Oxidative Stress Clinical Trial
Official title:
The Effects of a Single Intravenous Iron Upon Vascular Endothelium and Some Parameters of Oxidative Stress in Patients With Non-dialysis Chronic Kidney Disease
Verified date | August 2022 |
Source | Carol Davila University of Medicine and Pharmacy |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to investigate the effects of acute intravenous iron administration on the endothelial function in non-dialysis Chronic Kidney Disease stages G3-G5 patients with anemia and iron deficiency, in relation to changes in oxidative and nitrosative status.
Status | Active, not recruiting |
Enrollment | 40 |
Est. completion date | December 20, 2022 |
Est. primary completion date | December 30, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Chronic kidney disease stages G3-G5 (defined according to KDIGO criteria); - Anemia (defined according to KDIGO criteria) and iron deficiency defined as serum ferritin < 100 ng/mL and/or TSAT < 20% (KDIGO). Exclusion Criteria: - contraindications of intravenous iron therapy: iron allergy, active infection, hemochromatosis, iron overload (serum ferritin > 500 ng/mL and/or transferrin saturation > 50%); - treatment with iron and erythropoiesis-stimulating agents (at the time of recruitment and 6 months previously); - active smoker status; - antioxidant food supplements treatment in the last 3 months; - clinically manifest bleeding; - another cause of anemia (hemoglobinopathies, vitamin B12 and/or folic acid deficiency suggested by the megaloblastic peripheral blood smears's appearance, multiple myeloma and other paraproteinemias); - severe anemia (Hb < 7 g/dl); - baseline FMD < 7% (the existence of atherosclerosis which limits arterial reactivity); - cancer (currently or in the past 6 months); - hepatopathies (increased serum transaminases = 3 x normal value) or hepatic impairment = grade Child B; - autoimmune disorders or significant inflammation (as defined by C-reactive protein > 5 mg/L); - pregnancy or lactation; - participation in other clinical trials over the upast 3 months; - patient unwillingness. |
Country | Name | City | State |
---|---|---|---|
Romania | "Dr. Carol Davila" Teaching Hospital of Nephrology | Bucharest |
Lead Sponsor | Collaborator |
---|---|
Carol Davila University of Medicine and Pharmacy | S.C. Sanador S.R.L |
Romania,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Effect on endothelial function | Description of the endothelial function variation (changing in flow-mediated vasodilatation (FMD) endothelium-dependent, and also in serum sICAM-1, sVCAM-1 and nitric oxide metabolism parameters ) after administration of a single intravenous dose of iron versus a control solution, in CKD non-dialysis patients. | through study completion, an average of 1 year | |
Primary | Oxidative stress | Description of some free radicals production's markers (lipid peroxidation and carbonyl stress assessment) and in antioxidant system in plasma markers variation after administration of a single intravenous iron dose versus a control solution, in non-dialysis CKD subjects. | through study completion, an average of 1 year | |
Secondary | Correlation between endothelial dysfunction and oxidative stress markers | Evaluation of correlations between changes in oxidative stress parameters and endothelial function after a single intravenous iron administration compared to a control solution in non-dialysis CKD subjects. | through study completion, an average of 1 year |
Status | Clinical Trial | Phase | |
---|---|---|---|
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