Vitamin-D Receptor Activation (VDRA) in Chronic Kidney Disease

NCT ID: NCT01204528

Last Updated: 2013-09-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2013-07-31

Brief Summary

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To investigate whether treatment with a vitamin-D receptor activator is able to improve important markers of cardiovascular risk.

Detailed Description

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Main question:

May 12 weeks of VDRA treatment reduce the pathological sympathetic overactivation associated with moderate kidney disease?

Secondary questions aim to thrown light on how VDRAs can reduce albuminuria and CRP, i.e. does VDRA treatment improve (prespecified statistical analyses):

A) diastolic dysfunction? B) capillary microcirculation, and whether ameliorated disturbances relate to improved diastolic dysfunction? C) endothelial dysfunction and arterial stiffness? D) inflammatory activation? E) platelet function and haemostasis? F) levels of antibacterial peptides? G) levels of IGFBP-1 and adiponectin?

Overall design The study is designed as a double-blind, randomised, placebo-controlled trial involving two groups (n=72) of patients: 1) chronic kidney failure (CKD, eGFR 15-59 mL/m2) and 2) chronic kidney failure and concomitant diabetes mellitus (CKD+DM).

It will start with a two-week placebo run-in, followed by randomisation to:

1. Zemplar 1 μg (taken as 1 x 1 μg capsule and one placebo capsule),
2. Zemplar 2 μg (taken as 2 x 1 μg capsules) and
3. placebo (taken as two placebo capsules).

Conditions

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Chronic Kidney Disease

Keywords

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Dysfunction in CKD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Paricalcitol 2 microgram/d

Group Type ACTIVE_COMPARATOR

Zemplar

Intervention Type DRUG

Vitamin D receptor activator (VDRA)

Paricalcitol 1 microgram/d

Group Type ACTIVE_COMPARATOR

Zemplar

Intervention Type DRUG

Vitamin D receptor activator (VDRA)

Placebo

Group Type PLACEBO_COMPARATOR

Zemplar

Intervention Type DRUG

Vitamin D receptor activator (VDRA)

Interventions

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Zemplar

Vitamin D receptor activator (VDRA)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

eGFR 15-59 ml/m2

Exclusion Criteria

Current vitamin D treatment
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott

INDUSTRY

Sponsor Role collaborator

Danderyd Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jonas Spaak

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Karolinska Institute at Danderyd University Hospital

Danderyd, Stockholm County, Sweden

Site Status

Countries

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Sweden

References

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Lundwall K, Mortberg J, Mobarrez F, Jacobson SH, Jorneskog G, Spaak J. Changes in microparticle profiles by vitamin D receptor activation in chronic kidney disease - a randomized trial. BMC Nephrol. 2019 Aug 1;20(1):290. doi: 10.1186/s12882-019-1445-4.

Reference Type DERIVED
PMID: 31370809 (View on PubMed)

Mansouri L, Lundwall K, Moshfegh A, Jacobson SH, Lundahl J, Spaak J. Vitamin D receptor activation reduces inflammatory cytokines and plasma MicroRNAs in moderate chronic kidney disease - a randomized trial. BMC Nephrol. 2017 May 16;18(1):161. doi: 10.1186/s12882-017-0576-8.

Reference Type DERIVED
PMID: 28511692 (View on PubMed)

Lundwall K, Jorneskog G, Jacobson SH, Spaak J. Paricalcitol, Microvascular and Endothelial Function in Non-Diabetic Chronic Kidney Disease: A Randomized Trial. Am J Nephrol. 2015;42(4):265-73. doi: 10.1159/000441364. Epub 2015 Oct 24.

Reference Type DERIVED
PMID: 26496210 (View on PubMed)

Other Identifiers

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VDRA

Identifier Type: -

Identifier Source: org_study_id