Anderson-Fabry Disease in Chronic Kidney Disease Patients Not on Renal Replacement Therapy
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Purpose
Anderson-Fabry disease is a rare X-linked lysosomal storage disorder due to the deficiency of alfa-galactosidase A (AGAL). The subsequent accumulation of glycosphingolipids may lead to to cardiac, renal, and central nervous system impairment as well as premature death. Recently published studies suggest that the true incidence of the disease may be underestimated in certain risk groups, e.g. in patients with chronic kidney disease (CKD).
Therefore, the investigators initiated a multicenter case-finding study in Austria by screening patients with chronic kidney disease not yet on renal replacement therapy. Molecular isoforms of globotriaosylceramide (Gb3), characterized by different chain lengths of their N-acyl residues, will be determined in a urine sample. Characteristic parameters, including the ratio of C24/C18 isoforms will be used for identifying patients liable to have the disease. A positive result will be confirmed by biochemical and genetic testing.
A sample size of 5.000 chronic kidney disease patients is envisaged allowing for detection of 1 to 25 patients with Anderson-Fabry disease.
| Condition |
|---|
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Focus of Study: Prevalence of Fabry Disease in CKD Population |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Cross-Sectional |
| Official Title: | A Case Finding Study for Anderson-Fabry Disease Among Patients With Chronic Kidney Disease Not on Renal Replacement Therapy |
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with chronic kidney disease KDOQI stage 1-5 attending outpatient nephrology clinics in Austria and willing to participate
Inclusion Criteria:
- Chronic kidney disease KDOQI stage 1-5
- Informed consent
Exclusion Criteria:
- Patients already on renal replacement therapy
- Not willing to participate
Contacts and Locations| Austria | |
| Klinikum Wels-Grieskirchen | |
| Wels, Upper Austria, Austria, A-4600 | |
| Principal Investigator: | Manfred Wallner, MD | Klinikum Wels-Grieskirchen |
More Information
Publications:
| Responsible Party: | Manfred Wallner MD, Consultant, Klinikum Wels-Grieskirchen |
| ClinicalTrials.gov Identifier: | NCT00728364 History of Changes |
| Other Study ID Numbers: | AFD-CKD-Austria-2008 |
| Study First Received: | July 31, 2008 |
| Last Updated: | April 10, 2012 |
| Health Authority: | Austria: Federal Ministry for Health Family and Youth |
Keywords provided by Klinikum Wels-Grieskirchen:
|
Anderson Fabry disease chronic kidney disease prevalence |
Additional relevant MeSH terms:
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Fabry Disease Kidney Diseases Renal Insufficiency, Chronic Kidney Failure, Chronic Sphingolipidoses Lysosomal Storage Diseases, Nervous System Brain Diseases, Metabolic, Inborn Brain Diseases, Metabolic Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Genetic Diseases, X-Linked Genetic Diseases, Inborn Metabolism, Inborn Errors Lipidoses Lipid Metabolism, Inborn Errors Lysosomal Storage Diseases Metabolic Diseases Lipid Metabolism Disorders Urologic Diseases Renal Insufficiency |
ClinicalTrials.gov processed this record on May 22, 2013