Microalbuminuria, Sickle Cell Nephropathy
Conditions
Brief summary
The purpose of this study is to determine whether enalapril or antioxidant therapy (N-Acetylcysteine) is effective in reducing microalbuminuria in children with sickle cell disease and and its progression to sickle nephropathy
Interventions
0.25-0.35 mg/kg/day
N-Acetylcysteine 0.5 mmol/kg
Sponsors
Study design
Eligibility
Inclusion criteria
* Homozygous S sickle cell disease * Diagnosed by newborn screening * determined to have persistent microalbuminuria * satisfied criteria for microalbuminuria screening * parental consent
Exclusion criteria
* Asymptomatic bacteriuria on screening urine cultures * On Hydroxyurea therapy * Pre-existing complications of SCD which would meet local criteria for HU therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| urinary albumin excretion rate | 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Glomerular filtration rate | 12 months | Measurement of glomerular filtration rate by iohexol |
Countries
Jamaica