Chronic Kidney Diseases Clinical Trial
— SGLT2I-IN-KIDSOfficial title:
Feasibility Trial of Sodium-GLucose coTransporter 2 INhibitors in Pediatric Chronic KIDney DiSease
The goal of this study is to learn if a clinical trial of sodium-glucose co-transporter 2 inhibitors (SGLT2i) is possible in youth with chronic kidney disease (CKD). The investigators also plan to explore whether treatment with SGLT2i (Empagliflozin) helps improve risk factors for worsening kidney and heart disease. The main questions are: 1. Is enrolling 40 youth with CKD into a clinical trial of empagliflozin feasible (ie achievable)? 2. Does taking empagliflozin for 3 months result in positive changes in blood, urine, and heart function tests? Participants will be randomly selected (like flipping a coin) to either receive empagliflozin or not start treatment with empagliflozin and remain on their usual care. Study Procedures Include - For participants randomly selected for treatment, take empagliflozin once daily for 3 months - Phone calls with researchers every 2 weeks for check-ins - For participants taking empagliflozin, clinic visits 4 and 8 weeks after starting for check-ups and tests - All study participants will have clinic visits at the beginning and end (3 months) where researchers will collect information about their health and perform tests
Status | Not yet recruiting |
Enrollment | 40 |
Est. completion date | December 2028 |
Est. primary completion date | December 2027 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 12 Years to 25 Years |
Eligibility | Inclusion Criteria: - Stage 3-4 CKD; estimated GFR using CKiD U25-creatinine equation 20-60mL/min/1.73m2 Exclusion Criteria: - Heart Disease - Diabetes - Pregnancy - Recipient of solid organ transplant - history of chemotherapy or stem cell transplant - moderate to severe persistent asthma - liver disease - class 2 or greater obesity - inability to follow study procedures due to cognitive impairment - obstructive uropathy or requirement for intermittent urinary catheterization - systolic blood pressure <100mgHg - orthostatic hypotension - current use of an SGLT2i - anticipated need for titration of anti-hypertensives within 3 months - active use of any immunosuppressive medications - lack of clearance by primary nephrologist for participation |
Country | Name | City | State |
---|---|---|---|
United States | Ann & Robert H. Lurie Children's Hospital of Chicago | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
Ann & Robert H Lurie Children's Hospital of Chicago | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Percentage of participants who complete all study procedures | Compared to the number recruited, how many participants complete the study | 4 years | |
Secondary | Systolic Blood Pressure | In-clinic systolic blood pressure | 3 months | |
Secondary | Serum N-terminal pro-brain natruetic peptide (NT-proBNP) | 3 months | ||
Secondary | Urine Albumin to Creatinine Ratio (UACr) | 3 months | ||
Secondary | Left Atrial Reservoir Strain | Measuring using echocardiography | 3 months |
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