Alkali Therapy in Chronic Kidney Disease

NCT ID: NCT01452412

Last Updated: 2020-01-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

149 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2016-08-31

Brief Summary

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Kidney disease is a common medical condition. Individuals with kidney disease develop a build-up of acid in their blood. This acid can affect their muscles, bones, glucose metabolism and kidneys. The investigators will test alkali treatment, to treat acid build-up, in a randomized placebo-controlled clinical trial to evaluate effects on muscles, bones, glucose metabolism and kidney.

Detailed Description

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Conditions

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Chronic Kidney Disease Metabolic Acidosis

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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Sodium bicarbonate

0.4 mEq/kg/day ideal body weight to be taken once a day

Group Type EXPERIMENTAL

Sodium bicarbonate

Intervention Type DRUG

0.4 mEq/kg/day ideal body weight to be taken once a day

Placebo

placebo dosage/frequency equivalent to sodium bicarbonate

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

To be taken on the same schedule as the active arm

Interventions

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Sodium bicarbonate

0.4 mEq/kg/day ideal body weight to be taken once a day

Intervention Type DRUG

Placebo

To be taken on the same schedule as the active arm

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Estimate GFR \<= 45 and \>15 ml/min/1.73m2
* Age \>18

Exclusion Criteria

* Previous chronic treatment with alkali within the last 3 months (including sodium bicarbonate, calcium carbonate or baking soda)
* bicarbonate level \<20 or \>25 mEq/L
* New York Heart Association Class III or IV heart failure
* Systolic blood pressure \>180 mmHg
* Initiation of ESRD treatment planned within 6 months
* Kidney transplantation
* Treatment with immunosuppressives within the last 3 months
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Albert Einstein College of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Michal L. Melamed

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Thomas Hostetter, MD

Role: PRINCIPAL_INVESTIGATOR

Case Western Reserve University

Locations

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Albert Einstein College of Medicine

The Bronx, New York, United States

Site Status

Case Western Reserve University

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Brightwell CR, Kulkarni AS, Paredes W, Zhang K, Perkins JB, Gatlin KJ, Custodio M, Farooq H, Zaidi B, Pai R, Buttar RS, Tang Y, Melamed ML, Hostetter TH, Pessin JE, Hawkins M, Fry CS, Abramowitz MK. Muscle fibrosis and maladaptation occur progressively in CKD and are rescued by dialysis. JCI Insight. 2021 Dec 22;6(24):e150112. doi: 10.1172/jci.insight.150112.

Reference Type DERIVED
PMID: 34784301 (View on PubMed)

Melamed ML, Horwitz EJ, Dobre MA, Abramowitz MK, Zhang L, Lo Y, Mitch WE, Hostetter TH. Effects of Sodium Bicarbonate in CKD Stages 3 and 4: A Randomized, Placebo-Controlled, Multicenter Clinical Trial. Am J Kidney Dis. 2020 Feb;75(2):225-234. doi: 10.1053/j.ajkd.2019.07.016. Epub 2019 Nov 5.

Reference Type DERIVED
PMID: 31699517 (View on PubMed)

Other Identifiers

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R01DK087783

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2009-408

Identifier Type: -

Identifier Source: org_study_id

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