Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 14 to 24

Montelukast's effects on kidney and blood vessel health in teens and young adults with type 2 diabetes

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

Run by University of Colorado, Denver · NCT07409714 · Data updated 2026-11-12

This test will see if montelukast can improve kidney and blood vessel function in adolescents and young adults with type 2 diabetes.

More Type 2 Diabetes trials

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages14 Years to 24 Years
SexAll
Enrollment50 (estimated)
SponsorUniversity of Colorado, Denver
Academic / other
Locations1 site (Aurora, Colorado)
StatusRecruiting
StartedOctober 12, 2026
Main results expectedDecember 2030
Study endsDecember 2031
Registry record updatedOctober 6, 2026
Trial IDNCT07409714 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are youths and young adults aged 14-24 with type 2 diabetes onset before age 18, disease duration under 10 years, HbA1c under 10%, and stable blood pressure and anti-hypertensive therapy.

Probably not a fit

Patients with type 1 diabetes, significant kidney impairment, or uncontrolled hypertension may not benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This early-phase study will test montelukast, a leukotriene inhibitor, versus placebo in youths and young adults with type 2 diabetes to see if it can improve kidney and vascular function. Eligible participants are ages 14-24 with recent diabetes onset and controlled blood pressure and BMI without severe organ impairment. The trial uses a randomized design with montelukast and a placebo, monitoring kidney function and vascular health as primary avenues of effect. Results could guide future strategies to reduce diabetes-related kidney and cardiovascular complications. Safety and tolerability will also be assessed in this population.

Why it matters

Potential benefit: If successful, montelukast could help protect kidney and vascular health in youths and young adults with type 2 diabetes.

How similar studies have gone: Previous studies in related conditions have shown mixed results; this trial explores montelukast specifically for diabetic kidney and vascular endpoints in a younger T2D population.

Who can join: the full rules

Show full inclusion / exclusion criteria
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
* BMI \< 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:

* T1D
* Episode of diabetic ketoacidosis or hyperosmolar hyperglycemia within 60 days
* Uncontrolled hypertension
* eGFR \<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 (Child-Pugh Class C)
* History of major psychiatric disorder
* Use of inhaled or systemic corticosteroids or long-acting beta agonists
* Iodine or shellfish allergy

Where it's running

  • University of Colorado
    Aurora, Colorado, United States
    Recruiting

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.