End-Stage Renal Disease, Pruritus
Conditions
Keywords
Pruritus, End-Stage Renal Disease
Brief summary
The purpose of this study is to determine whether Fumaria Parviflora L. can minimize severity of pruritus in patients with end-stage renal disease.
Detailed description
Uremic Pruritus is still a common complication in end-stage renal disease patients. The pathogenesis of Uremic Pruritus is unknown, therefore treatments are ineffective. According to several studies Uremic Pruritus is not an isolated skin disease. It seems to be a systemic inflammatory disease with a deranged balance of T helper cell differentiation. In this study investigators considered to evaluate effect of Fumaria Parviflora L. in uremic pruritus by a double blind placebo control clinical trial. It is hypothesized that oral Fumaria Parviflora L. may minimize uremic pruritus by decreasing serum Interferon gamma (IFN-γ) and high-sensitive C reactive protein (hs-CRP).
Interventions
3 times a day each time 2 capsules before eating meal for 8 weeks.
3 times a day each time 2 capsules before eating meal for 8 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Hemodialysis patients * Suffering from pruritus for at least 6 weeks * Have not responded to other drugs * visual analogue scale (VAS) equal or more than 4
Exclusion criteria
* Liver disease * Respiratory disease * Dermatological disease * Hemoglobin less than 10 * Cholestasis * Malignancies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Severity of Pruritis as measured by a visual analogue scale (VAS) | 3 months | A '0' score represented absence of pruritus and a '10' represented the greatest severity of symptoms. |
Secondary
| Measure | Time frame |
|---|---|
| Serum Interferon-gamma level | 4 months |
| Serum IL-4 level | 4 months |
| Serum high-sensitive C reactive protein (hs-CRP) | 4 months |