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Renal Insufficiency clinical trials

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NCT ID: NCT00212758 Completed - Clinical trials for Kidney Failure, Chronic

A Study to Optimize Growth Hormone Dosing in Children With Chronic Kidney Disease by Measuring IGF-1 Levels in Blood

Start date: January 2005
Phase: Phase 4
Study type: Interventional

Treatment with growth hormone (GH; a hormone made by the body that stimulates growth) has been shown to be helpful in treating children with chronic kidney disease who fail to grow. The amount of growth that is seen in children treated with growth hormone varies widely for unknown reasons. Growth hormone works by producing another hormone in the liver called insulin-like growth factor-1, or IGF-1 for short. IGF-1 stimulates the bones to grow. The amount of IGF-1 in the blood may directly affect the amount of growth in each child. At this time, growth hormone therapy in children depends on giving a certain dose of growth hormone for each child based on his or her weight. If after 3-6 months on this dose of growth hormone the change in height is not enough, then the dose of growth hormone is increased until enough growth is seen. This method of dosing of growth hormone may take a long time and is complicated and time-consuming. The purpose of this study is to measure the amount of IGF-1 produced by the body as a result of giving 2 different doses of growth hormone in children for 7 days only. The study investigator hopes to find the most favorable level of IGF-1 generated after 7 days of growth hormone that correlates with good growth of children with kidney disease. Then instead of dosing growth hormone by weight, like is done now, researchers can dose growth hormone by the amount of IGF-1 that the body produces. Being able to dose more effectively will save valuable time for the child to grow and will shorten the overall duration of growth hormone therapy. The investigators will also determine the effect of inflammatory cytokines Il-6 and TNF-alpha on growth hormone insensitivity and hence IGF-1 generation test in the same population.

NCT ID: NCT00211978 Completed - Kidney Failure Clinical Trials

EPIC(Effect of PhosLo on Phosphorus Levels in Chronic Kidney Disease)

Start date: May 2005
Phase: Phase 3
Study type: Interventional

The purpose of this study is to determine if calcium acetate (PhosLo) can control serum phosphorus in pre-dialysis patients with moderate to severe impairment of kidney function.

NCT ID: NCT00211900 Completed - Clinical trials for Chronic Kidney Failure

Evaluation of Manufacturing Lot of StaphVAX

Start date: March 2005
Phase: Phase 3
Study type: Interventional

This study answers a U.S. Food and Drug Administration requirement for evaluation in people of a manufacturing lot of vaccine. Subjects receive one dose of one lot of vaccine. The antibodies in the blood measure the immunogenicity of the vaccine, and typical vaccine safety information is also collected.

NCT ID: NCT00211653 Completed - Kidney Failure Clinical Trials

Acetylcysteine in the Prevention of Renal Failure After Bypass Surgery

Start date: April 2003
Phase: Phase 1/Phase 2
Study type: Interventional

The purpose of this study is to determine if Acetylcysteine is effective in preventing renal failure associated with cardiac surgery

NCT ID: NCT00211120 Terminated - Anemia Clinical Trials

Correction of Hemoglobin and Outcomes in Renal Insufficiency (CHOIR)

Start date: March 2002
Phase: Phase 4
Study type: Interventional

The purpose of this study is to compare the outcomes of patients with chronic kidney disease (CKD) randomly assigned to 2 treatment groups, which differ only in their targeted hemoglobin levels. This study will test the primary hypothesis that the level of anemia correction with once weekly dosing of PROCRIT® (Epoetin alfa) in patients with chronic kidney disease will decrease mortality and cardiovascular morbidity.

NCT ID: NCT00210951 Completed - Clinical trials for Chronic Renal Failure

Study to Monitor the Incidence of Pure Red Cell Aplasia (PRCA) and/or Antibodies to Erythropoietin Among Participants Receiving Epoetin Alfa or Another Erythropoietin

Start date: May 2003
Phase: Phase 4
Study type: Observational

The purpose of this study is to assess the incidence of pure red cell aplasia (PRCA [suppression of erythropoiesis with little or no abnormality of leukocyte or platelet production]) among participants with chronic renal failure (CRF), who were receiving treatment with epoetin alfa or other exogenous recombinant erythropoietin therapies.

NCT ID: NCT00209430 Completed - Clinical trials for Coronary Artery Disease

Renal Effects of Two Iodinated Contrast Media in Patients at Risk Undergoing Coronary Angiography

Start date: August 2005
Phase: Phase 4
Study type: Interventional

The main purpose of this study is to evaluate and compare the effects on kidney function of two contrast media, the iso-osmolar iodixanol and the low-osmolar iopamidol in patients at risk of kidney damage associated with the injection of contrast media. A standard hydration procedure, based on available guidelines will be given to all patients to prevent negative effects on the kidneys. Serum creatinine (SCr ) concentrations will be measured before and up to 7 days after contrast media administration to evaluate the effects on renal function.

NCT ID: NCT00209417 Terminated - Diabetes Mellitus Clinical Trials

Renal Effects of Two Iodinated Contrast Media in Patients at Risk Undergoing Computed Tomography

Start date: June 2005
Phase: Phase 4
Study type: Interventional

It is well known that X-ray contrast media can affect kidney function in some patients, especially when administered intra-arterially, and patients who already suffer from reduced kidney function and diabetes mellitus may be at increased risk. It is widely accepted to use low-osmolar or iso-osmolar contrast media, especially in patients at risk for contrast media-induced nephropathy. However, little is known about the intravenous use of X-ray contrast media in risk patients, such as contrast-enhanced CT examinations. The main purpose of this study is to evaluate and compare the effects on kidney function of two contrast media, the iso-osmolar iodixanol and the low-osmolar iopamidol in patients at risk of kidney damage associated with the injection of contrast media. Due to the iso-osmolar feature, it is expected less influence on renal function following administration of iodixanol. A standard hydration procedure, based on available guidelines will be given to all patients to prevent negative effects on the kidneys. Serum creatinine (SCr ) concentrations will be measured before and up to 7 days after contrast media administration to evaluate the effects on renal function.

NCT ID: NCT00207909 Completed - Renal Failure Clinical Trials

Study of Patients With Acute Renal Failure on CVVH

Start date: February 2005
Phase: N/A
Study type: Observational

Acute kidney failure is common in children in the Pediatric Intensive Care Unit (PICU). You are being asked to participate in this study because your child is being treated for kidney failure with continuous veno-venous hemofiltration (CVVH). CVVH is a continuous, gentle form of removing excess fluids and small wastes from the blood, similar to kidney dialysis (artificial kidney). It is an accepted therapy for temporary support of kidney failure. In some patients with acute kidney failure, beginning CVVH is followed by a temporary decrease of urine output. The reason why this happens is currently unknown. The purpose of this study is to determine why this happens.

NCT ID: NCT00204256 Active, not recruiting - Clinical trials for Kidney Failure, Chronic

Intravenous Iron in Patients With Anemia of Chronic Kidney Disease

Start date: March 2004
Phase: Phase 4
Study type: Interventional

The objective of this study is the evaluation of the efficacy and safety of intravenous iron sucrose in anemic patients with chronic kidney disease not on renal replacement therapy.