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临床试验/2024-512544-27-00
2024-512544-27-00已完成4 期

Treatment of vascular stiffness in patients with autosomal dominant polycystic kidney disease

Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)1 个研究点 分布在 1 个国家目标入组 54 人开始时间: 2024年5月24日最近更新:
适应症

试验速览

阶段
4 期
状态
已完成
入组人数
54
试验地点
1
主要终点
The three primary outcomes of this study are the differences in pulse wave velocity (PWV) in high salt versus placebo group, and before versus after amiloride treatment in both groups.

研究概览

简要总结

We aim to determine if arterial stiffness is exacerbated due to a high-salt diet in patients with ADPKD and whether treatment with amiloride prevents these effects. We divided the main objective into three sub-objectives:

  1. To determine if arterial stiffness is exacerbated due to a high-salt diet in patients with ADPKD.
  2. To investigate whether amiloride treatment could reduce the effect of high salt on arterial stiffness in the group with salt supplement.
  3. To investigate whether treatment with amiloride further reduces arterial stiffness in the setting of a low-salt diet.

研究设计

分配方式
Randomized
主要目的
Intervention period (4 weeks)
盲法
Double (Monitor, Investigator, Subject, Carer, Analyst)

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Adults with typical ADPKD diagnosed based on Ravine criteria and/or a documented Pkd 1 or 2 mutation
  • CKD-EPI eGFR ≥60 ml/min/1.73m2
  • Ability to provide informed consent

排除标准

  • Uncontrolled hypertension, defined as an office blood pressure of ≥160/ ≥90 mmHg with or without antihypertensive treatment
  • Concomitant use of drugs that could influence blood pressure and/or disease progression (Tolvaptan/non-steroidal anti-inflammatory drugs (NSAIDs)/chemotherapy), excluding £ 2 antihypertensive drugs
  • Actual pregnancy or unwillingness to adhere to reproductive precautions during the duration of the study
  • Concomitant use of ≥ 3 antihypertensive medications
  • When antihypertensive treatment is prescribed for any other treatment indication than hypertension (e.g. cardia arrhythmia)
  • Serum potassium levels >5.5 mmol/L (measured within last 6 months)
  • History of liver disease (excluding liver cysts due to ADPKD)
  • History of heart failure (cardiac ejection fraction < 35%) or cardiac arrhythmia
  • History of diabetes mellitus
  • Active infection or antibiotic therapy
  • Immunosuppressive therapy within the last year

结局指标

主要结局

The three primary outcomes of this study are the differences in pulse wave velocity (PWV) in high salt versus placebo group, and before versus after amiloride treatment in both groups.

The three primary outcomes of this study are the differences in pulse wave velocity (PWV) in high salt versus placebo group, and before versus after amiloride treatment in both groups.

次要结局

  • Ambulatory (24-hours) blood pressure measurements
  • Serum markers of inflammation
  • Other relevant serum markers for inflammation and endothelial dysfunction
  • 23Na-MRI scans measuring interstitial sodium accumulation in a subgroup of patients
  • Salt tasting sensitivity

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

M. Salih

Scientific

Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)

研究点 (1)

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