Vitamin D and Arterial Function in Patients With Chronic Kidney Disease
Status: | Completed |
---|---|
Conditions: | Renal Impairment / Chronic Kidney Disease |
Therapuetic Areas: | Nephrology / Urology |
Healthy: | No |
Age Range: | 18 - 80 |
Updated: | 9/30/2018 |
Start Date: | July 2011 |
End Date: | September 2015 |
The purpose of this study is to determine whether nutritional (cholecalciferol) or active
vitamin D (calcitriol) supplementation improves vascular endothelial function in patients
with stage IIIB and IV chronic kidney disease with vitamin D insufficiency or deficiency. The
investigators hypothesize that the use of calcitriol supplementation will result in improved
vascular endothelial function as compared to cholecalciferol supplementation.
vitamin D (calcitriol) supplementation improves vascular endothelial function in patients
with stage IIIB and IV chronic kidney disease with vitamin D insufficiency or deficiency. The
investigators hypothesize that the use of calcitriol supplementation will result in improved
vascular endothelial function as compared to cholecalciferol supplementation.
Inclusion Criteria:
- Age ≥ 18 years
- Chronic kidney disease stage IIIB or IV by 4 parameter Modified Diet in Renal Diseases
Formula (Estimated Glomerular Filtration Rate [GFR] 44-15 ml/min/1.73m2)
- Vitamin D (D2 + D3) deficient, defined as serum 25(OH)D level < 30 ng/mL
- Corrected serum calcium < 10.2 mg/dL
- Serum phosphate < 4.6 mg/dL
- Serum albumin > 3.0 g/dL
- Body mass index < 40 kg/m2
- Ability to give informed consent
Exclusion Criteria:
- Significant co-morbid conditions that lead the investigator to conclude that life
expectancy is less than 1 year
- Expected to undergo living related kidney transplant in next 6 months
- Pregnant, breastfeeding, or unwilling to use adequate birth control
- History of severe liver disease
- Nephrotic range proteinuria (> 3.5 gm/day)
- Use of active vitamin D analogs within 30 days of randomization
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