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临床试验/CTRI/2025/09/095042
CTRI/2025/09/095042尚未招募不适用

Efficacy and safety of tolvaptan in oral furosemide refractory edema in Nephrotic Syndrome : a prospective interventional trial

APC PGIMER1 个研究点 分布在 1 个国家目标入组 33 人开始时间: 2025年9月30日最近更新:

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
33
试验地点
1
主要终点
Urine output over 48 hours (ml/kg/hr) after adding Tolvaptan

研究概览

简要总结

In children 5-14 years of age diagnosed with nephrotic syndrome, having moderate to severe oedema, fulfilling the inclusions and exclusion criteria will be enrolled in the study. All the participants will be given 2-4mg/kg/day of furosemide. The children who have weight loss <3% of baseline body weight after 24 hours of oral furosemide will be considered furosemide refractory. In these children tolvaptan will be added with furosemide for next 48 hours. Children will be evaluated  for urine output and percentage weight loss  over 48 hours after adding tolvaptan.

研究设计

研究类型
Interventional
分配方式
Na
盲法
None

入排标准

年龄范围
5.00 Year(s) 至 14.00 Year(s)(—)
性别
All

入选标准

  • children with nephrotic syndrome with moderate to severe oedema.

排除标准

  • Hypovolemia, CSVT, sodium less than 125 or more than 140, eGFR less than 60, SGOT and SGPT more than 2 times upper normal limit, other diuretics.

结局指标

主要结局

Urine output over 48 hours (ml/kg/hr) after adding Tolvaptan

时间窗: 48 hours after intervention

次要结局

  • Percentage weight loss over the first 48 hours of combination therapy(48 hours)
  • Urine and serum osmolality before and every 24 hours of therapy(48 hours)
  • Serum copeptin levels before and after the tolvaptan therapy(48 hours)

研究者

发起方
APC PGIMER
申办方类型
Research institution and hospital
责任方
Principal Investigator
主要研究者

Shailza Mahajan

PGIMER

研究点 (1)

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