This study evaluates the effect of renin-angiotensin blockers on chronic kidney disease progression in elderly (\>65 years old) patients with non-proteinuric nephropathies. Half of the patients will receive angiotensin converting enzyme inhibitors, while the other half will not receive them. Renal function, proteinuria and cardiovascular events will be follow up during a three year period.
STUDY DESIGN: Open, multicentre, prospective, parallel-group, randomized controlled study comparing the effect of an angiotensin converting enzyme inhibitor (ACEI) vs standard antihypertensive treatment without ACEI, in the progression of renal disease in elderly patients with non-proteinuric 3-4 stage chronic renal disease. Elderly patients (\> 65 years) with moderate-severe non-proteinuric chronic renal disease (estimated Glomerular Filtrate Rate between 19-59 ml per minute per 1.73 m2 using the Chronic Kidney Disease Epidemiology Collaboration Group equation) and urine-creatinine rate \< 30 mg/g, will be included. They will be randomly assigned in a 1:1 ratio to receive ACEI or standard antihypertensive treatment. Patients will be followed up for 3 years.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
106
Patients in this arm will receive antihypertensive treatment different from RAS blockers. If they previously received RAS blockers, they will be substitute for either Amlodipine or Lercanidipine +/- diuretics
Gregorio Maranon Hospital
Madrid, Spain
RECRUITINGChronic kidney disease progression
Increase of baseline creatinine during follow up period
Time frame: 3 years
Security of RAS blockers in elderly patients
Evaluate the frequency of hiperpotassemia (K\>5.5 mmol/l)
Time frame: 3 years
Security of RAS blockers in elderly patients
Evaluate the frequency of acute kidney failure (\>Cr 0.3 mg/dl)
Time frame: 3 years
Effect of RAS blockers on mortality in elderly patients
Evaluate the number and cause of deaths in the study population
Time frame: 3 years
Effects of RAS blockers on cardiovascular risk in elderly patients
Evaluate and classify cardiovascular events (heart failure, acute coronary syndrome, peripheral vasculopathy) during the follow up period
Time frame: 3 years
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