The aim is to measure the effect of paricalcitol given orally in patients with moderate to severe chronic kidney diseases (CKD stage III-IV i.e. eGFR:15-59 ml/min) investigating vasoactive hormones, renal function, calcium metabolism, inflammatory markers, 24-hour ambulatory blood pressure, the nitric oxide system, central blood pressure, pulse wave velocity and augmentation index. MedDRA version: 12.1 Level: LLT Classification code 10064848 Term: Chronic kidney disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age 18-65 years • Renal disease corresponding to CKD stage 3-4 (eGFR: 15-59 ml/min) • Both men and women • Albuminuria > 500 mg/l 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: • Medical history or clinical signs diseases in connective tissue, lungs, liver, endocrine organs • Former total parathyroidectomy • Diabetes • Malignant disease • Illicit drug use • Alcohol abuse (according to the recommendations from The Danish National Board of Health) • Pregnancy or nursing • Ongoing NSAID or corticosteroid treatment • Severe anemia (b-hemoglobin 170/105 mmHg that despite antihypertensive treatment still is > 170/105 mmHg when using home blood pressure measurements or 24-hour ambulatory blood pressure measurement according to the department’s clinical guidelines.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Plasma renin concentration (PRC);Secondary Objective: • Urinary albumin excretion • GFR, u-Na, u-K, CNa, CK, FENa ,FEK, CH2O, u-AQP2, u-ENaCß , u-NCC • p-Aldo, p-Ang II, p-AVP, p-ANP, p-BNP, p-Endot • 24-hour ambulatory BP • Central BP, pulse wave velocity, augmentation index • p-Ca++, u-Ca, p-P, p-alkaline phosphatase, p-PTH, p-25-OH-vitamin D • p-hsCRP, p-TNFa and p-TGFß ;Primary end point(s): Plasma renin concentration (PRC) | — |
Countries
Denmark