Hypercalciuria and Calcium Stone Disease in Caucasian Patients
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Purpose
The hypothesis of this study proposal is that pediatric urinary stone formers have genetic risk factors which predispose their urinary stone production. 50-60% of pediatric stone patients have a positive family history of urinary stone disease. Several genetic mutations have been identified which predispose patients to various types of urinary stones. These genetic mutations can also lead to other significant sequela besides stones, including osteopenia/osteoporosis (bone loss). Furthermore, metabolic abnormalities can be identified in more than 50% of pediatric stone formers, some of which can be improved/alleviated with medical intervention to help decrease rate of stone formation and the need for hospitalization and surgical intervention.
| Condition | Intervention |
|---|---|
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Hypercalciuria Calcium Stone Disease |
Radiation: Radiological testing Genetic: Pediatric Urologic DNA and History Repository |
| Study Type: | Expanded Access What is Expanded Access? |
| Official Title: | Hypercalciuria and Calcium Stone Disease in Caucasian Patients |
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Radiation: Radiological testing
All Stone Forming Patients and their families will undergo one of three groups of testing:
Testing 1 - This testing form involves using a specimen from the Pediatric Urologic Blood, Tissue, Urine, Serum, and DNA Repository.
Testing 2 - Involves complete in-patient evaluation at UT Southwestern GCRC for patients with hypercalciuria and their families.
Testing 3 - Involves simple out-patient evaluation for patients with hypercalciuria and their family members.
Eligibility| Ages Eligible for Study: | 4 Years to 20 Years |
| Genders Eligible for Study: | Both |
Inclusion Criteria:
- Male and female English-speaking Caucasian patients >4 years of age with a history of stone formation before age 20 years, their family members, and sex- and age-matched pediatric normal volunteers will be included regardless of current age, gender, race or ethnicity.
Exclusion Criteria:
- Patients will be excluded with voiding dysfunction or metabolic disorders including renal tubular acidosis, chronic renal insufficiency, intestinal malabsorption (inflammatory bowel disease, history of ileal resection or bladder augmentation, and cystic fibrosis), hyperparathyroidism, prolonged immobilization, vitamin D excess, hpercalcemia, hypophosphatasia, Bartter's syndrome, high dose steroid therapy, prematurity, and chronic lasix use. Any child with a bleeding diathesis or who is immunocompromised will be excluded given the increased risks of drawing blood. Participants who have been on anti-seizure medication such as Topamax or other lithogenic drugs and anti-seizure medication will be excluded. Non-English speaking subjects are not eligible to participate in the study, as this study specifically focuses on English-speaking Caucasian patients based on the adult study from which this study project has been derived.
Contacts and Locations| Contact: Linda A. Baker, MD | 214-456-2467 | Linda.Baker@UTSouthwestern.edu |
More Information
No publications provided
| Responsible Party: | Linda A. Baker, M.D., University of Texas Southwestern Medical School |
| ClinicalTrials.gov Identifier: | NCT00765531 History of Changes |
| Other Study ID Numbers: | 1101-577 |
| Study First Received: | September 30, 2008 |
| Last Updated: | October 30, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Texas Southwestern Medical Center:
|
To determine the prevalence of genetic mutations in a population. To identify stone formers with significant family history of stones. To follow a cohort of pediatric stone formers an their families to report the long-term recurrence rats and therapeutic outcomes. |
Additional relevant MeSH terms:
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Calculi Hypercalciuria Pathological Conditions, Anatomical Urological Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013