Gitelman Syndrome
Conditions
Keywords
Hypokalemia, Hypomagnesemia, Salt loosing nephropathy
Brief summary
Gitelman syndrome is a rare renal disease where the kidneys are unable to normally retain some salts (sodium, potassium and magnesium). Main consequences of these renal leaks of salts are a tendency toward low blood pressure, hypokalemia and hypomagnesemia both contributing to cardiac and muscles symptoms.
Detailed description
Patients with received in random order 75mg/day indometacin (Chronoindocid®), 10-20 mg/day amiloride and 50-150 mg /day eplerenone (Inspra ®). The three 6 weeks-periods of treatment will be followed by six weeks washout period. 3-6 weeks before the first period of treatment, a supplementation with potassium and magnesium will be orally given, and maintained at the same dose throughout the study and stoped 6 weeks after the end of the third period of treatment.
Interventions
Patients with received in random order 75mg/day indometacin(chronoindocid®), 10-20 mg/day amiloride and 50-150 mg /day eplerenone (Inspra ®). The three 6 weeks-periods of treatment will be followed by six weeks washout period. 3-6 weeks before the first period of treatment, a supplementation with potassium and magnesium will be orally given, and maintained at the same dose throughout the study and stoped 6 weeks after the end of the third period of treatment.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients 18-60 yrs old, both sex, with genetically proven Gitelman's syndrome, under birth pill control for woman.
Exclusion criteria
* counter-indication to treatment under study * Other diuretic or NAIS treatments than amiloride, spironolactone, or indometacin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the efficacy of indomethacin on hypokalemia versus potassium and magnesium supplementation alone | 2 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the effectiveness of indomethacin on disorders possibly induced by chronic hypokalemia and /or hypomagnesemia (EKG, lipid disorders related to insulin resistance, glucose/ insulin ratio) | 2 months | — |
| To evaluate the effectiveness of eplerenone and amiloride on hypokalemia. | 2 months | — |
| To evaluate and compare indomethacin, eplerenone or amiloride in terms of efficiency on biological and hormonal disorders | 2 months | To evaluate and compare indomethacin, eplerenone or amiloride in terms of efficiency on biological and hormonal disorders other than hypokalemia (hypomagnesemia, hyperaldosteronism), glomerular filtration rate, hypotension, clinical tolerance, and quality of life. |
Countries
France