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Randall's Plaque Study: Pathogenesis and Relationship to Nephrolithiasis

This study is currently recruiting participants.
Study NCT00169806.   Last updated on May 5, 2008.   Information provided by Indiana Kidney Stone Institute

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Descriptive Information Fields
Brief Title  Randall's Plaque Study: Pathogenesis and Relationship to Nephrolithiasis
Official Title  Randall's Plaques: Pathogenesis and Relationship to Nephrolithiasis
Brief Summary

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.

Detailed Description

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.

Study Phase
Study Type  Interventional
Study Design  Prevention, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment
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 ]
Secondary Outcome Measure 
Condition  Nephrocalcinosis
Renal Calculi
Hypercalciuria
Hyperparathyroidism
Cystinuria
Intervention  Other: videotape for mapping of renal anatomy and papillary biopsy
MEDLINE PMIDs
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Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  200
Start Date  November 1998
Completion Date December 2010
Eligibility Criteria 

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
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers No
Contacts ††
Contact: Shelly E Handa, RN     317-962-0870     shanda@clarian.org    
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00169806
Organization ID 98-073
Secondary IDs ††
Study Sponsor  Indiana Kidney Stone Institute
Collaborators †† Indiana University School of Medicine
University of Chicago
Investigators 
Principal Investigator:     James Lingeman, MD     Methodist Urology, LLC    
Information Provided By Indiana Kidney Stone Institute
Verification Date May 2008
First Received Date  September 12, 2005
Last Updated Date May 5, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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