Copeptin in the Differential Diagnosis of Dysnatremia in Hospitalized Patients (COMED)

This study is currently recruiting participants.
Verified January 2013 by University Hospital, Basel, Switzerland
Sponsor:
Collaborator:
Kantonsspital Aarau
Information provided by (Responsible Party):
University Hospital, Basel, Switzerland
ClinicalTrials.gov Identifier:
NCT01456533
First received: September 30, 2011
Last updated: January 16, 2013
Last verified: January 2013

September 30, 2011
January 16, 2013
October 2011
October 2011   (final data collection date for primary outcome measure)
diagnostic accuracy of copeptin within hospital stay [ Time Frame: participants will be followed for up to 1 year ] [ Designated as safety issue: No ]
diagnostic accuracy will be determined by ROC (receiver operated curve) analysis. The study is powered to detect a difference of copeptin levels between patients with partial central DI (diabetes insipidus) and patients with primary polydipsia.
diagnostic accuracy of copeptin within hospital stay [ Time Frame: participants will be followed for the duration of hospital stay (for on average 14 days) ] [ Designated as safety issue: No ]
diagnostic accuracy will be determined by ROC analysis. The study is powered to detect a difference of copeptin levels between patients with partial central DI and patients with primary polydipsia.
Complete list of historical versions of study NCT01456533 on ClinicalTrials.gov Archive Site
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Copeptin in the Differential Diagnosis of Dysnatremia in Hospitalized Patients
Copeptin in the Differential Diagnosis of Dysnatremia in Hospitalized Patients

Background: Hypo- and hypernatremia are common in hospitalized patients. The differential diagnosis of dysnatremia is challenging.

Osmotically inadequate secretion of antidiuretic hormone (ADH) is the predominant mechanism in most dysnatremic disorders. ADH measurement is cumbersome. It is derived from a larger precursor peptide along with copeptin, which is a more stable peptide directly mirroring the production of ADH.

Objective: To evaluate the additional value of copeptin to improve a currently used algorithm in the differential diagnosis of (A) severe hypoosmolar hypo- and (B) severe hypernatremia.

Design: Prospective observational study.

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Observational
Observational Model: Cohort
Time Perspective: Prospective
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Probability Sample

hospitalized patients with severe hypo or hypernatremia

  • Hyponatremia
  • Hypernatremia
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hospitalized patients
hospitalized patients with hyponatremia
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
300
October 2014
October 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • hyponatremia <125 or hypernatremia >155 mmol/L

Exclusion Criteria:

  • no informed consent
Both
18 Years and older
No
Contact: Mirjam Christ-Crain, Prof. MD, PhD +41613287080 mirjam.christ-crain@unibas.ch
Switzerland
 
NCT01456533
COMED Study
No
University Hospital, Basel, Switzerland
University Hospital, Basel, Switzerland
Kantonsspital Aarau
Principal Investigator: Mirjam Christ-Crain, MD, PhD University Hospital, Basel, Switzerland
Principal Investigator: Beat Müller, MD Kantonsspital Aarau, University Hospital Basel
University Hospital, Basel, Switzerland
January 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP