Oral Calcitriol for Reduction of Mild Proteinuria in Patients With CKD

NCT ID: NCT01820832

Last Updated: 2013-03-29

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2015-06-30

Brief Summary

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The safety and efficacy of Caltriol on mild proteinuria (\<1.0g/d) reduction in CKD patients.

Detailed Description

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Proteinuria is not only a capital sign of kidney disease, but also a marker of chronic kidney disease (CKD) progression. Emerging evidence in patients with CKD show that vitamin D and its analogs can reduce proteinuria or albuminuria in the presence of angiotensin-converting enzyme inhibithion. While some of the studies reported that vitamin D receptor activation has been associated with increased serum creatinine and reduced estimated glomerular filtration rates. Therefore, the investigators plan to conduct a randomized clinical study to evaluate the efficacy and safety of Calcitriol in the treatment of mild proteinuria (\<1.0g/d) CKD patients,which has no specific treatment at present.

Conditions

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Chronic Kidney Disease Proteinuria

Keywords

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mild proteinuria calcitriol renal function blood pressure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Calcitriol

General treatments (such as blood pressure control, lipid lowering, and so on) plus Calcitriol 0.5 ug/BIW for 24 weeks.

Group Type EXPERIMENTAL

Calcitriol

Intervention Type DRUG

Calcitriol 0.5 ug/BIW for 24 weeks.

Control

General treatments.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Calcitriol

Calcitriol 0.5 ug/BIW for 24 weeks.

Intervention Type DRUG

Other Intervention Names

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1, 25 - dihydroxy Cholecalciferol

Eligibility Criteria

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Inclusion Criteria

* aged 18-75 years
* clinical diagnosed and/or biopsy-confirmed primary glomerulonephritis
* proteinuria 0.15-1.0 g/d in 2 consecutive samples within 4 weeks despite ACE inhibitor (ACEI) or angiotensin receptor blocker (ARB) treatment for at least 1 year or ACEI/ARB withdrawal because of of drug intolerances (low blood pressure, cough, hyperkalemia) for at least 1 month
* estimated glomerular filtration rate (eGFR)\>60ml/min/1/73m2
* corticosteroid and immunosuppressive agents withdrawal for at least 6 months
* normal blood pressure
* serum intact parathyroid hormone (iPTH) level \>20pg/mL
* corrected serum calcium level \< or = 2.55 mmol/L
* serum phosphorus level \< or = 1.68 mmol/L
* 24 hours urinary calcium excretion level \< or = 7.5 mmol
* not receive treatment of vitamin D or its analogue within 6 months
* willigness to give written consent and comply with the study protocol

Exclusion Criteria

* history of sensitivity or allergy to calcitriol or other vitamin D analogs
* pregnancy, lactating women
* history of severe coexisting disease such as, but not limited to, chronic liver disease, myocardial infarction, cerebrovascular accident, malignant hypertension
* history of malignancy
* history of extraskeletal calcification, hyperuricemia, gout, kidney stone, gall stone, bone diseases
* patients receiving drugs contains of calcium
* patients receiving cimetidine, trimethoprim, or other drugs which can increase tubular creatinine reabsorption
* participation in any other trials within 1 month
* history of non-compliance
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Huashan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jing Chen

Professor, PhD., MD, Renal Division

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jing Chen, M.D. PhD

Role: PRINCIPAL_INVESTIGATOR

Division of Nephrology, Huashan Hospital, Fudan University

Locations

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Huashan Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Jing Chen, M.D. PhD

Role: CONTACT

Phone: 86-21-52889387

Email: [email protected]

Li You, M.D. PhD

Role: CONTACT

Phone: 86-21-52888133

Email: [email protected]

Facility Contacts

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Li You, M.D. PhD

Role: primary

Other Identifiers

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Calcitriol-MP-1

Identifier Type: -

Identifier Source: org_study_id