severe chronic kidney disease complicated by congestive heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) A patient who has an insufficient fluid retention symptom with an existing diuretic (eg furosemide). 2) CKD stage 4-5
Exclusion criteria
Exclusion criteria: 1) Hemodynamics are unstable 2) Hypersensitivity to tolvaptan 3) Anuria 4) Can not feel dry mouth or can not drink water 5) Hypernatremia 6) Pregnant 7) Already prescribed tolvaptan 8) Patient judged inappropriate by the examining physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change rate to eGFR <6 (mL / min / 1.73 m2) | — |
Countries
Japan
Contacts
Nippon Medical School Department of Nephrology