Spironolactone and Prevention of Calcineurin Inhibitor Toxicity in Kidney Transplant Recipients

The main objective of this study is to assess the effect of spironolactone on interstitial fibrosis in kidney transplant recipients receiving calcineurin...

Date First Received: November 30, 2009

Last Updated: November 30, 2009

Verified by: Instituto Nacional de Cardiologia Ignacio Chavez, November 2009

Clinical Trial Phase: Phase 2 | Start Date: November 2009

Overall Status: Active, not recruiting

Estimated Enrollment: 40

Brief Summary

Official Title: “The Role of Spironolactone in Prevention of Calcineurin Inhibitor Toxicity in Kidney Transplant Recipients”

Condition Keyword(s):

Intervention MeSH Term(s), Assigned with an Experimental Algorithm:

The main objective of this study is to assess the effect of spironolactone on interstitial fibrosis in kidney transplant recipients receiving calcineurin inhibitors

Study Type: Interventional

Study Design: Allocation: Randomized, Control: Placebo Control, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment

Study Primary Completion Date: November 2011

Intervention(s) in this Clinical Trial

  • Drug: spironolactone
    • Half of the subjects will be assigned to receive 25 mg of spironolactone for 6 months
  • Drug: Placebo
    • Half of the subjects will be assigned to receive placebo for 6 months

Arms, Groups and Cohorts in this Clinical Trial

  • Placebo Comparator: Placebo
    • Half of the subjects will be assigned to receive either spironolactone or placebo for 6 months
  • Active Comparator: spironolactone
    • Half of the subjects will be randomized to receive spironolactone for 6 months

Outcome Measures for this Clinical Trial

Primary Measures

  • Interstitial fibrosis in kidney transplant biopsies (time zero biopsy and at 6 months post intervention)
    • Time Frame: 2 years
      Safety Issue?: No

Secondary Measures

  • allograft function and proteinuria
    • Time Frame: 2 years
      Safety Issue?: No
  • Fibrosis markers in kidney biopsies such as TGF-B
    • Time Frame: 2 years
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Kidney Failure
  • Age > 18
  • Kidney transplant recipients

Exclusion Criteria:

  • Patients taking angiotensin receptor blockers or inhibitors of the angiotensin reconverting enzyme
  • Kidney transplant performed more than one month from enrollment in the study
  • Hyperkalemia (K> 5.5 meqL)

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Instituto Nacional de Cardiologia Ignacio Chavez

Additional Information

Information obtained from ClinicalTrials.gov on September 01, 2010

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT01021943

Study ID Number: PT-26

ClinicalTrials.gov Identifier: NCT01021943

Health Authority: Mexico: Institutional Review Board

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