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Aldosterone blockade in children with chronic allograft nephropathy

Completed
Conditions
Chronic allograft nephropathy
Injury, Occupational Diseases, Poisoning
Kidney transplant failure and rejection
Registration Number
ISRCTN19419571
Lead Sponsor
Sectorial Fund for Health Research (Fondo Sectorial de Investigación en Salud) (Mexico)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
62
Inclusion Criteria

1. Patients aged 6 to 17 years within at least six months of receiving renal transplant
2. Patients with stable graft function defined as serum creatinine variation in the previous three months lower than 0.2 mg/dL
3. Chronic allograft nephropathy diagnosed by renal biopsy and Banff criteria
4. No evidence of acute rejection in the previous three months before enrolment
5. Glomerular filtration rate > 40 mL/min ( Schwartz formula).
6. Serum potassium = 5 mEq/L
7. Informed consent/assent properly signed

Exclusion Criteria

1. Acute graft rejection in the three months prior to enrolment
2. Serum creatinine variation in the previous three months > 0.2 mg/dL
3. Plasma Serum potassium > 5 mEq/L
4. Arterial hipotension
5. Patients receiving clarytromicin, calcium antagonists, itraconazol, fluconazol, erythromycin
6. Use of eplerenone 4 prior to enrolment

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Change in glomerular filtration rate at 24 months
Secondary Outcome Measures
NameTimeMethod
1. Acute rejection episodes in 24 months<br>2. Graft and patient loss<br>3. Adverse effects<br>4. Change in proteinuria<br>5. Change in urinaty nitrates excretion<br>6. Change in plasma levels of TGF-beta, aldosterone
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