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Clinical Trials/NCT01687699
NCT01687699
Completed
Phase 4

Effects of Spironolactone on Cardio- and Cerebrovascular Morbidity and Mortality in Hemodialysis Patients

Dialysis Outcomes Heart Failure Aldactone Study Group1 site in 1 country157 target enrollmentApril 2008

Overview

Phase
Phase 4
Intervention
Spironolactone
Conditions
End-stage Renal Failure
Sponsor
Dialysis Outcomes Heart Failure Aldactone Study Group
Enrollment
157
Locations
1
Primary Endpoint
cardio- and cerebrovascular events
Status
Completed
Last Updated
13 years ago

Overview

Brief Summary

Aldosterone receptor blockers reduce cardiac-related morbidity and mortality. Recently, we demonstrated that long-term low-dose spironolactone is clinically safe in many hemodialysis (HD) patients. In the present study, we assess whether low-dose spironolactone treatment reduces the high incidence of cardio- and cerebrovascular (CCV) morbidity and mortality in HD patients. The investigators' hypothesis is that aldosterone receptor blockade by spironolactone reduces the risk of both CCV morbidity and death among HD patients.

Registry
clinicaltrials.gov
Start Date
April 2008
End Date
December 2008
Last Updated
13 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Sponsor
Dialysis Outcomes Heart Failure Aldactone Study Group
Responsible Party
Principal Investigator
Principal Investigator

Yoshihiro Matsumoto

MD., PhD.

Dialysis Outcomes Heart Failure Aldactone Study Group

Eligibility Criteria

Inclusion Criteria

  • Hemodialysis patients undergoing 4-hour-long HD thrice a week for at least 2 years
  • With an average serum potassium level (immediately before dialysis on the first day of the week) of \<6.5 mEq/l over the previous 2 months
  • With a 24-hour urine output of \<500 ml

Exclusion Criteria

  • A history of noncompliance
  • Unstable vascular access
  • Hypotension
  • Hepatic failure
  • Active cancer
  • Any life-threatening disease other than ESRD

Arms & Interventions

spironolactone

Intervention: Spironolactone

Outcomes

Primary Outcomes

cardio- and cerebrovascular events

Secondary Outcomes

  • death from all causes

Study Sites (1)

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