Left Ventricular Hypertrophy and Spironolactone in End Stage Renal Disease
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Purpose
The hypothesis of this trial is to assess the effect of spironolactone on heart size and mass
| Condition | Intervention | Phase |
|---|---|---|
|
Kidney Failure, Chronic |
Drug: Spironolactone |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- Left ventricular mass [ Time Frame: 9 months ]
Dialysis patients have significant morbidity and mortality associated with left ventricular hypertrophy and cardiac failure. Aldosterone may have an important role in the development of myocardial hypertrophy and remodeling. Animal studies have demonstrated beneficial effects of aldosterone antagonists on myocardial hypertrophy, and human studies have shown significant survival benefit in a non-dialysis population with congestive heart failure. This study evaluates the effect of spironolactone (an aldosterone receptor antagonist) on cardiac hypertrophy in the end-stage renal disease population.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
Inclusion Criteria:
- hemodialysis patients
Exclusion Criteria:
- non compliance
- hyperkalemia
- pregnancy
- expected survival less than 9 months
Contacts and Locations| United States, Pennsylvania | |
| Allegheny General Hospital | |
| Pittsburgh, Pennsylvania, United States, 15212 | |
| Principal Investigator: | Richard Marcus | West Penn Allegheny Health System |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00548912 History of Changes |
| Other Study ID Numbers: | RC-3267 |
| Study First Received: | October 23, 2007 |
| Last Updated: | October 23, 2007 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by West Penn Allegheny Health System:
|
Kidney Failure, Chronic Hemodialysis Spironolactone |
Additional relevant MeSH terms:
|
Kidney Failure, Chronic Renal Insufficiency Hypertrophy, Left Ventricular Renal Insufficiency, Chronic Kidney Diseases Urologic Diseases Cardiomegaly Heart Diseases Cardiovascular Diseases Hypertrophy Pathological Conditions, Anatomical |
Spironolactone Aldosterone Antagonists Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Diuretics Natriuretic Agents Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013