Kidney Transplant; Complications
Conditions
Brief summary
The aim of this study is to determine if amiloride, a diuretic drug, is capable of increasing renal salt excretion, lowering blood pressure and inhibiting uPA in kidney transplant recipients with proteinuria compared to normoalbuminuric transplant patients.
Interventions
Dietary Supplement: Standardized salt diet 150 mmol NaCl per day given as three meals daily for 5 consecutive days.
Drug: Amiloride Amiloride tablet 10 mg two times daily (morning and afternoon) for one day
Sponsors
Study design
Masking description
open label
Intervention model description
Experimental: Kidney transplant recipients with ACR \> 300mg/g receiving standardized sodium diet (150 mmol NaCl/day) for 5 days and amiloride tablet 10 mg two times daily (morning and afternoon) on the last day. Interventions:◦Dietary Supplement: Standardized salt diet ◦Drug: Amiloride •Experimental: Kidney transplant recipient with ACR\< 30mg/g (Control) receiving a standardized salt diet (150 mmol NaCl/day) for 5 days, then amiloride tablet 10 mg two times daily (morning and afternoon) for 1 day. Interventions:◦Dietary Supplement: Standardized salt diet ◦Drug: Amiloride
Eligibility
Inclusion criteria
* One Group of kidney transplant recipients with ACR\< 30mg/g * One Group of kidney transplant recipients with ACR \>300mg/g
Exclusion criteria
* Treatment with amiloride, spironolactone, aldosterone- or analogs or tranexamsyre * Pregnancy * Clinically relevant organic or systemic disease including malignancy * eGFR or creatinin-clearance \< 30ml/min * hyperkalemia (s-potassium \> 5,0mmol/l)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24-hour urinary sodium excretion induced by amiloride | Change from baseline urinary sodium (after 4 days of standadized sodium diet) excretion at 24 hours after amiloride administration |
Secondary
| Measure | Time frame |
|---|---|
| Office or 24h blood pressure measurements | Change from baseline office blood pressure at day 4 of salt diet and at 24 hours after amiloride administration |
Countries
Denmark