Chronic kidney disease Urological and Genital Diseases Chronic kidney disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 20-80 years old 2. Renal failure due to hypertension 3. Receiving optimal medical therapy (received optimal therapy for more than 12 weeks and have been evaluated by a nephrologist. Medication includes ACEI, ARB, DRI, beta-blocker or CCB. Blood pressure is less than 140/90 mmHg) 4. Renal function between chronic kidney disease (CKD) stage III-IV 5. Stable renal function maintained for 1 year before study (creatinine clearance rate between 15-60 ml/min and no significant changes)
Exclusion criteria
Exclusion criteria: 1. Pregnant or breastfeeding 2. Infected with HIV 3. Infected with HBV or HCV 4. Myocardial infarction within 3 months prior to study 5. Heart failure (functional class IV) 6. Malignant or hematological disease 7. Severe disease with lifespan less than 1 year 8. End stage renal disease 9. Creatinine clearance rate less than 15 ml/min 10. Kidney disease on only one side 11. Participating in other clinical trials 12. Unable to receive therapies used in this study 13. Organ transplantation 14. Autoimmune disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of Ccr (creatinine clearance rate cc/min) from the baseline, assessed using serum creatine levels at the baseline, and after 1 week and 1, 3, 6, 9 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Reduction of proteinuria value (albumin/creatinine ratio), assessed at the baseline, and after 1 week and 1, 3, 6, 9 and 12 months. The albumin concentration per creatine level in urea is assessed using the microalbumin test and the urine protein/creatinine ratio is assessed by the Urine Protein-Creatinine Ratio (UPCR) test. 2. Incidence of renal failure (either requiring haemodialysis or causing death) within the 1 year follow-up period | — |
Countries
Taiwan