Impact of Hemo-dialysis Therapy on Blood Levels of Treprostenil in End Stage Renal Disease Patients With Pulmonary Hypertension
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Purpose
Remodulin (Treprostenil sodium) is synthetic prostacyclin analog available as a solution for administration in the intravenous route. It is approved for treatment of class I - pulmonary hypertension functional capacity stage III-IV. A key factor for the success of pulmonary hypertension therapy is maintaining near constant blood level of a given medications along the day. A sudden decrease in the blood levels might lead to rebound phenomenon; abrupt increase in the pulmonary artery pressure which might lead to acute right ventricular failure and even to sudden death. As some PHT patients suffer are on hemo-dialysis therapy due to end-stage renal disease there is a need to document the variation of the blood level along the dialysis cycle.
| Condition |
|---|
|
Pulmonary Hypertension End-Stage Renal Disease Hemo-dialysis Therapy |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Estimated Enrollment: | 5 |
| Study Start Date: | November 2010 |
After giving informed consent 10 ml of blood will be drawn from the study population at the following occasions.
- Baseline measurement immediately before starting HD therapy.
- During the hemo-dialysis therapy - every one hour.
- After the end of the hemo-dialysis therapy - every one hour (a total of four measurements) to record recovery of Treprostenil blood levels.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
The study population includes patients with PAH who receive chronic (more than 3 months) Treprostenil treatment administered intravenously as a single agent therapy who maintain chronic hemo-dialysis therapy. Patients must be in stable condition for at least one month. Patients other than class I PAH will be not included in this study.
Inclusion Criteria:patients with PAH who receive chronic (more than 3 months) Treprostenil treatment administered intravenously as a single agent therapy who maintain chronic hemo-dialysis therapy. Patients must be in stable condition for at least one month. Patients other than class I PAH will be not included in this study.
Exclusion Criteria:
- none
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Dr. Mordechai Yigla, Rambam Health Care Campus |
| ClinicalTrials.gov Identifier: | NCT01234571 History of Changes |
| Other Study ID Numbers: | 0273-10CTIL |
| Study First Received: | November 3, 2010 |
| Last Updated: | November 3, 2010 |
| Health Authority: | ISRAEL: MINISTER OF HEALTH |
Keywords provided by Rambam Health Care Campus:
|
Pulmonary hypertension Remodulin (Treprostenil sodium) End-stage renal disease Hemo-dialysis |
Additional relevant MeSH terms:
|
Hypertension Hypertension, Pulmonary Kidney Diseases Kidney Failure, Chronic Vascular Diseases Cardiovascular Diseases |
Lung Diseases Respiratory Tract Diseases Urologic Diseases Renal Insufficiency, Chronic Renal Insufficiency |
ClinicalTrials.gov processed this record on May 21, 2013