Kidney Transplant
Conditions
Keywords
calcineurin inhibitors, fibrosis, spironolactone, Focus of the study is to assess if aldosterone blockade has an effect on interstitial fibrosis amongst kidney transplant recipients
Brief summary
The main objective of this study is to assess the effect of spironolactone on interstitial fibrosis in kidney transplant recipients receiving calcineurin inhibitors
Interventions
Half of the subjects will be assigned to receive 25 mg of spironolactone for 6 months
Half of the subjects will be assigned to receive placebo for 6 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Kidney Failure * Age \> 18 * Kidney transplant recipients
Exclusion criteria
* Patients taking angiotensin receptor blockers or inhibitors of the angiotensin reconverting enzyme * Kidney transplant performed more than one month from enrollment in the study * Hyperkalemia (K\> 5.5 meqL)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Interstitial fibrosis in kidney transplant biopsies (time zero biopsy and at 6 months post intervention) | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| allograft function and proteinuria | 2 years |
| Fibrosis markers in kidney biopsies such as TGF-B | 2 years |
Countries
Mexico