Full Text View
Tabular View
No Study Results Posted
Related Studies
Spironolactone to Decrease Potassium Wasting in Hypercalciurics on Thiazides Diuretics
This study is currently recruiting participants.
Study NCT00276289   Information provided by Indiana University
First Received: January 11, 2006   Last Updated: May 25, 2006   History of Changes

January 11, 2006
May 25, 2006
January 2006
 
Change in serum potassium on spironolactone versus off of it
Same as current
Complete list of historical versions of study NCT00276289 on ClinicalTrials.gov Archive Site
  • change in urinary calcium excretion
  • mean reduction in dose of potassium supplements
Same as current
 
Spironolactone to Decrease Potassium Wasting in Hypercalciurics on Thiazides Diuretics
Spironolactone to Decrease Potassium Wasting in Hypercalciuric Patients Treated With Thiazide Diuretics

Kidney stone formation due to an excess of calcium in the urine is a common problem. It is treated with thiazide diuretics. These drugs often cause excessively low blood potassium levels that in turn require large doses of potassium supplements. These supplements are often large, unpleasant and easy to forget. We are trying the addition of spironolactone to these patients' medications to see if it allows them to take a lower dose of potassium.

See rationale above

Ten patients who have had multiple kidney stones primarily due to hypercalciuria and who are currently on stable dose of thiazide or thiazide plus amiloride will be enrolled in the study. In addition, pts have to require at least 60mEq of K supplementation a day or be on 40mEq and be hypokalemic and unable to tolerate increased K supplements. We will then give them 50mg a day of spironolactone for four weeks. A complete 24-hour urine stone profile will be obtained before and after the drug is administered. After four weeks the patients' serum potassium will be rechecked, and their dose will be lowered according to a nomogram.

Primary end point is the mean change in serum K before and after spironolactone. Secondary endpoints are the change in urine calcium on and off the drug and the mean reduction in K dose on the drug.

 
Interventional
Treatment, Non-Randomized, Open Label, Historical Control, Crossover Assignment, Efficacy Study
  • Idiopathic Hypercalciuria
  • Hypokalemia Caused by Thiazide Diuretics
Drug: Spironolactone
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
10
June 2006
 

Inclusion Criteria:

  • Age 18-65
  • History of idiopathic hypercalciuria (>200mg per 24 hours or a Ca/cr ratio of >140) felt to be the primary etiology of patient's kidney stones
  • History of at least three kidney stone events
  • On same dose of thiazide diuretic for at least three months
  • On stable dose of K 60mEq or more a day to maintain serum K >3.5 or unable to tolerate an increase in K supplement with dose at least 40mEq a day

Exclusion Criteria:

  • Use of ACE inhibitor, ACE receptor blocker or other medication known to effect serum potassium levels
  • GFR <80 by MDRD equation
  • Serious cardiac disease, diabetes, CKD , current or planned pregnancy or breastfeeding
  • History of hypertension
Both
18 Years to 65 Years
No
Contact: Harlan C Rust, MD 317 278-2868 hcrust@iupui.edu
Contact: Sharon Moe, MD 317 278-2868 smoe@iupui.edu
United States
 
NCT00276289
 
0509-05
Indiana University School of Medicine
 
Principal Investigator: Sharon S Moe, MD Indiana University
Indiana University
January 2006

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