Influence of Amlodipine on the Mortality of Patients With End-Stage Renal Failure
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Purpose
Patients with end-stage renal failure have a markedly higher mortality because of cardiovascular events in comparison with the normal population. Disorders in the calcium metabolism, such as calcification of the vessel walls, occur very frequently. There are indications that calcium channel blockers are capable of lowering the cardiovascular mortality in patients with end-stage renal failure.
It is intended to carry out a prospective, randomized, double-blind, placebo-controlled, multicenter study in order to find out if the calcium channel blocker amlodipine is able to reduce the mortality of patients with end-stage renal failure.
The investigation will be carried out after suitable explanation and written informed consent in 356 patients aged between 18 and 90 years with end-stage renal failure and chronic haemodialysis treatment. The patients will be randomized to either treatment with amlodipine 10 mg/day or placebo. The occurrence of events will be documented and evaluated prospectively over a period of 30 months.
| Condition | Intervention | Phase |
|---|---|---|
|
Kidney Failure, Chronic |
Drug: Amlodipine Drug: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Influence of Amlodipine on the Mortality of Patients With End-Stage Renal Failure (ADAM [Amlodipine and Dialysis Patients, Action on Mortality]) |
- The primary outcome will be the survival rate. The secondary outcome will be cardiovascular events. [ Time Frame: Prospective: look forward using periodic observations collected predominantly following subject enrollment ]
| Enrollment: | 356 |
| Study Start Date: | January 2002 |
| Study Completion Date: | October 2006 |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Amlodipine
|
Drug: Amlodipine
10mg
Other Name: Placebo
|
|
Placebo Comparator: 2
Placebo
|
Drug: Placebo
10mg
Other Name: Placebo
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- End-stage renal disease
- Hemodialysis
- Hypertension
- Written informed consent
Exclusion Criteria:
- Hypotension of less than 90 mmHg systolic
- High-grade aortic stenosis
- Heart failure of NYHA stage III and IV
- Acute myocardial infarction (within the last 4 weeks)
- Acute heart failure
- Known allergy to the medicament amlodipine or other constituents of the medicament
- Severe disorders of liver function
- Pregnancy and breast-feeding
Contacts and Locations| Germany | |
| Charite Campus Benjamin Franklin | |
| Berlin, Germany, 12200 | |
| Principal Investigator: | Martin Tepel, Dr | Charite Campus Benjamin Franklin |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00124969 History of Changes |
| Other Study ID Numbers: | ADAM, AML-D-01-001G |
| Study First Received: | June 30, 2005 |
| Last Updated: | May 7, 2008 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Charite University, Berlin, Germany:
|
End-stage renal disease, hemodialysis |
Additional relevant MeSH terms:
|
Kidney Failure, Chronic Renal Insufficiency Renal Insufficiency, Chronic Kidney Diseases Urologic Diseases Amlodipine Calcium Channel Blockers |
Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Cardiovascular Agents Therapeutic Uses Vasodilator Agents Antihypertensive Agents |
ClinicalTrials.gov processed this record on May 23, 2013