The Change of Urinary Angiotensinogen Excretion After Valsartan Treatment in Patients With Persistent Proteinuria
Recruitment status was Not yet recruiting
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Purpose
This study is a multicenter, prospective, interventional study. It does not have a control group. All participants will receive 160 mg valsartan for 8 weeks. Among them, the patients with persistent proteinuria (defined as proteinuria more than 1 g/g after 8 weeks treatment of valsartan) will receive 320 mg valsartan for further 16 weeks. Participants who did not receive any ACEI or ARB previously will have a titration period for 4 weeks (80 mg for 4 weeks, 160 mg for 4 weeks, and then 320 mg for 16 weeks).
The investigators will evaluate the change of urinary angiotensinogen excretion between at baseline, at 8 weeks, and 24 weeks.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Kidney Disease Proteinuria |
Drug: valsartan |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | The Change of Urinary Angiotensinogen Excretion After Valsartan Treatment in Chronic Kidney Diseases Patients With Persistent Proteinuria |
- The percent change of urinary angiotensinogen excretion between at baseline and at 24 weeks after valsartan treatment. [ Time Frame: 4 weeks of screening periods + 24 weeks of treatment ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 500 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: valsartan |
Drug: valsartan
160 mg oral once in a day for initial 8 weeks and 320 mg, oral, once in a day for subsequent 16 weeks
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Chronic kidney disease patients with
- proteinuria of 1 - 10 g/day,
- stable and controlled blood pressure (100/60 mmHg - 160/100 mmHg),
- stable renal function with GFR ≥ 30 mL/min/ m2,
- diabetes or non-diabetes
Exclusion Criteria:
- Uncontrolled diabetes (defined as HbA1c > 9.0%)
- Immunosuppressive treatment within 6 months
- Intractable edema
- Hyperkalemia (>5.5 mEq/L) or Hypokalemia (< 3.5 mEq/L)
Contacts and Locations| Contact: Yoon-Goo Kim, Professor | 82-2-3410-3442 | ygkim26@skku.edu |
| Korea, Republic of | |
| Division of Nephrology, Samsung Medical Center | Not yet recruiting |
| Seoul, Korea, Republic of, 135-710 | |
| Principal Investigator: Yoon-Goo Kim, Professor | |
| Principal Investigator: | Yoon-Goo Kim, Professor | Division of Nephrology, Samsung Medical Center |
More Information
No publications provided
| Responsible Party: | Yoon-Goo Kim, Division of Nephrology, Samsung Medical Center |
| ClinicalTrials.gov Identifier: | NCT00858299 History of Changes |
| Other Study ID Numbers: | 2008-07-089 |
| Study First Received: | March 5, 2009 |
| Last Updated: | March 6, 2009 |
| Health Authority: | Korea: Food and Drug Administration |
Keywords provided by Samsung Medical Center:
|
proteinuria chronic kidney disease renin-angiotensin system angiotensinogen |
Additional relevant MeSH terms:
|
Proteinuria Kidney Diseases Renal Insufficiency, Chronic Kidney Failure, Chronic Urologic Diseases Urination Disorders Urological Manifestations Signs and Symptoms Renal Insufficiency Angiotensinogen Valsartan |
Serine Proteinase Inhibitors Protease Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Angiotensin II Type 1 Receptor Blockers Angiotensin Receptor Antagonists Antihypertensive Agents Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013