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

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

NA

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2013-06-30

Brief Summary

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Patients with chronic kidney disease (CKD) have a defect in the tubular reabsorption of sodium, and therefore the ability to excrete a sodium load is diminished compared to healthy subjects.

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.

Detailed Description

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The fractional sodium excretion is elevated as high as 10-20% In patients with chronic kidney disease (CKD) Changes in the sodium intake results in a slower expansion and/or reduction in extracellular fluid in CKD patients.

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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Nephropathy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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hypertonic saline

hypertonic saline 3.0% (7 ml/kg)

Group Type OTHER

hypertonic saline

Intervention Type OTHER

hypertonic saline 3.0 % (7 ml/kg)

Interventions

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hypertonic saline

hypertonic saline 3.0 % (7 ml/kg)

Intervention Type OTHER

Other Intervention Names

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hypertonic NaCl

Eligibility Criteria

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Inclusion Criteria

1. healthy subjects

* 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

1. healthy subjects

* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Regional Hospital Holstebro

OTHER

Sponsor Role lead

Responsible Party

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Erling Bjerregaard Pedersen

DMSc

Responsibility Role PRINCIPAL_INVESTIGATOR

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

Site Status

Countries

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Denmark

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.

Reference Type DERIVED
PMID: 24970686 (View on PubMed)

Other Identifiers

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EBP-JMJ-2012-2

Identifier Type: -

Identifier Source: org_study_id

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