Evaluation of the Effect of Febuxostat on Endothelial Dysfunction in Hemodialysis Patients.
Overview
- Phase
- Phase 2
- Intervention
- Febuxostat
- Conditions
- Endothelial Dysfunction
- Sponsor
- Ain Shams University
- Enrollment
- 57
- Primary Endpoint
- Asymmetric Dimethylarginine physiological marker
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The Purpose of this study is to determine if the Febuxostat has an effect on endothelial dysfunction on hemodialysis patients.
Detailed Description
Aim of The Work: 1- Evaluation of the effect of febuxostat on endothelial dysfunction in hemodialysis patients, through detection of: 1. Primary endpoint: • Reduction in Asymmetrical Dimethylarginine (ADMA) 2. Secondary endpoints: * Assessing the change in serum High sensitivity C-reactive protein (hsCRP) * Assessing the change in serum Uric acid - The criteria for inclusion: 1. Outpatients on maintenance hemodialysis. 2. Age from 18-70 years old. 3. Serum UA level 7.0 mg/dL or more. 4. Stable clinical condition (no hospitalization in the previous 3 months) The exclusion criteria: 1. Current urate-lowering therapy. (allopurinol, probenecid, bucolome, febuxostat) 2. History of hypersensitivity to febuxostat. 3. Current treatment with mercaptopurine, azathioprine, pyrazinamide, or ethambutol. 4. Participant in an another clinical trial within the past 4 weeks. 5. Judged to be unsuitable as a subject by the attending physician. After two months , the patient will be reassessed regarding: A. ADMA serum level. B. Change in serum hsCRP. C. Change in serum Uric acid level.
Investigators
Mona AlShahawey AlSayed Ghazy
Administrator at clinical pharmacy department .
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •Outpatients on maintenance hemodialysis.
- •Age from 18-70 years old.
- •Serum Uric Acid level 7.0 mg/dL or more.
- •Stable clinical condition (no hospitalization in the previous 3 months)
- •Informed consent in accordance with the Declaration of Helsinki.
Exclusion Criteria
- •Current urate-lowering therapy. (allopurinol, probenecid, bucolome, febuxostat)
- •History of hypersensitivity to febuxostat.
- •Current treatment with mercaptopurine, azathioprine, pyrazinamide, or ethambutol.
- •Participant in an another clinical trial within the past 4 weeks.
- •Judged to be unsuitable as a subject by the attending physician
Arms & Interventions
Group I
This Group of Patients will receive Febuxostat Drug along with their Standard Treatment.
Intervention: Febuxostat
Group II
This Group of Patients will receive Placebo along with their standard Treatment.
Intervention: Placebo
Outcomes
Primary Outcomes
Asymmetric Dimethylarginine physiological marker
Time Frame: 2 months
Asymmetric dimethylarginine (ADMA) physiological marker for assessing endothelial dysfunction will be measured for all the anticipated 50 patients at time zero and by the end of the two months.
Secondary Outcomes
- Uric Acid , physiological parameter(2 months)
- High sensitivity C-reactive protein physiological marker(2 months)