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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT03957161
Other study ID # 18-25554
Secondary ID
Status Withdrawn
Phase N/A
First received
Last updated
Start date November 2023
Est. completion date November 2023

Study information

Verified date November 2023
Source University of California, San Francisco
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The American Heart Association guidelines for high blood pressure (BP) currently recommend using angiotensin-converting enzyme inhibitors (ACEi) or angiotensin receptor blockers (ARBs) as first-line therapy for patients with chronic kidney disease (CKD) stage 3 or above. However, the prevalence of ACEi and ARB use in patients with CKD stage 4 or 5 is low, and current BP guidelines acknowledge the lack of solid evidence to support the benefit of using these agents in advanced CKD.This study seeks to conduct a pilot trial to determine the safety and feasibility of ACEi and/or ARB continuation (intervention) versus withdrawal (control) in patients with advanced CKD.


Recruitment information / eligibility

Status Withdrawn
Enrollment 0
Est. completion date November 2023
Est. primary completion date November 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - adults =18 years of age who meet the eGFR eligibility criteria, which will be determined based on whether participants have at least two eGFR in the last three months that are < 25 mL/min/1.73m2 or prior diagnosis of CKD (per electronic chart review) and at least one eGFR < 25 mL/min/1.73m2 in the past six months - receiving at least one antihypertensive medication at the time of the screening visit. Exclusion Criteria: The investigators will exclude those who: - are or are planning to become pregnant, due to inability to take multiple classes of anti-hypertensive agents - are marginally housed, due to concerns regarding routine follow-up - are actively participating in a different interventional trial that may affect blood pressure - are unwilling to consent to participate - institutionalized individuals or prisoners - are actively abusing illicit drugs or alcohol - have a history of poor or doubtful compliance (e.g., frequently missed appointments) - have cognitive impairment prohibiting participation in the study - on dialysis at time of recruitment

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Continuation of ACEi and/or ARBs
Patients will continue or start taking ACEi and/or ARBs

Locations

Country Name City State
United States University of California, San Francisco San Francisco California

Sponsors (1)

Lead Sponsor Collaborator
University of California, San Francisco

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Rate of enrollment and dropout in trial measure of acceptability of continuing ACEi/ARBs among providers and patients Months 1-12
Primary Number of patients who have onset of hyperkalemia (non-hemolyzed potassium =6.0 meq/L) safety measure Months 1-12
Primary Number of all cause emergency room visits safety measure Months 1-12
Primary Number of all-cause hospitalizations safety measure Months 1-12
Primary Number of falls and syncope reported by patients and/or discharge summaries safety measure Months 1-12
Primary Number of patients who receive chronic dialysis or kidney transplant Marks the onset of end-stage renal disease Months 1-12
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