Treatment of Vascular Stiffness in ADPKD
NCT05228574 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 46
Last updated 2025-08-17
Summary
Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited kidney disease characterized by cystic kidneys and caused by mutations in the polycystic kidney disease and other rare genes. It is associated with salt-sensitive hypertension, which accounts for the majority of morbidity and mortality. About 70% of patients with ADPKD develop hypertension, prior to the onset of kidney function decline. Early onset hypertension, despite its treatment, is independently associated with rapid kidney function decline. The investigators hypothesize that a high-sodium diet in patients with ADPKD is required for the development of vascular stiffness, which precedes hypertension, and that treatment with amiloride reverses this phenomenon.
Conditions
- Autosomal Dominant Polycystic Kidney
Interventions
- DIETARY_SUPPLEMENT
-
Sodium chloride (NaCl)
Sodium chloride capsules 6 grams per day for 4 weeks.
- DIETARY_SUPPLEMENT
-
Placebo
Placebo capsules, 6 grams per day for 4 weeks.
- DRUG
-
Amiloride Hcl 5mg Tab
Amiloride 5mg tablets, 20 mg per day for two weeks in open-label setting.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
M. Salih, MD, PhD · Erasmus Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-03-11
- Primary Completion
- 2025-06-18
- Completion
- 2025-06-18
Countries
- Netherlands
Study Locations
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