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.
Quick facts
| Phase | Early Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 14 Years to 24 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | University of Colorado, Denver Academic / other |
| Locations | 1 site (Aurora, Colorado) |
| Status | Recruiting |
| Started | October 12, 2026 |
| Main results expected | December 2030 |
| Study ends | December 2031 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07409714 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
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University of Colorado
Aurora, Colorado, United States Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.