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Trials / Completed

CompletedNCT00276289

Spironolactone to Decrease Potassium Wasting in Hypercalciurics on Thiazides Diuretics

Spironolactone to Decrease Potassium Wasting in Hypercalciuric Patients Treated With Thiazide Diuretics

Status
Completed
Phase
N/A
Study type
Interventional
Enrollment
10 (estimated)
Sponsor
Indiana University School of Medicine · Academic / Other
Sex
All
Age
18 Years – 65 Years
Healthy volunteers
Not accepted

Summary

Kidney stone formation due to an excess of calcium in the urine is a common problem. It is treated with thiazide diuretics. These drugs often cause excessively low blood potassium levels that in turn require large doses of potassium supplements. These supplements are often large, unpleasant and easy to forget. We are trying the addition of spironolactone to these patients' medications to see if it allows them to take a lower dose of potassium.

Detailed description

See rationale above Ten patients who have had multiple kidney stones primarily due to hypercalciuria and who are currently on stable dose of thiazide or thiazide plus amiloride will be enrolled in the study. In addition, pts have to require at least 60mEq of K supplementation a day or be on 40mEq and be hypokalemic and unable to tolerate increased K supplements. We will then give them 50mg a day of spironolactone for four weeks. A complete 24-hour urine stone profile will be obtained before and after the drug is administered. After four weeks the patients' serum potassium will be rechecked, and their dose will be lowered according to a nomogram. Primary end point is the mean change in serum K before and after spironolactone. Secondary endpoints are the change in urine calcium on and off the drug and the mean reduction in K dose on the drug.

Conditions

Interventions

TypeNameDescription
DRUGSpironolactone

Timeline

Start date
2006-01-01
Completion
2006-06-01
First posted
2006-01-13
Last updated
2009-12-03

Locations

1 site across 1 country: United States

Source: ClinicalTrials.gov record NCT00276289. Inclusion in this directory is not an endorsement.

Spironolactone to Decrease Potassium Wasting in Hypercalciurics on Thiazides Diuretics (NCT00276289) · Clinical Trials Directory