
n=1 Participants
1 Participants
n=3 Participants
16 Participants
n=24 Participants
Region of Enrollment
United States
59 Participants
n=2 Participants
97 Participants
n=1 Participants
92 Participants
n=3 Participants
248 Participants
n=24 Participants

PRIMARY outcome

Timeframe: up to 3 months after screening

Population: Only relevant to the Hispanic/Latinx patients at risk for CKD group; 28 participants were lost to follow-up.

Outcome measures

Outcome measures
Measure
Screening/Treatment Group
n=31 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, eligible for a RAASi (angiotensin-converting enzyme inhibitor or angiotensin receptor blocker) based on the most updated KDIGO and/or ADA guidelines, without any contraindications to treatment
Optimal Care Group
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, who are either 1) Already on a RAASi; 2) Not eligible for a RAASi based on the most updated KDIGO and/or ADA guidelines; or 3) Have a contraindication to treatment
Number of Participants Who Attended or Scheduled a Primary Care Physician (PCP) Visit
14 Participants

PRIMARY outcome

Timeframe: Within three months of T0 (primary care appointment)

Population: Not relevant to the Hispanic/Latinx patients at risk for CKD group. Participants in the Screening/Treatment Group were only included if they had not already received a uACR.

Outcome measures

Outcome measures
Measure
Screening/Treatment Group
n=68 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, eligible for a RAASi (angiotensin-converting enzyme inhibitor or angiotensin receptor blocker) based on the most updated KDIGO and/or ADA guidelines, without any contraindications to treatment
Optimal Care Group
n=92 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, who are either 1) Already on a RAASi; 2) Not eligible for a RAASi based on the most updated KDIGO and/or ADA guidelines; or 3) Have a contraindication to treatment
Number of Participants Who Received Urine Albumin-to-Creatinine Ratio (uACR) Screening
40 Participants
92 Participants

PRIMARY outcome

Timeframe: Within three months of T0 (primary care appointment)

Population: Not relevant to the Hispanic/Latinx patients at risk for CKD group. Participants in the Screening/Treatment Group were only included if they had not already received a SGLT2i or GLP-1 RA. Participants in the Optimal Care Group were only included if deemed eligible to receive a SGLT2i or GLP-1 RA.

Outcome measures

Outcome measures
Measure
Screening/Treatment Group
n=43 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, eligible for a RAASi (angiotensin-converting enzyme inhibitor or angiotensin receptor blocker) based on the most updated KDIGO and/or ADA guidelines, without any contraindications to treatment
Optimal Care Group
n=68 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, who are either 1) Already on a RAASi; 2) Not eligible for a RAASi based on the most updated KDIGO and/or ADA guidelines; or 3) Have a contraindication to treatment
Number of Participants Who Were Prescribed an SGLT2 Inhibitor (SGLT2i) and/or a GLP-1 Receptor Agonist (GLP-1 RA)
16 Participants
68 Participants

PRIMARY outcome

Timeframe: Within three months of T0 (primary care appointment)

Population: Not relevant to the Hispanic/Latinx patients at risk for CKD group. Participants in the Screening/Treatment Group were only included if they had not already received a RAASi. Participants in the Optimal Care Group were only included if deemed eligible to receive a RAASi.

Outcome measures

Outcome measures
Measure
Screening/Treatment Group
n=9 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, eligible for a RAASi (angiotensin-converting enzyme inhibitor or angiotensin receptor blocker) based on the most updated KDIGO and/or ADA guidelines, without any contraindications to treatment
Optimal Care Group
n=74 Participants
Adult Black or Hispanic Patients with T2D, seen in Duke Health primary care, who are either 1) Already on a RAASi; 2) Not eligible for a RAASi based on the most updated KDIGO and/or ADA guidelines; or 3) Have a contraindication to treatment
Number of Participants Who Were Prescribed a Renin-Angiotensin-Aldosterone System Inhibitor (RAASi)
2 Participants
74 Participants

Adverse Events

Hispanic/Latinx Patients at Risk for CKD

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Screening/Treatment Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Optimal Care Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Matthew R. Sinclair, MD, MHS

Duke University

Phone: 919-668-0113

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place