MedPath

Inhibition of Aldosterone in Patients With Chronic Renal Disease

Phase 4
Completed
Conditions
Kidney Failure, Chronic
Interventions
Registration Number
NCT00430924
Lead Sponsor
Lene Boesby
Brief Summary

The purpose of this study is to examine whether the inhibition of aldosterone will result in lower excretion of protein via urine. The hypothesis is that if loss of protein is lowered, progression of renal disease with be slower than otherwise expected.

Detailed Description

Patients with chronic renal disease are likely to progress to end stage renal disease with the need for renal replacement therapy. It is accepted that proteinuria is a surrogate measurement for progression. If proteinuria can be lowered we hope to prolong patients pre-dialysis phase. Our theory is that aldosterone inhibition will lead to this.

For a period of 8 weeks patients will be randomized to either aldosterone receptor inhibition with the drug eplerenone or control without. Blood pressures will be kept at the same level using other drugs.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
42
Inclusion Criteria
  • Proteinuria > 500 mg/24 hours
  • Hypertension or anti-hypertensive treatment
Exclusion Criteria
  • Diabetic nephropathy
  • GFR< 20 ml/min
  • P-potassium between 3,5 mmol/l and 5,0 mmol/l

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
1EplerenoneEplerenone
2EplerenoneControl
Primary Outcome Measures
NameTimeMethod
Proteinuria reductionbi-monthly
Secondary Outcome Measures
NameTimeMethod
Evaluating blood pressure response and hyperkalaemia after aldosterone inhibition.weekly

Trial Locations

Locations (2)

Rigshospitalet, Blegdamsvej 9

🇩🇰

Copenhagen, Denmark

Herlev Hospital

🇩🇰

Herlev, Denmark

© Copyright 2025. All Rights Reserved by MedPath