Age > 18 DKD with eGFR > 15 ml/min Optimal dose of ACEI or ARB ≥
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age > 18 DKD with eGFR > 15 ml/min Optimal dose of ACEI or ARB ≥ 3 months Stable BP control ( ΔSBP ≤ 10% ) Stable renal function ( ΔeGFR ≤ 10% ) Stable glycemic control ( ΔHbA1C ≤ 15% x 2 in past 3 months )
Exclusion criteria
Exclusion criteria: Poorly controlled HT ( BP ≥ 150/95 mmHg ) Poorly controlled DM ( HbA1C > 8.5 % ) Hyperkalemia > 5 mg/dl Hyperphosphatemia > 6 mg/dl Hypercalcemia > 10 mg/dl Taking vitamin D or its analog
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proteinuria and inflammatory marker reduction 0, 6 wk pair t-test | — |
Secondary
| Measure | Time frame |
|---|---|
| change in pro-BNP and PTH 0,6 wk pair t-test | — |
Countries
Thailand