Gitelman syndrome
Conditions
Interventions
Salt supplementation: 12 grams of NaCl per day. This will be administered in a
double-blinded randomized order alternating with placebo capsules, each
treatment block lasting for 4 weeks.
Sponsors
Radboud Universitair Medisch Centrum
Eligibility
Age
12 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Age: >= 16 years - Genetically-proven Gitelman syndrome - Informed consent
Exclusion criteria
Exclusion criteria: - inability to discontinue potassium-sparing diuretics, MRAs and NSAIDs; this means inability to reach a potassium level of 2.5 mmol/L or higher with maximally tolerable potassium supplementation after discontinuation of potassium-sparing diuretics. - patients who are pregnant at time of inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Serum potassium - Personalized symptom scoresheet - Gitelman symptom questionnaire (including the RAND SF-36 QoL score) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Serum electrolytes (sodium, magnesium, chloride, bicarbonate, calcium), aldosterone and renin - Intracellular potassium (measured in erythrocytes) - T helper 17 cell response in peripheral blood mononuclear cells (PBMC) - 24-hour urinary excretion of potassium, sodium, chloride, magnesium, calcium, creatinine, renin and aldosterone - Blood pressure; including determination of orthostatic hypotension - Body weight - Bioimpedance measurement - Muscle strength (measured by hand grip dynamometer) - Potassium and magnesium supplementation requirement | — |
Countries
Netherlands
Outcome results
None listed