Polycystic Kidney Diseases
Conditions
Keywords
ADPKD, CKD, Renal disease progression, Everolimus
Brief summary
The study will evaluate whether the administration of everolimus (1.5 mg/day) can slow down the progression of CKD in ADPKD patients.
Detailed description
Considering the inhibitor activity of Everolimus on mTOR, our hypothesis is to evaluate its possible utility on the progression of CKD in ADPKD patients by reducing the rate of increase of renal cysts.
Interventions
0.75 mg x 2 / day
Sponsors
Study design
Eligibility
Inclusion criteria
1. Subjects over 18 years of both genders 2. Clinical diagnosis of autosomal dominant polycystic kidney disease (ADPKD) 3. GFR, according to MDRD formula, between 30 and 90 ml/min/1.73 mq 4. Previous follow up of two years, with a creatinine evaluation at least once a year 5. GFR reduction of at least 2.5 ml/min/year (according to MDRD formula)
Exclusion criteria
1. Pregnancy, lactating, males and females without adequate contraception 2. Leucopenia (\< 3,000 leucocytes/mm3) or thrombocytopenia (\< 100,000 platelets/mm3) 3. Dyslipidemia (cholesterol or triglycerides \> 260 mg/dl with treatment) 4. Urinary tract infection 5. Patients who cannot undergoing NMR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of GFR (according to MDRD formula) during a two-year follow up | Two year-followup |
Secondary
| Measure | Time frame |
|---|---|
| reduction of creatinine clearance and GFR (according to Cockcroft-Gault formula) during a two-year follow up | Two year-followup |
| changes in kidney size and renal and liver cysts dimensions evaluated by NMR at basal and at the end of the study | Two year-followup |
| safety profile of everolimus (leucopenia, thrombocytopenia, lipid profile and other adverse events | Two year-followup |
| evaluation of phosphatemia, phosphaturia and urinary cytokines on primary end point | Two year-followup |
Countries
Italy