Hyponatremia Clinical Trial
— COMEDOfficial title:
Copeptin in the Differential Diagnosis of Dysnatremia in Hospitalized Patients
Verified date | November 2015 |
Source | University Hospital, Basel, Switzerland |
Contact | n/a |
Is FDA regulated | No |
Health authority | Switzerland: Swissmedic |
Study type | Observational |
Background: Hypo- and hypernatremia are common in hospitalized patients. The differential
diagnosis of dysnatremia is challenging.
Osmotically inadequate secretion of antidiuretic hormone (ADH) is the predominant mechanism
in most dysnatremic disorders. ADH measurement is cumbersome. It is derived from a larger
precursor peptide along with copeptin, which is a more stable peptide directly mirroring the
production of ADH.
Objective: To evaluate the additional value of copeptin to improve a currently used
algorithm in the differential diagnosis of (A) severe hypoosmolar hypo- and (B) severe
hypernatremia.
Design: Prospective observational study.
Status | Completed |
Enrollment | 300 |
Est. completion date | April 2015 |
Est. primary completion date | April 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 110 Years |
Eligibility |
Inclusion Criteria: - hyponatremia <125 or hypernatremia >155 mmol/L Exclusion Criteria: - no informed consent |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
Switzerland | Beat Müller | Aarau | Aargau |
Switzerland | Mirjam Christ-Crain | Basel |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Basel, Switzerland | Kantonsspital Aarau |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | diagnostic accuracy of copeptin within hospital stay | diagnostic accuracy will be determined by receiver operated curve (ROC) analysis. The study is powered to detect a difference of copeptin levels between patients with partial central diabetes insipidus (DI) and patients with primary polydipsia. | participants will be followed for up to 1 year | No |
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