Vascular Reactivity in Chronic Kidney Disease (CKD) Patients Receiving Paricalcitol Versus Placebo
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Purpose
This research is studying how Vitamin D may affect blood vessels reaction to stress and blood levels of substances that may increase blockages in the blood vessels in chronic kidney disease (CKD) patients. Blood vessel health is worsened in CKD and some studies have shown that Vitamin D improves blood vessel health. The type of Vitamin D being used in this study (paricalcitol) is Food and Drug Administration (FDA) approved to treat high parathyroid hormone levels. The purpose of this study is to find out if paricalcitol has other benefits beyond its ability to lower parathyroid hormone levels such as improving the blood vessels reaction to stress and decreasing blood levels of substances that may increase blockages in the blood vessels.
| Condition | Intervention |
|---|---|
|
Chronic Kidney Disease |
Drug: Paricalcitol Drug: Placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacodynamics Study Intervention Model: Single Group Assignment Masking: Single Blind (Subject) |
| Official Title: | Effects of 19-nor-1α-dihydroxyvitamin D2 (Paricalcitol) Versus Placebo on Oxidative Stress and Vascular Reactivity in CKD Patients |
- The primary outcome measure will be the change in circulating ICAM-1. [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 40 |
| Study Start Date: | March 2009 |
| Study Completion Date: | March 2011 |
| Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Paricalcitol |
Drug: Paricalcitol
paricalcitol 1 mg QD x 8 weeks
|
| Placebo Comparator: Placebo |
Drug: Placebo
Placebo for Paricalcitol 1 mcg QD x 8 weeks
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Males or females ≥ 18 years of age at the start of screening
- CKD with eGFR 15-60 mL/min/1.73m2 by MDRD
- Not expected to start dialysis for 4 months
- Serum intact PTH 70-200 pg/mL during screening period
- On stable ACEI/ARB regimen for 30 days prior to screening
Exclusion Criteria:
History of any of the following diseases:
- congestive heart failure
- MI within the last 6 months
- history of cerebrovascular accident
- significant valvular disease
- malignancy
- Currently taking any vitamin D products
- Mean systolic blood pressure values > 190 or diastolic blood pressure values > 100 mm/Hg during the preceding 30 day period prior to screening
- Currently being titrated on therapy with an angiotensin converting enzyme inhibitor or angiotensin receptor blocker
- Two consecutive serum calcium values greater than 10.2 mg/dL or Ca x P > 55 mg2/dL2
- Currently receiving erythropoiesis stimulating agent or intravenous iron therapy
- Pregnant or breastfeeding
Contacts and Locations| United States, New York | |
| Albany Medical Center South Clinical Campus | |
| Albany, New York, United States, 12208 | |
| Principal Investigator: | Amy Pai, Pharm.D. | Albany College of Pharmacy and Health Sciences |
| Principal Investigator: | Amy Pai, PharmD | Albany College of Pharmacy and Health Sciences |
More Information
No publications provided
| Responsible Party: | Amy Pai PharmD, Associate Professor, Albany College of Pharmacy and Health Sciences |
| ClinicalTrials.gov Identifier: | NCT00915876 History of Changes |
| Other Study ID Numbers: | Paricalcitol-AMC2443 |
| Study First Received: | June 5, 2009 |
| Last Updated: | July 10, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Albany College of Pharmacy and Health Sciences:
|
chronic kidney disease Vitamin D |
Additional relevant MeSH terms:
|
Kidney Diseases Renal Insufficiency, Chronic Kidney Failure, Chronic Urologic Diseases Renal Insufficiency Ergocalciferols |
Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Vitamins Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 22, 2013