Cardiovascular Protective Effect of Spironolactone in Hemodialysis

The recruitment status of this study is unknown because the information has not been verified recently.
Verified December 2005 by Universidad Los Andes.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Universidad Los Andes
ClinicalTrials.gov Identifier:
NCT00277693
First received: January 12, 2006
Last updated: NA
Last verified: December 2005
History: No changes posted

January 12, 2006
January 12, 2006
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No Changes Posted
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Cardiovascular Protective Effect of Spironolactone in Hemodialysis
Protective Mechanisms of Aldosterone Antagonists and Their Effects on Cardiovascular Damage in Chronic Renal Failure: Clinical and Experimental Studies

The purpose of the present study is to determine if spironolactone is safe and effective in the treatment of cardiovascular complications in hemodialysis patients.

Cardiovascular complications are common in dialysis patients and comprise up to 50% of deaths in end-stage renal disease population. Hypertension and left ventricle hypertrophy occur in more than 70% of patients undergoing long-term hemodialysis therapy, and both contributes to mortality and morbidity.Recent clinical trials in chronic heart failure and post miocardial infarct heart failure patients have demonstrated a beneficial effect of a mineralocorticoid receptor blocker spironolactone, in adittion to standard therapy (RALES AND EPHESUS studies). The aim of the present study is to evaluate spironolactone treatment in hemodialysis patients.

Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Hemodialysis
Drug: Spironolactone (drug)
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Michea L, Vukusich A, Gonzalez M, Zehnder C, Marusic ET. Effect of spironolactone on K(+) homeostasis and ENaC expression in lymphocytes from chronic hemodialysis patients. Kidney Int. 2004 Oct;66(4):1647-53.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
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Inclusion Criteria:

chronic hemodialysys (> 3 months) anuria (diuresis <200 mL/day) -

Exclusion Criteria:

Liver failure Insulin dependent diabetes Treatment with adrenergic beta blockers or agonists Treatment with converting-enzime blocker or angiotensin receptor antagonists Cancer

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Both
18 Years to 80 Years
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Contact: Antonio Vukusich, MD 56-2-7308021 avukusic@davila.cl
Chile
 
NCT00277693
1040338
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Universidad Los Andes
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Study Chair: Luis F Michea, MD PhD Faculty of Medicine, University Los Andes
Universidad Los Andes
December 2005

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