We want to investigate whether increased vasodilitation ( angiotensin converting enzyme inhibitor and calcium channel blocker) compared to standard treatment ( beta-blocker and angiotensin converting enzyme inhibitor) reduces the rate of decline of GFR in patients with chronic kidney disease (grade 3 to 4) and hypertension. Patients with ischemic heart disease or congestive heart failure will be treated with Carvedilol if randomized to increased Vasodilitation. MedDRA version: 13.1 Level: LLT
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: CKD grade 3-4 Hypertension (Blood pressure > 130/80 measured 24 h ambulatory) Age> 18 years Fertile women: Must have safe contraception Informed consent. 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: Claustrophobia in a degree which makes MRI impossible Ultrasound verified polycystic kidney disease Pregnancy or wish to be pregnant Contraindications to MRI (Pacemaker, metal implants incompatible with MRI) Allergy to the medicine used in the trail Blood pressure blow 130/80 (24 h ambulatory) without antihypertensive drugs Blood pressure over 130/80 (24h ambulatory) while treatmented with maximum dose of beta-blocker, ACEi and CCB simultaneously.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Does increased vasodilation reduce loss of kidney function in patients with CKD grad 3-4 and hypertension.;Secondary Objective: Will increased vasodilation normalize the structure of resistance vessels in patients with CKD grade 3-4 and hypertension. ;Primary end point(s): Difference in decline of GFR (glomerular filtation rate) in the two treatment arms. | — |
Countries
Denmark