Long-Term Lead Chelation Therapy and Progressive Renal Insufficiency

Chang Gung Medical Foundation

Status

Completed

Conditions

Urologic Disease

Treatments

Drug: calcium disodium EDTA (edetate calcium disodium)

Study type

Interventional

Funder types

Other

Identifiers

NCT00227409

NMRPG3029

NSC93-2314-B-182A- 079

Details and patient eligibility

About

Previous study showed repeated lead chelation therapy significant reduced progressive renal insufficiency in patients with chronic renal diseases and high-normal body lead burden in a placebo-controlled, randomized, 2-year clinical trial, even factors that influence progression, such as blood pressure, the presence or absence of hyperlipidemia, and urinary protein excretion were well controlled.Since relative small sample size and short duration of follow-up were noted in the previous study, whether repeated lead chelation therapy could long-term retard the progression of renal insufficiency remains unknown. Hence, we conducted a 51-month placebo-controlled clinical trial to assess the long-term effect of repeated chelation in progressive renal insufficiency of patients with high-normal body lead burden.

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients from 18 through 80 years of age who had chronic renal insufficiency were eligible if they had a serum creatinine concentration between 1.5 mg per deciliter (132.6 μmol per liter) and 3.9 mg per deciliter (344.8 μmol per liter), with a decrease in the glomerular filtration rate of less than 5 ml per minute over a period of at least six months
Blood pressure less than 140/90 mm Hg
A cholesterol level below 240 mg per deciliter
Daily protein intake under 1 g per kilogram of body weight
No known history of exposure to lead or other heavy metals, and a high-normal body lead burden (between 60 and 600 μg, as measured by EDTA mobilization testing and 72-hour urine collection).

Exclusion criteria

Patients who have renal insufficiency with a potentially reversible cause, such as malignant hypertension, urinary tract infection, hypercalcemia, or drug-induced nephrotoxic effects
Systemic diseases, such as connective-tissue diseases or diabetes mellitus
Use of drugs that might alter the course of renal disease, such as nonsteroidal anti-inflammatory agents, steroids, or immunosuppressive drugs
Rapidly progressive glomerulonephritis or a high level of 24-hour urinary protein excretion (more than 8 g per day)
Previous marked exposure to lead and other metals(lead poisoning or occupational exposure)
Drug allergies
Absence of informed consent.