World Trade Center (WTC) RENAL
NCT02246101 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 406
Last updated 2017-07-26
Summary
Environmental toxins exert damaging health effects in workers. Thousands of responders who worked or volunteered on the World Trade Center (WTC) rescue and recovery effort following the September 11, 2001 attacks suffer from health conditions or may be at increased risk for worsening health. In a pilot study, investigators identified the first evidence of kidney damage in subjects with very high exposure at Ground Zero. Specifically, noted was a preliminary association between the intensity of particulate matter exposure and albuminuria, a marker of early chronic kidney disease (CKD), systemic endothelial dysfunction, and increased cardiovascular risk.
The long-term goal is to minimize the risk of CKD and cardiovascular disease (CVD) among individuals exposed to inhaled toxins. The primary objective of this research is to quantify the risk of kidney damage among first responders to the WTC attack and to determine the relationship to particulate matter exposure as well as determine an association between renal and cardiovascular damage in first responders and to explore potential mechanisms. The central hypothesis is that exposure to inhaled particulate matter causes systemic inflammation and endothelial dysfunction that result in chronic kidney and cardiovascular damage. This hypothesis will be investigated in a subgroup of participants from a previously conducted NIOSH-funded study "Pulmonary Function Abnormalities, Diastolic Dysfunction and WTC Exposure: Implications for Diagnosis and Treatment" ("WTC-CHEST," PI Mary Ann McLaughlin).
The proposed study will capitalize on unique resources in WTC-CHEST, including the standardized collection of data on particulate matter exposure and shared risk factors for CKD and cardiovascular disease, and cardiopulmonary function testing. The output from this proposal is anticipated to have a broad impact on understanding the health effects of inhaled particulate matter.
Conditions
- Cardiac Disease
- Cardiopulmonary Disease
- Renal Disease
- Cardiovascular Disease
Sponsors & Collaborators
-
National Institute for Occupational Safety and Health (NIOSH/CDC)
collaborator FED -
Icahn School of Medicine at Mount Sinai
lead OTHER
Principal Investigators
-
Mary Ann McLaughlin, MD, MPH · Icahn School of Medicine at Mount Sinai
Eligibility
- Min Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-07-31
- Primary Completion
- 2016-09-16
- Completion
- 2016-09-16
Countries
- United States
Study Locations
More Related Trials
-
Oxidative Stress in Chronic Kidney Disease: Diet and Exercise
NCT01150851 ·Status: COMPLETED ·Phase: NA
-
The Effects of Dexmedetomidine on Postoperative Renal Function in Valvular Heart Surgery
NCT01886079 ·Status: UNKNOWN ·Phase: PHASE4
-
Urine and Serum Biomarkers for Early Detection of Acute Kidney Injury
NCT01531985 ·Status: COMPLETED
-
Search for New Methods to Detect Acute Renal Failure
NCT00026702 ·Status: TERMINATED
-
Intra Individual Evaluation of Uremic Toxin Levels in Hemodialysed Patients
NCT02480699 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Renal Function in an Ultra-endurance Race.
NCT03136315 ·Status: COMPLETED ·Phase: NA
-
Risk Assessment by Cardiovascular Biomarkers in Chronic Dialysis Patients
NCT02207153 ·Status: COMPLETED
-
Renal Considerations in the Heat Stress Recommendations (Aim2)
NCT05458843 ·Status: COMPLETED ·Phase: NA
-
Depressed Cardiac Autonomic Modulation in Patients With Chronic Kidney Disease Diagnosed by Spectral Analysis
NCT01376635 ·Status: COMPLETED
-
Metabolic Reprogramming in Renal Tubular Cells in Acute Kidney Injury Following Severe Trauma
NCT06167512 ·Status: RECRUITING
-
REVEAL-CKD: Prevalence and Consequences of Undiagnosed Chronic Kidney Disease
NCT04847531 ·Status: COMPLETED
-
Effectiveness of NephroCheckTM Test to Predict Acute Kidney Injury Following Advanced Cardiac Replacement Therapies
NCT02827448 ·Status: COMPLETED
-
Uremic Toxins and Outcomes in Chronic Kidney Disease
NCT03711617 ·Status: RECRUITING
-
Care Coordination/Home Telehealth to Safeguard Care in CKD
NCT03038126 ·Status: COMPLETED ·Phase: NA
-
A NEW WAY TO DETECT ACUTE KIDNEY INJURY
NCT07198906 ·Status: NOT_YET_RECRUITING
-
Prognostic Role of the Uremic Toxin Indoxyl Sulfate on Vascular and Cardiac Functions During Acute Kidney Injury
NCT05659589 ·Status: RECRUITING ·Phase: NA
-
The Renal Protective Effects of Remote Ischemic Preconditioning in Patients With Chronic Kidney Disease
NCT06501222 ·Status: RECRUITING ·Phase: NA
-
PrEvalence of Acute and Chronic Kidney Disease Treated by Renal Replacement Therapy
NCT02341885 ·Status: COMPLETED
-
Kidney Disease After COVID-19
NCT05328986 ·Status: COMPLETED
-
Role of Chronic Kidney Disease in Cardiovascular Disease
NCT00069810 ·Status: WITHDRAWN
-
Impact of Early Renal Involvement on the Development of Severe In-hospital Renal Failure
NCT00806039 ·Status: UNKNOWN ·Phase: NA
-
Study on Kidney Disease and EnviromenTal Chemical
NCT04679168 ·Status: UNKNOWN
-
Monitoring Renal Blood Flow With Contrast Enhanced Ultrasound During Coronary Angiogram
NCT01544036 ·Status: UNKNOWN ·Phase: NA
-
Differential Adaptation of Renal Function in Intense Physical Exercise
NCT04929418 ·Status: COMPLETED ·Phase: NA
-
Prevalence of Chronic Kidney Disease and Its Association With Clinical Outcome in Patients With Coronary Heart Disease
NCT02509013 ·Status: UNKNOWN