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.
Investigators
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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