Effect of Hypertonic Sodium Chloride on Urinary Biomarkers in Healthy Subjects and Patients With Chronic Kidney Disease
NCT ID: NCT01623661
Last Updated: 2014-03-04
Study Results
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Basic Information
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COMPLETED
NA
47 participants
INTERVENTIONAL
2011-12-31
2013-06-30
Brief Summary
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Urinary biomarkers reflects the water- and sodium-channel activity in the kidney and may be measured after an infusion with hypertonic saline in CKD patients and healthy subjects.
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Detailed Description
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Urinary biomarkers reflects the kidneys transport of sodium and water in the nephron.
Changes in the sodium-and water channel activity is induced by intervention with hypertonic Saline (3.0%) The change in sodium-and water channel activity is followed by change in extracellular and intracellular fluid compartments and the plasma concentration of vasoactive hormones.
The purpose of this study is to investigate the changes in urinary biomarkers (u-NKCC2, u-ENaC-gamma and u-AQP2), the activity of the sodium-and water channels, the extra- and intracellular fluid compartments and the plasma concentration of Vasoactive hormones in patients with CKD and in healthy subjects.
Subjects and patients are examined during one examination day. Four days prior to the examination day the subjects consume a standardized diet based on the amount of sodium and calories. On the examination day the subjects receive an infusion with hypertonic saline.
Renal function is measured by renal clearance of 51Cr-EDTA. Urinary biomarkers (u-NKCC2, u-ENaC-gamma and u-AQP2) are measured to evaluate the activity of sodium channels in the nephron and changes in fluid compartments are measured by body composition monitor.
Conditions
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Study Design
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NA
SINGLE_GROUP
DIAGNOSTIC
NONE
Study Groups
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hypertonic saline
hypertonic saline 3.0% (7 ml/kg)
hypertonic saline
hypertonic saline 3.0 % (7 ml/kg)
Interventions
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hypertonic saline
hypertonic saline 3.0 % (7 ml/kg)
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* healthy males and females
* age 18-70
* BMI range 18,5-30,0 kg/m2
2. Patients with CKD
* age 18-70
* eGFR 15-60 ml/min
* BMI range 18.5 - 30.0 kg/m2
Exclusion Criteria
* hypertension (ie ambulatory BP \>130 mmHg systolic or/and \>80 mmHg diastolic)
* history or clinical significant signs of heart, lung, liver, kidney, endocrine, brain or neoplastic disease.
* alcohol abuse
* drug abuse
* smoking
* pregnancy or nursing
* blood donation within a month prior to examination
* Medical treatment apart from oral contraception
2. Patients with chronic kidney disease
* clinical significant signs of heart, lung, liver, endocrine, brain or neoplastic disease.
* diabetes
* immunosuppressive medications
* smoking
* alcohol abuse
* drug abuse
* pregnancy or nursing
18 Years
70 Years
ALL
Yes
Sponsors
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Regional Hospital Holstebro
OTHER
Responsible Party
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Erling Bjerregaard Pedersen
DMSc
Principal Investigators
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Erling B Pedersen, DMSc
Role: STUDY_DIRECTOR
Regional Hospital Holstebro
Locations
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Medical Research
Holstebro, , Denmark
Countries
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References
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Jensen JM, Mose FH, Kulik AE, Bech JN, Fenton RA, Pedersen EB. Abnormal urinary excretion of NKCC2 and AQP2 in response to hypertonic saline in chronic kidney disease: an intervention study in patients with chronic kidney disease and healthy controls. BMC Nephrol. 2014 Jun 26;15:101. doi: 10.1186/1471-2369-15-101.
Other Identifiers
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EBP-JMJ-2012-2
Identifier Type: -
Identifier Source: org_study_id
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