Assessing the Feasibility of N-of-1 Trials in Children With Hypertension and Chronic Kidney Disease
NCT04591171 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 9
Last updated 2023-03-20
Summary
The purpose of this study to test whether n-of-1 trial-guided clinical decision-making improves blood pressure control in hypertensive children with chronic kidney disease (CKD) and end-stage renal disease (ESRD).
Conditions
- Hypertension
- Chronic Kidney Diseases
Interventions
- PROCEDURE
-
n-of-1 trial guided clinical decision making
The n-of-1 trial will, on the level of the individual patient, test which treatment strategy produces superior blood pressure reduction without unacceptable side effects. After discussion with the patient/caregiver dyad to identify whether they have specific concerns about particular medications, the nephrologist (clinician) will decide which two drugs and dosages will be tested in the n-of-1 trial (the protocol does not determine drug or dose). The two drugs chosen by the clinician will be assessed at clinician-selected dosing in a randomized treatment order (e.g., ABAB) for two weeks per treatment period and two treatment periods per drug.
Sponsors & Collaborators
-
Children's Hospital of Philadelphia
collaborator OTHER -
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
collaborator NIH -
The University of Texas Health Science Center, Houston
lead OTHER
Principal Investigators
-
Joyce P Samuel, MD · The University of Texas Health Science Center, Houston
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 5 Years
- Max Age
- 22 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-01-25
- Primary Completion
- 2022-02-18
- Completion
- 2022-02-18
Countries
- United States
Study Locations
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