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Intravenous Sodium Thiosulfate on Coronary Calcification in Patients on Hemodialysis

Phase 2
Completed
Conditions
Coronary Calcification
Vascular Calcification
Interventions
Drug: 25% intravenous (IV) sodium thiosulfate
Registration Number
NCT00720772
Lead Sponsor
Ramathibodi Hospital
Brief Summary

The present study will examine the treatment effect of sodium thiosulfate on coronary calcification in patients on hemodialysis.

Detailed Description

Coronary calcification (CAC) is prevalent among patients with end-stage renal disease (ESRD). High serum phosphate, the intake of calcium containing phosphate binder as well as dialysis vintage have been shown to be associated with the increasing prevalence of CAC. High CAC score examined by electron-beam CT scan or multi-slice CT scan associates with an increased cardiovascular mortality in ESRD. In series of case reports, intravenous sodium thiosulfate (STS) reduced the calcium burden in calcific uremic arteriopathy and soft tissue calcification. This was believed to be due to the calcium chelation effect of STS.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • CAC score > 300
  • Life expectancy > 6 months
  • Dialysis vintage > 6 months
Exclusion Criteria
  • Non-compliance to hemodialysis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
A25% intravenous (IV) sodium thiosulfate-
Primary Outcome Measures
NameTimeMethod
CAC score6 months
Secondary Outcome Measures
NameTimeMethod
Bone mineral density, calcium removal6 months, 1 and 2 months

Trial Locations

Locations (1)

Ramathibodi Hospital

🇹🇭

Phayathai, Bangkok, Thailand

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