The purpose of this study is to determine the effect of inhibiting xanthine oxidase with allopurinol in patients with chronic kidney disease in asymptomatic hyperuricemia endothelial injury and vascular repair mechanisms.
The purpose of this study is to determine the effect of inhibiting xanthine oxidase with allopurinol in patients with chronic kidney disease in asymptomatic hyperuricemia endothelial injury and vascular repair mechanisms, evaluating the plasma concentration of angiogenic factors, microparticles of endothelial cells and the cell number circulating endothelial progenitor.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
22
Allopurinol
Placebo
Hospital Universitario Reina Sofía de Córdoba
Córdoba, Spain
Circulating endothelial progenitor cells concentration and microparticles derived from endothelial cells
Effect of inhibiting xanthine oxidase with allopurinol in patients with CKD
Time frame: Data collected after 4 weeks, 8 weeks and 12 weeks.
Level of oxidative stress
Evaluated through quantification of oxygen-reactive species
Time frame: After patient visit (0 weeks, 4, 8 and 12 weeks)
Level of micro inflammation
Evaluated through quantification of C-reactive protein, proinflammatory cytokines, CD14+ and CD16+ monocytes
Time frame: After patient visit (0 weeks, 4, 8 and 12 weeks)
Level of endothelial dysfunction
Endothelium-dependant vasodilation in response to ischemia evaluated through changes in capillar flux using Doppler laser PeriFlux system 5000
Time frame: After patient visit (0 weeks, 4, 8 and 12 weeks)
Blood pressure
Time frame: Each visit (0 weeks, 4 weeks, 8 weeks and 12 weeks) for 24 hours
Glomerular filtration ratio
Estimated through MDRD-4 y Cockroft-Gault.
Time frame: After patient visit (0 weeks, 4 weeks, 8 weeks and 12 weeks)
Microalbuminuria / Proteinuria
Evaluated through albumin/creatinin ratio and protein/creatinine ratio
Time frame: Daily, using first urine of the day as a sample.
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