Hyperkalaemia and Its Impact on Therapy with RAASi
NCT04249648 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 651
Last updated 2024-11-14
Summary
Renin-angiotensin-aldosterone system inhibitors (RAASi) have transformed prognosis of patients with heart failure with reduced ejection fraction, diabetic nephropathy and chronic kidney disease. However, in everyday clinical practice patients often receive suboptimal doses of RAASi. The development of hyperkalaemia is one of the reasons for dose reduction or complete withdrawal of RAASi and this in turn is likely to have an adverse impact on patient outcomes. Yet it remains unknown precisely how often hyperkalaemia leads to changes to RAASi doses, if it is the sole reason, or whether this occurs in combination with other clinical situations such as worsened renal function and hypotension. It is also unclear what influences the decision-making process of healthcare professionals in managing patients with hyperkalaemia who take RAASi and if this is influenced by specialty, experience or indications for RAASi.
In order to improve our understanding of the problem we are taking forward a research study (made up of 3 complimentary studies). These data are needed to help achieve our ultimate goal of improving the care of patients with prognostic indication for RAASi.
Conditions
- Hyperkalaemia
- Heart Failure with Reduced Ejection Fraction
- Left Ventricular Systolic Dysfunction
Sponsors & Collaborators
-
Vifor Pharma
collaborator INDUSTRY -
Portsmouth Hospitals NHS Trust
lead OTHER_GOV
Principal Investigators
-
Paul R Kalra, Professor · Queen Alexandra Hospital, Portsmouth, UK
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-07-12
- Primary Completion
- 2024-11-01
- Completion
- 2024-11-01
Countries
- United Kingdom
Study Locations
More Related Trials
-
Gender-based Differences in the Outcome of Treatment With Aldosterone Antagonists in Patients With Heart Failure
NCT06233695 ·Status: COMPLETED
-
OPtimizing Aldosterone Receptor Antagonist Therapy by Sodium Zirconium Cyclosilicate in Heart Failure
NCT04789239 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Is the Evolution of the Aldosterone-renin Ratio Pre- Versus Post-operative on Day 1 Following Unilateral Adrenalectomy for Primary Hyperaldosteronism Predictive of Blood Pressure Outcomes
NCT07110155 ·Status: NOT_YET_RECRUITING
-
Tissue K+ in Primary Hyperaldosteronism
NCT04251780 ·Status: COMPLETED
-
Sodium Zirconium Cyclosilicate to Allow Liberal Fruit and Vegetable Intake for Patients With CKD Stage 3b and 4
NCT06365684 ·Status: RECRUITING ·Phase: PHASE4
-
Assessment of Hyperkalemia's Illness and Treatment Burden in Chronic Kidney Disease and Heart Failure Patients: HK Registry Pilot Study
NCT04466969 ·Status: COMPLETED
-
Natriuresis-Guided Diuretic Therapy in Patients With Acute Heart Failure With Reduced Ejection Fraction and Chronic Kidney Disease
NCT06203236 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Double Blind Crossover Comparison of Diuretics in the Young
NCT00429897 ·Status: UNKNOWN ·Phase: NA
-
RAAS Inhibitor Drugs in Dialysis Patients
NCT01635387 ·Status: UNKNOWN ·Phase: PHASE4
-
Hyperkalemia Quality Improvement Program (HK-QIP) Study
NCT06884267 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Hyperkalaemia Prevalence, Recurrence and Treatment in Haemodialysis
NCT04799067 ·Status: COMPLETED
-
The Heart Failure Diuresis Efficacy Comparison (DEA-HF) Study
NCT05904808 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy of SR121463B in Patients With Syndrome of Inappropriate Antidiuretic Hormone Secretion
NCT00264914 ·Status: COMPLETED ·Phase: PHASE3
-
Kallikrein-kinin (KKS) and Renin-angiotensin-aldosterone System (RAAS) in Primary Aldosteronism
NCT00155064 ·Status: COMPLETED ·Phase: PHASE4
-
Phase II Study of the Pathophysiology and Treatment With Enalapril and Polystyrene Sulfonate for Pseudohypoaldosteronism, Type I
NCT00004328 ·Status: COMPLETED ·Phase: PHASE2
-
Occurrence of Dyskalemia With Treatment for Hypertension
NCT05155436 ·Status: COMPLETED ·Phase: PHASE4
-
A National, Multicenter, Prospective, Observational Study to Assess Patient Characteristics, Treatment Algorithms and Disease Management of Hyperkalaemia Patients With Chronic Kidney Disease or Under Dialysis or With Heart Failure, Treated With Sodium Zirconium Cyclosilicate in Greece
NCT06185660 ·Status: COMPLETED
-
Study to Assess Efficacy and Safety of SZC for the Management of High Potassium in Patients With Symptomatic HFrEF Receiving Spironolactone
NCT04676646 ·Status: COMPLETED ·Phase: PHASE4
-
Concentrated Saline Infusions and Increased Dietary Sodium With Diuretics for Heart Failure With Kidney Dysfunction
NCT00575484 ·Status: TERMINATED ·Phase: PHASE2
-
Examination of Potassium Levels in Saliva in ESRD Patients
NCT02596386 ·Status: UNKNOWN
-
Recombinant Human rhPTH(1-34) VS Association Alfacalcidol/Hydrochlorothiazide in Severe Primary Hypoparathyroidism
NCT02824718 ·Status: COMPLETED ·Phase: PHASE2
-
The Role of Isolated Nocturnal Hypertension Pattern in Nondialysis CKD
NCT03604003 ·Status: UNKNOWN ·Phase: NA
-
The Effects of Decreasing the Lasix Dose on the Cardiorenal System
NCT00982423 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Add-on Aliskiren Treatment in Patients With Chronic Congestive Heart Failure
NCT01040494 ·Status: UNKNOWN ·Phase: PHASE4
-
The Cardioprotective Effects of Improving Potassium Variability in Maintenance Hemodialysis Patients
NCT06736184 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4