Role Of Phosphorus And FGF 23 In Patients With Dent Disease
Overview
- Phase
- Phase 1
- Intervention
- Phosphorus Supplement
- Conditions
- Dent Disease
- Sponsor
- Mayo Clinic
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Change in Urine Total Protein
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Patients with Dent disease have suppressed levels of FGF 23 which contributes to hypercalciuria, kidney stones, nephrocalcinosis and renal failure. Supplementation with phosphorus may reduce hypercalciuria.
Investigators
John Lieske
M.D.
Mayo Clinic
Eligibility Criteria
Inclusion Criteria
- •Patients will be recruited from those in the RKSC Dent Registry
- •Diagnostic criteria for Dent disease Observational arm include:
- •\<18 years old
- •LMWP (at least 5 times above the upper limit of normal) and at least 1 of the following criteria:
- •Hypercalciuria,
- •Kidney stones,
- •Nephrocalcinosis,
- •Hypophosphatemia,
- •Renal phosphate leak,
- •Aminoaciduria,
Exclusion Criteria
- •Exclusion for Dent disease include: primary or secondary hyperparathyroidism, hyperthyroidism, chronic diarrhea states; intake of thiazide diuretics, glucocorticoids, or estrogens within one month of the study.
- •Exclusion criteria for calcium stone formers include: primary or secondary hyperparathyroidism, hyperthyroidism, estimated GFR \<40 ml/mn/1.73m2, chronic diarrhea states; intake of thiazide diuretics, glucocorticoids, or estrogens within one month of the study.
- •Exclusion criteria include history of symptomatic or asymptomatic kidney stone disease; primary or secondary hyperparathyroidism; estimated GFR \<40 ml/min/1.73m2, chronic diarrhea states; intake of thiazide diuretics, glucocorticoids, or estrogens within one month of the study.
Arms & Interventions
Dent Disease Intervention
Dent Disease subjects will receive 2 week supplementation with phosphorus
Intervention: Phosphorus Supplement
Kidney Stone subjects
Kidney stone with or without phosphate leak subjects will receive 2 week supplementation with phosphorus
Intervention: Phosphorus Supplement
Dent Disease Observation
Dent disease subjects will not get phosphorus
Intervention: Observation
Outcomes
Primary Outcomes
Change in Urine Total Protein
Time Frame: baseline, day 7
Urine protein tests detect and/or measure protein being released into the urine. Normal urine protein elimination is less than 150 mg/day