Status:

TERMINATED

Genes, Fibrinolysis and Endothelial Dysfunction- Dialysis Aim 3

Lead Sponsor:

Vanderbilt University

Collaborating Sponsors:

University of Washington

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Oxidative Stress

Endothelial Dysfunction

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of the study is to see how two classes of blood pressure medications,angiotensin-converting enzyme inhibitors (Ace inhibitors) and angiotensin receptor blockers (ARBs), differ in their lon...

Detailed Description

More than 400,000 individuals with chronic kidney disease undergo hemodialysis each year in the United States. Atherosclerotic cardiovascular disease is the leading cause of mortality in these patient...

Eligibility Criteria

Inclusion

  • Age 18 years or older
  • On thrice weekly chronic hemodialysis for at least 6 months
  • Clinically stable, adequately dialyzed \[single-pool Kt/V \> 1.2 or Urea Reduction Ratio (URR) \> 65%\] thrice weekly, with polysulphone membrane for at least 3 consecutive months prior to study

Exclusion

  • History of functional transplant less than 6 months prior to study
  • Use of immunosuppressive drugs within 1 month prior to study
  • History of active connective tissue disease
  • History of acute infectious disease within one month prior to study
  • AIDS (HIV seropositivity is not an exclusion criteria)
  • History of myocardial infarction or cerebrovascular event within 3 months
  • Advanced liver disease
  • Gastrointestinal dysfunction requiring parental nutrition
  • Active malignancy excluding basal cell carcinoma of the skin
  • History of ACE inhibitor-associated cough (intolerable) or angioedema
  • Ejection fraction less than 30%
  • Inability to discontinue ACE inhibitor or ARB
  • Predialysis potassium repeatedly higher than 6.0 mmol/L (confirmed on a repeated blood draw)
  • Anticipated live donor kidney transplant
  • Pregnancy or breast-feeding
  • History of poor adherence to hemodialysis or medical regimen
  • Inability to provide consent

Key Trial Info

Start Date :

January 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2015

Estimated Enrollment :

78 Patients enrolled

Trial Details

Trial ID

NCT00878969

Start Date

January 1 2010

End Date

June 1 2015

Last Update

February 15 2016

Active Locations (1)

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1

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232