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Inhibition of Aldosterone in Patients With Chronic Renal Disease

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ClinicalTrials.gov Identifier: NCT00430924
Recruitment Status : Completed
First Posted : February 2, 2007
Last Update Posted : February 8, 2012
Sponsor:
Collaborator:
Rigshospitalet, Denmark
Information provided by (Responsible Party):
Lene Boesby, Herlev Hospital

Brief Summary:
The purpose of this study is to examine whether the inhibition of aldosterone will result in lower excretion of protein via urine. The hypothesis is that if loss of protein is lowered, progression of renal disease with be slower than otherwise expected.

Condition or disease Intervention/treatment Phase
Kidney Failure, Chronic Drug: Eplerenone Phase 4

Detailed Description:

Patients with chronic renal disease are likely to progress to end stage renal disease with the need for renal replacement therapy. It is accepted that proteinuria is a surrogate measurement for progression. If proteinuria can be lowered we hope to prolong patients pre-dialysis phase. Our theory is that aldosterone inhibition will lead to this.

For a period of 8 weeks patients will be randomized to either aldosterone receptor inhibition with the drug eplerenone or control without. Blood pressures will be kept at the same level using other drugs.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 42 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: The Effect of Aldosterone Inhibition on Proteinuria in Patients With Progressive Renal Disease
Study Start Date : March 2007
Actual Primary Completion Date : August 2009
Actual Study Completion Date : August 2009

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: 1
Eplerenone
Drug: Eplerenone
Once daily administration for 8 weeks and 8 weeks control.

No Intervention: 2
Control
Drug: Eplerenone
Once daily administration for 8 weeks and 8 weeks control.




Primary Outcome Measures :
  1. Proteinuria reduction [ Time Frame: bi-monthly ]

Secondary Outcome Measures :
  1. Evaluating blood pressure response and hyperkalaemia after aldosterone inhibition. [ Time Frame: weekly ]


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Proteinuria > 500 mg/24 hours
  • Hypertension or anti-hypertensive treatment

Exclusion Criteria:

  • Diabetic nephropathy
  • GFR< 20 ml/min
  • P-potassium between 3,5 mmol/l and 5,0 mmol/l

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00430924


Locations
Denmark
Rigshospitalet, Blegdamsvej 9
Copenhagen, Denmark, DK-2100 Ø
Herlev Hospital
Herlev, Denmark, DK-2730
Sponsors and Collaborators
Lene Boesby
Rigshospitalet, Denmark
Investigators
Study Director: Svend Strandgaard, DMSc
Study Director: Anne-Lise Kamper, DMSc nonaffiliated

Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Lene Boesby, MD, Herlev Hospital
ClinicalTrials.gov Identifier: NCT00430924     History of Changes
Other Study ID Numbers: B109LB1
2006-004411-21
First Posted: February 2, 2007    Key Record Dates
Last Update Posted: February 8, 2012
Last Verified: February 2012

Keywords provided by Lene Boesby, Herlev Hospital:
Kidney Failure, Chronic
Proteinuria
Aldosterone
Renin-Angiotensin System

Additional relevant MeSH terms:
Kidney Diseases
Renal Insufficiency
Kidney Failure, Chronic
Urologic Diseases
Renal Insufficiency, Chronic
Eplerenone
Mineralocorticoid Receptor Antagonists
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Diuretics, Potassium Sparing
Diuretics
Natriuretic Agents