Chronic Kidney Disease - Mineral and Bone Disorder (CKD-MBD), especially bone metabolism and blood vessel calcification MedDRA version: 20.0 Level: LLT Classification code 10076411 Term: Chronic kidney disease stage 4 System Organ Class: 100000004857 MedDRA version: 20.0 Level: LLT Classification code 10076412 Term: Chronic kidney disease stage 5
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 35-65 years old men and women with 3-5 CKD and requiring treatment for hyperphosphatemia 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 35 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Inability to give informed consent, pregnancy, lactation, not radically treated cancer, alcohol abuse or drug abuse. Within three months: fractures, AMI, TCI, kidney transplant or parathyroidectomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate whether treatment with an iron- or calcium-containing phosphate binder can affect differently the results from 18F-NaF PET/CT, bALP, osteocalcin, FGF23 og OPG/RANKL ratio. Differences in the stiffness of blood vessel assessed with applanation tonometry. Finally, we investigate changes in calcium score (TBR) and iron status;Secondary Objective: "not applicable";Primary end point(s): SUVmax og Ki;Timepoint(s) of evaluation of this end point: At the end of the trail, when all subjects have completed and the blood samples and PET/CT- scans are analyzed | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Biomarkers: bALP, FGF23, osteocalcin and OPG/sRANKL ratio PET/CT: SUVmean, SUVpeak, SUVA50%, K1, K2, K3, K4 and calcium score (TBR). Iron parameters: p-iron, ferritin, transferrin, hepcidin Applanation tonometry: Heart Rate Variability (HRV), aPWV og AIx/central blood pressure (PVA) ;Timepoint(s) of evaluation of this end point: At the end of the trail, when all subjects have completed and the blood samples and PET/CT- scans are analyzed | — |
Countries
Denmark
Contacts
Universitetsklinik for Nyresygdomme og Blodtryksforhøjelse, Regionshospitalet Holstebro; Hospitalsenheden Vest