RECRUITING

L-arginine to Reduce Sympathetic Nerve Activity in CKD Patients

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

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. A potential signal driving sympathetic nerve activity (SNA) involves accumulation of the endogenous nitric oxide synthase (NOS) inhibitor asymmetric dimethylarginine (ADMA). ADMA is elevated in CKD and is a strong, independent predictor of future cardiovascular events in these patients. . The goal of this study is to determine whether overcoming the accumulation of endogenous ADMA with acute L-arginine infusion reduces SNA in CKD patients.

Official Title

Role of Decreased Nitric Oxide in the Tonic Elevation of Resting Sympathetic Nerve Activity in Chronic Kidney Disease Patients

Quick Facts

Study Start:2018-02-01
Study Completion:2024-12-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT03982160

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.

Ages Eligible for Study:35 Years to 75 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * 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.
  2. * Men and women 35 to 75 years of age
  1. * myocardial infarction
  2. * heart failure
  3. * anemia (hemoglobin \<8 g/dl)
  4. * cancer with current treatment
  5. * previous organ transplantation
  6. * immunosuppressant therapy
  7. * human immunodeficiency virus infection
  8. * pregnancy and/or lactating
  9. * current tobacco use
  10. * taking menopausal drugs (estradiol)
  11. * treatment for diabetic neuropathy
  12. * resting heart rate ≥ 100 bpm and
  13. * systolic blood pressure ≤ 90 mmHg

Contacts and Locations

Study Contact

Paul J Fadel, PhD
CONTACT
8172724653
Paul.Fadel@uta.edu

Principal Investigator

Paul J Fadel, PhD
PRINCIPAL_INVESTIGATOR
University of Texas at Arlington

Study Locations (Sites)

University of Delaware
Newark, Delaware, 19716
United States
UT Southwestern
Dallas, Texas, 75390
United States

Collaborators and Investigators

Sponsor: The University of Texas at Arlington

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

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2018-02-01
Study Completion Date2024-12-31

Study Record Updates

Study Start Date2018-02-01
Study Completion Date2024-12-31

Terms related to this study

Keywords Provided by Researchers

  • L-arginine
  • blood pressure
  • ADMA

Additional Relevant MeSH Terms

  • Chronic Kidney Disease