Tocopherols and Alpha Lipoic Acid Treatment Chronic Kidney Disease (TALAT)
NCT00308971 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 62
Last updated 2009-07-09
Summary
Oxidative stress and acute phase inflammation are now recognized to be highly prevalent in both the chronic kidney disease (CKD; pre-dialysis) and end stage renal disease (ESRD; on hemodialysis) populations, and several lines of evidence point to their contribution in the development of atherosclerosis. Biomarkers of the inflammatory state such as C-reactive protein (CRP) and interleukin-6 are robust predictors of cardiovascular events and death in these two populations. The uremic state is characterized by retention of oxidized solutes including reactive aldehyde groups and oxidized thiol groups. It has recently been demonstrated that initiation of maintenance hemodialysis does not improve biomarkers of oxidative stress or inflammation, suggesting that dialysis alone is inadequate to control the atherosclerotic uremic metabolic state. In this study we hypothesize that administration of antioxidant therapy will decrease biomarkers of acute phase inflammation and oxidative stress in patients with Stage III and IV CKD.
Conditions
Interventions
- DRUG
-
Alpha, gamma, beta, and delta (mixed) tocopherols
approximately 666 IU daily (1 pill) for 4 months
- DRUG
-
alpha lipoic acid
600 mg daily (2 pills 300 mg each) for 4 months
- DRUG
-
placebo for alpha, gamma, beta, and delta (mixed) tocopherols; 1 pill daily for 4 months
- DRUG
-
placebo for alpha lipoic acid; 2 pills daily for 4 months
Sponsors & Collaborators
-
Vanderbilt University
lead OTHER
Principal Investigators
-
Jonathan Himmelfarb, MD · MaineHealth
-
Alp Ikizler, MD · Vanderbilt University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-03-31
- Primary Completion
- 2007-07-31
- Completion
- 2007-07-31
Countries
- United States
Study Locations
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