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Oxidative Stress and Hemodialysis Access Failure

This study has been completed.

Sponsors and Collaborators: National Institute of Environmental Health Sciences (NIEHS)
Leonard B Rosenberg Renal Research Foundation
Information provided by: National Institute of Environmental Health Sciences (NIEHS)
ClinicalTrials.gov Identifier: NCT00410449
  Purpose

Complications of hemodialysis access are the most frequent single reason for hospitalization among patients with End Stage Renal Disease (ESRD). Uremia, and particularly uremia in patients with diabetes, is a state of increased oxidative stress. The central hypothesis to be tested by this project is that oxidative stress is a major (and modifiable) trigger for vascular access complications. We hope to slow or reduce rates of stenosis, thrombosis and access complications by giving Vitamin E supplementation to patients being treated by hemodialysis.


Condition Intervention Phase
End Stage Renal Disease
Hemodialysis
Drug: Alpha tocopherol
Phase IV

MedlinePlus related topics:   Dialysis    Kidney Failure    Stress   

ChemIDplus related topics:   Vitamin E    alpha-Tocopherol    alpha-Tocopheryl acetate    Tocopherols   

U.S. FDA Resources

Study Type:   Observational
Study Design:   Natural History, Longitudinal, Defined Population, Prospective Study
Official Title:   Study of the Effect of Oral Supplementation With Vitamin E on Circulating Oxidative Markers, Hemodialysis Vascular Access Occlusion, and Clinical Events in Patients With End Stage Renal Failure Treated by Hemodialysis

Further study details as provided by National Institute of Environmental Health Sciences (NIEHS):

Estimated Enrollment:   35
Study Start Date:   May 2001
Estimated Study Completion Date:   May 2004

Detailed Description:

Patients continued their usual treatment on hemodialysis three times per week. This was a double-blinded placebo controlled trial. Patients took either Vitamin E 400 IU bid or placebo. An initial evaluation of access patency was performed and baseline blood drawn before starting Vitamin E. Every 3 months there was a followup evaluation with blood drawn for oxidative stress markers, and with a test of vascular access patency. The study was closed to new participants, vitamin E or placebo stopped, and data analysis performed in 2003.

  Eligibility
Ages Eligible for Study:   21 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

Adults, end stage renal disease treated by hemodialysis, patent hemodialysis vascular access (graft or fistula)

Exclusion Criteria:

Temporary catheter dialysis access, inability to be compliant with study medication

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00410449

Locations
United States, Ohio
Center for Dialysis Care    
      Cleveland, Ohio, United States, 44106

Sponsors and Collaborators
National Institute of Environmental Health Sciences (NIEHS)
Leonard B Rosenberg Renal Research Foundation

Investigators
Principal Investigator:     Miriam F Weiss, M.D.     Case Western Reserve University    
  More Information


Publications of Results:

Study ID Numbers:   11461-CP-001, NIEHS ES11461
First Received:   December 11, 2006
Last Updated:   December 11, 2006
ClinicalTrials.gov Identifier:   NCT00410449
Health Authority:   United States: Federal Government

Keywords provided by National Institute of Environmental Health Sciences (NIEHS):
End stage renal disease treated by hemodialysis  
Hemodialysis vascular access patency  
Vitamin E  
oxidative markers  
pentosidine
hydroxynonenal
levuglandin

Study placed in the following topic categories:
Tocopherols
Tocopherol acetate
Vitamin E
Renal Insufficiency
Urologic Diseases
Renal Insufficiency, Chronic
Kidney Failure, Chronic
Stress
Kidney Diseases
Alpha-Tocopherol
Kidney Failure

Additional relevant MeSH terms:
Antioxidants
Molecular Mechanisms of Pharmacological Action
Growth Substances
Vitamins
Physiological Effects of Drugs
Micronutrients
Protective Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 15, 2008




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