Maintenance hemodialysis patients Urological and Genital Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 20 years or older 2. Treatment with maintenance hemodialysis (MHD) for at least 3 months 3. A single pool Kt/Vurea of 1.2 or greater per MHD treatment 4. No treatment with androgens or glucocorticoids within 6 months before starting the study
Exclusion criteria
Exclusion criteria: 1. Patients with diabetes mellitus 2. Active malignancy 3. Severe heart, lung or liver disease, strokes, chronic infection (e.g., tuberculosis) within one year of starting the study 4. Any immunological or inflammatory disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Body composition was assessed by dual energy absorptiometry (DEXA; Hologic QDR-4500W, USA) on the day after a hemodialysis treatment, before and after the study period. 2. Grip strength was also measured three times on each side, alternating between right and left hands using a handgrip dynamometer 3. Muscle biopsies of the right vastus lateralis muscle were performed at baseline and at the end of the study. The muscle analyses include identification of mRNA levels by real-time polymerase chain reaction (PCR) amplification and protein concentrations of growth factors. Muscle fiber types were identified by nicotinamide dinucleotide diaphorase (NADH) staining and cross-sectional areas were examined by a renal pathologist. Blood was collected immediately before a mid-week hemodialysis for biochemical measurements, including testosterone, luteinizing hormone and cortisol at baseline, every 4 weeks and at the end of the trial. | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse events that were or were not considered to be related to oxymetholone treatment were monitored every 4 weeks. Patients also underwent blood drawing for safety tests that included complete blood counts, liver function tests and prostate-specific antigen. | — |
Countries
Thailand