Health Condition 1: N11- Chronic tubulo-interstitial nephritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient of age within 18-60 year. 2. CKD stage 5 on haemodialysis. 3. On maintenance haemodialysis 3 per week. 4. A-V Fistula is used as haemodialysis access. 5. Haemoglobin level > 10gm%. 6. Echo-cardiographic evidence of Left ventricular hypertrophy. 7. Pre dialysis BP > 140/90 on 2 occassions. 8. No contraindication to any of the medication used in the study.
Exclusion criteria
Exclusion criteria: 1. Life expectancy less than 6 months. 2. Pregnancy and unwilling to take contraception. 3. Patients with active infection. 4. Past history of allergy or side effects to losartan. 5. Contraindication to start losartan. 6. Unwilling to give consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A. The primary outcome will be the percentage of objective improvement of echo-cardiographic parameters after the study period .Timepoint: 6 MONTHS | — |
Secondary
| Measure | Time frame |
|---|---|
| a) Mortality during study period. b) Adverse effects (hyperkalaemia, hypotension, anaemia, transaminitis, allergic reaction). c) Hospital admission due to heart failure d) Hypertension requiring more anti-hypertensives. Timepoint: 6 MONTHS | — |
Countries
India
Contacts
INSTITUTE OF POST GRADUATE MEDICAL EDUCATION AND RESEARCH