A Study to See if Tolvaptan Can Delay Dialysis in Infants and Children Who at Enrollment Are 28 Days to Less Than 12 Weeks Old With Autosomal Recessive Polycystic Kidney Disease (ARPKD)

Overview

Información sobre este estudio

The primary objective of this study is to evaluate the effect of tolvaptan on the need for renal replacement therapy in pediatric subjects with autosomal recessive polycystic kidney disease (ARPKD).

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria:

  • Male or female subjects between 28 days and < 12 weeks of age, inclusive.
  • Must have clinical and imaging features that are consistent with a diagnosis of ARPKD with all the following characteristics:
    • Nephromegaly (> 2 standard deviations from age appropriate standard via ultrasound);
    • Multiple renal cysts;
    • History of oligohydramnios or anhydramnios.
  • Ability for parent or guardian to provide written, informed consent prior to initiation of any trial-related procedures, and ability, in the opinion of the principal investigator, to comply with all the requirements of the trial.

Exclusion Criteria:

  • Premature birth (≤ 32 weeks gestational age).
  • Anuria or RRT.
  • Evidence of syndromic conditions associated with renal cysts (other than ARPKD).
  • Abnormal liver function tests including ALT and AST, > 1.2 × ULN.
  • Parents with renal cystic disease.
  • Need for chronic diuretic use.
  • Cannot be monitored for fluid balance.
  • Critical electrolyte imbalances, as determined by the investigator.
  • Has or at risk of having significant hypovolemia as determined by investigator.
  • Clinically significant anemia, as determined by investigator.
  • Severe systolic dysfunction defined as ejection fraction < 14%.
  • Serum sodium levels < 130 mmol/L.
  • Cannot be taking any other experimental medications.
  • Require ventilator support.
  • Taking medications known to induce CYP3A4.
  • Having an infection including viral that would require therapy disruptive to IMP dosing.
  • Platelet count < 50,000 µL.

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus Contacto

Rochester, Minn.

Investigador principal de Mayo Clinic

Christian Hanna, M.D., M.S.

Abierto para la inscripción

Contact information:

Charles Madsen CCRP

(507) 266-9391

Madsen.Charles@mayo.edu

More information

Publicaciones

Publications are currently not available
.
CLS-20548775

Mayo Clinic Footer