Salivary Phosphorus and Level of Kidney Function

Chronic Kidney Disease Clinical Trial

Official title:

Assessment of the Relationship Between Salivary Phosphorus and Level of Kidney Function

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01311973
• Other study ID #: CMD 003
• Status: Completed
• Phase: N/A
• First received: March 3, 2011
• Last updated: July 21, 2011
• Start date: March 2011
• Est. completion date: July 2011

Study information

• Verified date: March 2011
• Source: Denver Nephrologists, P.C.
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review BoardUnited States: Food and Drug Administration
• Study type: Observational

Clinical Trial Summary

The specific purpose of this study is to describe the relationship between salivary phosphorus and kidney function, specifically as it relates to serum phosphorus, FGF23, PTH, vitamin D status and urinary excretion of phosphorus.

Description:

Previous studies have demonstrated that salivary phosphate levels are elevated in patients with chronic kidney disease and that there is a direct and linear correlation between serum phosphorus and salivary phosphorus. However, data regarding the relationship between salivary phosphate levels and stage of kidney disease (estimated glomerular filtration rate (eGFR) is lacking; as such, this study seeks to examine that relationship.

There is a normal circadian rhythm to serum phosphorus with a mid-afternoon peak at approximately 3 PM and a nadir at approximately 7-11 AM. Furthermore it has been demonstrated that a fasting serum phosphorus level at 8 AM is NOT indicative of 24 hour mean serum phosphorus. Thus the relationship between salivary phosphorous and serum phosphorus may vary over the course of the day.

This is a single-center study in which saliva, urine, and serum will be collected at two time points in a minimum of 105 subjects with various degrees of renal function (not on dialysis). Assignment to the renal group will be based upon the Visit 2 estimated glomerular filtration rate value. Enrollment in each group will continue at random until the target of 15 subjects per group is achieved. It is possible that an individual group may exceed the target enrollment number as their assignment will occur retrospectively.

All subjects will be required to have their morning assessment conducted between the hours of 7AM and 11AM. Clinical chemistry, serum phosphorus, intact parathyroid hormone(iPTH), plasma fibroblast growth factor 23 (FGF-23),serum 1,25 di-hydroxyvitamin D, serum 25-OH vitamin D, and a spot urine will be collected. A 24-hour urine sample will also be collected.

Passive and stimulated salivary collection will occur. The salivary collection must occur in a fasting state with nothing to eat or drink for at least 90 minutes prior to the collection.

Subjects will be permitted to leave the facility. They will be instructed to consume a lunch of their choice between the hours of 1100AM and 1200PM. They will be instructed to eat nothing after 1200PM. Subjects will return to the clinic for Visit 3 as directed by the study staff. Visit 3 will be conducted between 1PM and 4PM. Laboratory assessments, salivary collections, and spot urines will be collected at Visit 3. A dietary recall of intake at Visit 2 and 3 will also be completed.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 105
• Est. completion date: July 2011
• Est. primary completion date: July 2011
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Men or women greater than 18 years of age.

• The subject has voluntarily signed and dated the most recent informed consent form approved by an Institutional Review Board (IRB).

Exclusion Criteria:

• Receiving hemodialysis.

• Receiving or has received an investigational product (or is currently using an investigational device) within 28 days prior to Visit 2.

• Evidence of active and clinically significant infection at Visit 2.

• Dental work within 48 hours prior to Visit 2.

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Chronic Kidney Disease
• Kidney Diseases
• Renal Insufficiency, Chronic

Locations

Country	Name	City	State
United States	Denver Nephrologists, PC	Denver	Colorado

Sponsors (2)

Lead Sponsor	Collaborator
Denver Nephrologists, P.C.	CM&D Pharma Limited

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Correlation between fasting salivary phosphorus and estimated glomerular filtration rate	subjects with various levels of estimated glomerular filtration rate will have a single assessment in the fasted state of salivary phosphorus	single value between 7-11 am	No
Primary	Correlation between post meal salivary phosphorus and estimated glomerular filtration rate	subjects with various levels of estimated glomerular filtration rate will have a single assessment in the fed state (meal between 11 am - 12 noon) of salivary phosphorus measured between 1-4 pm	single value after meal between 1-4 pm	No
Secondary	correlation of fasting salivary phosphorus with plasma fibroblast growth factor 23 levels(FGF-23)	subjects will have plasma FGF23 measured in the fasting state between 7-11 am and correlation made with simultaneous assessment of salivary phosphorus	single AM measurement between 7-11 am	No
Secondary	Correlation between fasting salivary phosphorus and serum 1,25 vitamin D levels.	subjects will have serum 1,25 vitamin D measured in the fasting state between 7-11 am and correlation made with simultaneous assessment of salivary phosphorus	single AM measurement between 7-11 am	No
Secondary	Correlation between fasting salivary phosphorus and serum intact parathyroid hormone (iPTH) levels.	subjects will have serum intact parathyroid hormone measured in the fasting state between 7-11 am and correlation made with simultaneous assessment of salivary phosphorus	single AM measurement between 7-11 am	No