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Randall's Plaque Study: Pathogenesis and Relationship to Nephrolithiasis
This study is currently recruiting participants.
Study NCT00169806   Information provided by Indiana Kidney Stone Institute
First Received: September 12, 2005   Last Updated: August 3, 2009   History of Changes

September 12, 2005
August 3, 2009
November 1998
December 2009   (final data collection date for primary outcome measure)
To find out why people form stones by comparing 24 urine collections, biopsy and anatomy to other patients who do not form stones and other patients who do form stones to see if the differences are significant [ Time Frame: One year from study completion ] [ Designated as safety issue: No ]
To find out why people form stones by comparing 24 urine collections, biopsy and anatomy to other patients that do not form stones and other patients that do form stones to see if the differences are significant.
Complete list of historical versions of study NCT00169806 on ClinicalTrials.gov Archive Site
 
 
 
Randall's Plaque Study: Pathogenesis and Relationship to Nephrolithiasis
Randall's Plaques: Pathogenesis and Relationship to Nephrolithiasis

Kidney stones are very common. They affect 3-5% of the population in the United States. Many people are hospitalized for the treatment of kidney stones and some may die. Better understanding of what causes kidney stones is useful in both the treatment and prevention of kidney stones. However, exactly what causes kidney stones is unknown.

The most common type of kidney stones contains calcium, which sometimes is attached to a part of the kidney important in producing the final urine, called the papilla. The investigators have noticed that persons who form kidney stones seem to have more papilla with stones attached. They propose to study these areas of the papilla, called Randall's plaques (named after their discoverer), in patients undergoing surgery for kidney stones.

In order to attempt to explain the pathogenesis of renal calculi, the investigators videotape and document the location and characteristics of each stone, papillae and calyces. One or more small papillary biopsies are taken for analysis to help determine the point of origin of the kidney stone and histological studies are undertaken to determine tissue differences amongst different types of stone formers. Approximately one month after surgery, metabolic studies are undertaken to further review potential causes of stone formation.

 
Interventional
Prevention, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment
  • Nephrocalcinosis
  • Renal Calculi
  • Hypercalciuria
  • Hyperparathyroidism
  • Cystinuria
Other: videotape for mapping of renal anatomy and papillary biopsy
Other: Subjects who are scheduled to undergo a percutaneous kidney stone removal who do not have complicated comorbidities
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
200
December 2010
December 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patients of Methodist Urology in Indianapolis, IN who are undergoing endoscopic procedures for nephrolithiasis or other urologic disease.
  • Upper urinary tract endoscopic or PERC procedure for kidney stones removal
  • General medical health allowing surgical procedure
  • Ability to complete all the necessary components of the study
  • Able to sign an informed consent

Exclusion Criteria:

  • Poor general medical health
  • Bleeding diathesis
  • Inability or unwillingness to comply with post-surgical follow-up
Both
18 Years and older
No
Contact: Shelly E Handa, RN 317-962-0870 shanda@clarian.org
United States
 
NCT00169806
James Lingeman, MD, Methodist Urology
98-073
Indiana Kidney Stone Institute
  • Indiana University School of Medicine
  • University of Chicago
Principal Investigator: James Lingeman, MD Methodist Urology, LLC
Indiana Kidney Stone Institute
August 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP