Alkali Therapy in Chronic Kidney Disease
Purpose
Kidney disease is a common medical condition. Individuals with kidney disease develop a build-up of acid in their blood. This acid can affect their muscles, bones, glucose metabolism and kidneys. The investigators will test alkali treatment, to treat acid build-up, in a randomized placebo-controlled clinical trial to evaluate effects on muscles, bones, glucose metabolism and kidney.
Conditions
- Chronic Kidney Disease
- Metabolic Acidosis
Eligibility
- Eligible Ages
- Over 19 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Estimate GFR <= 45 and >15 ml/min/1.73m2 - Age >18
Exclusion Criteria
- Previous chronic treatment with alkali within the last 3 months (including sodium bicarbonate, calcium carbonate or baking soda) - bicarbonate level <20 or >25 mEq/L - New York Heart Association Class III or IV heart failure - Systolic blood pressure >180 mmHg - Initiation of ESRD treatment planned within 6 months - Kidney transplantation - Treatment with immunosuppressives within the last 3 months
Study Design
- Phase
- Phase 2/Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Sodium bicarbonate |
0.4 mEq/kg/day ideal body weight to be taken once a day |
|
Placebo Comparator Placebo |
placebo dosage/frequency equivalent to sodium bicarbonate |
|
More Details
- Status
- Completed
- Sponsor
- Albert Einstein College of Medicine