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Trial NCT00524199

Resource URI: http://static.linkedct.org/resource/trials/NCT00524199
PropertyValue
linkedct:arm_group <http://static.linkedct.org/resource/arm_group/52991>
linkedct:arm_group <http://static.linkedct.org/resource/arm_group/57849>
linkedct:brief_title Effects of Mesna on Homocysteine in Kidney Failure
linkedct:collaborator_agency <http://static.linkedct.org/resource/collabagency/1060>
linkedct:condition <http://static.linkedct.org/resource/condition/4365>
linkedct:criteria Inclusion Criteria: - Patients with end-stage renal disease who have received hemodialysis thrice weekly for at least 90 days - Serum albumin > 30 g/L. Exclusion Criteria: - Patients who refuse to sign a letter of informed consent - Women who are or are trying to become pregnant or are breast-feeding.
linkedct:description Homocysteine is a thiol amino acid derived from dietary methionine. Elevated plasma total homocysteine (tHcy), termed hyperhomocysteinemia, is a graded, independent risk factor for the development of atherosclerosis. Elevated plasma tHcy can be normalized by supplementation with folic acid and vitamins B6 and B12 in most patients with normal renal function and this treatment has been shown to halt the progression of atherosclerotic plaque. Over 90% of patients with end-stage renal disease (ESRD) requiring hemodialysis have elevated plasma tHcy. The leading causes of morbidity and mortality in these patients are cardiovascular-related pathologies such as myocardial infarction and stroke. Vitamin supplementation consistently fails to normalize elevated plasma tHcy in patients with ESRD, thus leaving them at increased risk. Plasma tHcy is 70 - 80% covalently protein bound limiting the effectiveness of dialysis as a tHcy lowering treatment. Mesna (sodium 2-mercaptoethanesulfonic acid) is a thiol-containing drug currently indicated to prevent hemorrhagic cystitis associated with ifosfamide chemotherapy. Mesna has incidentally been shown to deplete plasma thiols in cancer patients undergoing ifosfamide chemotherapy. Mesna acts to exchange with thiols bound to plasma proteins enhancing their renal excretion. In vitro studies in our laboratory have shown that mesna rapidly (within 5 minutes) exchanges with protein bound homocysteine yielding a significantly larger dialyzable fraction of the thiol amino acid. A pilot study recently completed by our group demonstrated a significant decrease in tHcy in eight hemodialysis patients receiving 12 mg/kg mesna three times a week pre-dialysis for one week. Although this therapy did cause a significant decline in tHcy, mesna failed to reduce tHcy to normal levels. The cumulative effects of mesna administration over a longer treatment period should be evaluated.
linkedct:download_date Information obtained from ClinicalTrials.gov on December 30, 2009
linkedct:eligibility_gender Both
linkedct:eligibility_healthy_volunteers No
linkedct:eligibility_maximum_age 80 Years
linkedct:eligibility_minimum_age 18 Years
linkedct:end_date June 2007
linkedct:enrollment 10 (xsd:int)
linkedct:firstreceived_date August 30, 2007
linkedct:id NCT00524199
linkedct:intervention <http://static.linkedct.org/resource/intervention/23780>
linkedct:intervention <http://static.linkedct.org/resource/intervention/50000>
rdfs:label Trial NCT00524199
linkedct:lastchanged_date August 31, 2007
linkedct:lead_sponsor_agency Lawson Health Research Institute
linkedct:location <http://static.linkedct.org/resource/location/21165>
linkedct:nct_id NCT00524199
linkedct:number_of_arms 2 (xsd:int)
linkedct:number_of_groups 0 (xsd:int)
linkedct:official_title The Effects of 12 mg/kg Intravenous Mesna on Plasma Total Homocysteine Concentration in Patients With End-Stage Renal Disease Requiring Hemodialysis
linkedct:org_study_id R-06-472
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/12381>
linkedct:overall_official <http://static.linkedct.org/resource/overall_official/2608>
linkedct:overall_status Completed
linkedct:oversight <http://static.linkedct.org/resource/oversight/415>
foaf:page <http://clinicaltrials.gov/show/NCT00524199>
linkedct:phase Phase 2
linkedct:primary_outcomes <http://static.linkedct.org/resource/primary_outcomes/64951>
linkedct:secondary_id 122006
linkedct:secondary_outcomes <http://static.linkedct.org/resource/secondary_outcomes/44663>
linkedct:source Lawson Health Research Institute
linkedct:start_date March 2007
linkedct:study_design Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Crossover Assignment, Pharmacokinetics/Dynamics Study
linkedct:study_type Interventional
linkedct:summary The purpose of this research study is to examine the effect of a drug called mesna on the removal of homocysteine from blood during dialysis. Homocysteine is an amino acid (protein building block) found in the blood of all people, however it is considerably elevated in dialysis patients. People with increased levels of homocysteine in their blood are at increased risk of developing plaque buildup in their arteries and other related problems such as heart attack and stroke. This study will determine if mesna can improve the rate of homocysteine removal from blood during dialysis.
rdf:type linkedct:trials
linkedct:verification_date August 2007