Renoprotective effects of potassium supplementation in chronic kidney disease
- Conditions
- Chronic kidney diseasechronic renal insufficiency10029149
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 532
- Adult patients with CKD stage 3b or 4
- Fall in eGFR > 2 ml/min/1.73 m2/year in preceding years
- Hypertension (automated blood pressure > 140/90 mmHg or use of
anti-hypertensive medication)
- Hyperkalemia (serum potassium > 5.5 mmol/l) at study visit V0
- Medical reasons to continue dual RAAS-blockade, mineralocorticoid receptor
blockers, potassium-sparing diuretics, or oral potassium binders.
- Patients using calcineurin inhibitors
- Patients using tolvaptan
- Kidney transplant recipients
- Patients with an active gastro-intestinal ulcus
- Patients with previous history of ventricular cardiac arrhythmia
- Patients with a life expectancy < 6 months
- Expected initiation of renal replacement therapy < 2 years
- Incapacitated subjects or subjects who are deemed unfit to adequately adhere
to instructions from the research team
- Women who are pregnant, breastfeeding or consider pregnancy in the coming 2
years.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>2-year change in eGFR (renal outcome). </p><br>
- Secondary Outcome Measures
Name Time Method <p>Effects on 24-hour blood pressure, albuminuria, cardiovascular markers, and<br /><br>incidence of hyperkalemia</p><br>