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Clinical Trials/NCT01331317
NCT01331317
Completed
Phase 4

The Effect of Paricalcitol Versus Placebo on Plasma N-Terminal-proBNP in Patients With Type 1 Diabetes Mellitus and Diabetic Nephropathy

Peter Rossing1 site in 1 country48 target enrollmentApril 2010

Overview

Phase
Phase 4
Intervention
Paricalcitol
Conditions
Cardiovascular Disease
Sponsor
Peter Rossing
Enrollment
48
Locations
1
Primary Endpoint
Change in plasma NT-proBNP
Status
Completed
Last Updated
14 years ago

Overview

Brief Summary

The primary objective is to assess the impact of three months of treatment with an active vitamin D analogue on a risk marker for excess overall mortality and cardiovascular morbidity/mortality in Type 1 diabetic patients with diabetic kidney disease. The hypothesis is that active vitamin D analogue treatment reduces the risk of cardiovascular morbidity and mortality in patients with type 1 diabetic kidney disease.

Registry
clinicaltrials.gov
Start Date
April 2010
End Date
April 2012
Last Updated
14 years ago
Study Type
Interventional
Study Design
Crossover
Sex
All

Investigators

Sponsor
Peter Rossing
Responsible Party
Sponsor Investigator
Principal Investigator

Peter Rossing

Senior Physician, DMSc

Steno Diabetes Center Copenhagen

Eligibility Criteria

Inclusion Criteria

  • 18-75 years of age
  • Type 1 diabetes mellitus
  • Diabetic nephropathy (defined by persistent albuminuria, \> 300 mg/24 hr or 200µg/min in 2 of 3 consecutive samples, presence of diabetic retinopathy and absence of clinical or laboratory evidence of other kidney or renal tract disease
  • Chronic kidney disease stage 3 and 4
  • S-Parathyroid hormone (s-PTH)\> 35pg/ml
  • Stabile RAAS-blocking and diuretic treatment

Exclusion Criteria

  • Other kidney disease than diabetic nephropathy
  • Myocardial infarction within the last three months prior to visit 1
  • Coronary artery revascularization within the last three months prior to visit 1
  • Transitional cerebral ischemia (TCI) or apoplexia within the last three months prior to visit 1
  • Cardiac Failure (NYHA Class III or IV)
  • Kidney Failure (GFR \<15ml/min), dialysis, kidney transplantation)
  • Liver disease with serum alanine aminotransferase (ALT\>3 x the normal value
  • Alcohol/drug abuse
  • Hypercalcemia (serum ionized calcium \>1.35 mmol /L)
  • Medication with phosphate and/or vitamin D-containing medications, which can not be paused during the study

Arms & Interventions

Paricalcitol

Crossover study between paricalcitol and placebo

Intervention: Paricalcitol

Outcomes

Primary Outcomes

Change in plasma NT-proBNP

Time Frame: 7 months

Secondary Outcomes

  • Change in Glomerular Filtration Rate (GFR)(7 months)
  • Change in Urinary Albumin Excretion Rate(7 months)

Study Sites (1)

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