NCT02190318

Brief Summary

Aldosterone blockade is useful in preserving residual renal function in patients on PD.The long term efficacy of dual blockade of the RAAS is better than monotherapy.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
96

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2013

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2013

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

July 12, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 15, 2014

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2015

Completed
Last Updated

August 1, 2014

Status Verified

July 1, 2014

Enrollment Period

2.1 years

First QC Date

July 12, 2014

Last Update Submit

July 31, 2014

Conditions

Keywords

peritoneal dialysis;residual renal function;RAAS

Outcome Measures

Primary Outcomes (1)

  • residual renal function of peritoneal dialysis patients

    From date of randomization until the date of dropping out of the study or death from any cause, whichever came first, assessed up to 12 months.

Secondary Outcomes (1)

  • peritoneal membrane function

    From date of randomization until the date of dropping out of the study or death from any cause, whichever came first, assessed up to 12 months.

Study Arms (4)

Losartan

EXPERIMENTAL

Losartan is taken orally 100mg/d

Drug: Losartan

spirolactone

EXPERIMENTAL

spirolactone is taken orally 20mg/d

Drug: spirolactone

losartan in combination with spirolactone

EXPERIMENTAL

Losartan is taken orally 100mg/d and spirolactone is taken orally 20mg/d

Drug: LosartanDrug: spirolactone

blank control

SHAM COMPARATOR

patients with antihypertensives besides ACEI/ARBs and spirolactone.

Other: blank control

Interventions

Losartanlosartan in combination with spirolactone
losartan in combination with spirolactonespirolactone
blank control

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients who having been on PD continuously for one month, urine volume\>600 ml/d, residual renal function\>2ml/min/1.73m2, blood pressure\>120/70mmHg, serum potassium levels\<5.5mmol/l, stable clinical condition.

You may not qualify if:

  • Patients with infectious systemic disease, peritonitis during the preceding 1 month, who had taken ACEI/ARBs in the 3 preceding months, spirolactone in the 2 preceding weeks, intolerance to ACEI/ARBs, CHF, MI, malignant hypertension and stroke within the preceding 6 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Unknown Facility

Changsha, Hunan, 410000, China

RECRUITING

Related Publications (1)

  • Hasegawa T, Nishiwaki H, Ota E, Levack WM, Noma H. Aldosterone antagonists for people with chronic kidney disease requiring dialysis. Cochrane Database Syst Rev. 2021 Feb 15;2(2):CD013109. doi: 10.1002/14651858.CD013109.pub2.

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Interventions

LosartanSpironolactone

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Biphenyl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsImidazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsTetrazolesLactonesPregnenesPregnanesSteroidsFused-Ring CompoundsPolycyclic Compounds

Central Study Contacts

Hong Liu, MD,phD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
deputy director of nephrology department

Study Record Dates

First Submitted

July 12, 2014

First Posted

July 15, 2014

Study Start

November 1, 2013

Primary Completion

December 1, 2015

Study Completion

December 1, 2015

Last Updated

August 1, 2014

Record last verified: 2014-07

Locations