Pioglitazone to Reduce Sympathetic Overactivity in CKD Patients

Description

Chronic kidney disease (CKD) is associated with a higher risk of cardiovascular disease and death. An overactive sympathetic nervous system in CKD patients is one of the major mechanisms increasing the cardiovascular risks in this patient population. Recently, some studies have shown that a drug typically used to improve glucose control (pioglitazone) may also reduce sympathetic nerve activity and improve blood vessel function. The goal of this study is to determine whether a short-term treatment with pioglitazone can reduce sympathetic nerve impulses throughout the body in CKD patients.

Conditions

Chronic Kidney Diseases

Study Overview

Study Details

Study overview

Chronic kidney disease (CKD) is associated with a higher risk of cardiovascular disease and death. An overactive sympathetic nervous system in CKD patients is one of the major mechanisms increasing the cardiovascular risks in this patient population. Recently, some studies have shown that a drug typically used to improve glucose control (pioglitazone) may also reduce sympathetic nerve activity and improve blood vessel function. The goal of this study is to determine whether a short-term treatment with pioglitazone can reduce sympathetic nerve impulses throughout the body in CKD patients.

Targeting ADMA With Pioglitazone to Reduce Sympathetic Overactivity in CKD Patients

Pioglitazone to Reduce Sympathetic Overactivity in CKD Patients

Condition
Chronic Kidney Diseases
Intervention / Treatment

-

Contacts and Locations

Arlington

University of Texas at Arlington, Arlington, Texas, United States, 76010

Dallas

UT Southwestern, Dallas, Texas, United States, 75390

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * CKD patients classified as Stage 3 and 4 of National Kidney Foundation Classification with estimated glomerular filtration rate (GFR) between 15 and 59 mL/min/1.73 m2 according to the Modification of Diet in Renal Disease (MDRD) formula based on serum creatinine, age, gender, and race.
  • * Men and women 35 to 70 years of age
  • * Allergy to Glitazones
  • * Myocardial infarction
  • * Heart failure
  • * Angina
  • * History of kidney stones
  • * Liver disease (abnormal liver enzymes)
  • * Anemia (hemoglobin \<8 g/dl)
  • * Cancer with current treatment
  • * Previous organ transplantation
  • * Immunosuppressant therapy
  • * Human immunodeficiency virus infection
  • * Pregnancy or lactating
  • * Current tobacco use
  • * Dilantin and oral contraceptive usage due to potential drug interaction with glitazones
  • * Self-identified history of hypoglycemia

Ages Eligible for Study

35 Years to 70 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

The University of Texas at Arlington,

Paul J Fadel, PhD, PRINCIPAL_INVESTIGATOR, University of Texas at Arlington

Study Record Dates

2025-04-01