MedPath

The Effect of Paricalcitol on Creatinine Filtration, Secretion and Glomerular Filtration Rate

Phase 4
Completed
Conditions
Chronic Kidney Disease
Interventions
Registration Number
NCT01163162
Lead Sponsor
Indiana University
Brief Summary

The purpose of this study is to study the effects of Paricalcitol (Zemplar) on kidney functioning. The investigators hypothesize that the increase in serum creatinine observed in recent paricalcitol trials is a function of reduced creatinine secretion and not an actual reduction in kidney function. 16 patients will have kidney function measured via iothalamate clearance at baseline, after 7 days of paricalcitol treatment and after 7 days of being washed off the paricalcitol.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Age > 18 years
  • Stage 3 or 4 CKD
  • Ability to give informed consent
Exclusion Criteria
  • Serum Calcium > 10 g/dL
  • Serum Phosphorous > 6 g/dL
  • On > 400 units/d Vitamin D therapy
  • Receiving cimetidine, triamterene, or trimethoprim, drugs that block creatinine secretion
  • On vitamin D receptor activators (paricalcitol, calcitriol or Zemplar)
  • Allergic to radiocontrast dye

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ParicalcitolParicalcitolAfter baseline measurements are complete, pt will receive 2 mcg Paricalcitol (Zemplar) for 7 consecutive days. After this, Kidney function will again be measured. The pt will then be washed off the paricalcitol for 7 days then kidney function will be measured for the last time.
Primary Outcome Measures
NameTimeMethod
24-hour Urine Creatinine Excretion Rate1 Week

We expect the 24 hour urine creatinine excretion rate to show no differences between groups.

Secondary Outcome Measures
NameTimeMethod
Creatinine Clearance1 Week

The primary outcome variable will be creatinine clearance. Subject will be used as random variable and maximal likelihood estimation methods will be used. We expect no differences between periods.

Serum Creatinine1 Week

We expect serum creatinine to confirm the results of creatinine clearance.

Trial Locations

Locations (1)

Roudebush VA Medical Center

🇺🇸

Indianapolis, Indiana, United States

© Copyright 2025. All Rights Reserved by MedPath