Lithium-induced Nephrogenic Diabetes Insipidus MedDRA version: 9.1 Level: LLT Classification code 10012600 Term: Diabetes insipidus nephrogenic
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Patients treated with lithium for affective disorders -Age above 18 -Having moderate to severe lithium NDI (maximal urinary concentration between 150 and 600 mOsm) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -Hypo/hyperthyroidism -Hypercalcaemia -Hypokalemia/hyperkalemia -Diabetes mellitus as a cause for the polyuria -Renal insufficiency or underlying renal diseases -Heart rhytm disorders -Systolic blood pressure below 90 mmHg -Treatment with hydrochlorothiazide or amiloride in the preceding 3 months, or treatment with other diuretics on the moment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the effect of amiloride with the effect of hydrochlorothiazide on lithium-NDI, measured as urine volume and maximal urine osmolality;Secondary Objective: To explore the effect of amiloride and thiazide on blood levels of sodium, potassium, chloride, bicarbonate, lithium, creatinine, hemoglobin and osmolality and urine levels of sodium, potassium, urea and creatinine, and osmolality and AQP2. Besides this, vital signs will be measured (bodyweight, blood pressure). Side effects, subjective symptoms and psychiatric outcome will also be recorded.;Primary end point(s): -Maximal urine osmolality -Urine volume (24 hrs) | — |
Countries
Netherlands