Calcium Balance Studies in Children With CKD and on Dialysis

NCT03285854 — Unknown, 120 participants, Great Ormond Street Hospital for Children NHS Foundation Trust

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Assessing Calcium Balance in Children With Chronic Kidney Disease to Optimise Treatment Strategies

RegistryNCT03285854, acronym Cal-Bal
StatusUnknown
Study typeObservational
Enrollment120 (Actual)
SponsorGreat Ormond Street Hospital for Children NHS Foundation Trust (Other); collaborators: University of Kiel, Athens General Children's Hospital "Pan. & Aglaia Kyriakou", Cukurova University
ConditionsChronic Kidney Disease Mineral and Bone Disorder
InterventionsCollection of blood, urine and stool samples (Diagnostic test)
Datesstart 2017-02-01, primary completion 2021-12-30, completion 2022-12-30 (estimated), first posted 2017-09-18, last updated 2022-03-16
Locations1 site in United Kingdom

Related Papers Related Patents Related Grants Related Experts
All trials for Chronic Kidney Disease Mineral and Bone Disorder All trials of Collection of blood, urine and stool samples

-Summary

This is a novel, non-invasive method of assessing Ca balance by natural Ca isotope fractionation.

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+Detailed description

Detailed description and study protocol will be available to individuals on request.

+Arms and interventions

ArmTypeInterventionsDescription
Children with CKD stage 3-5 and dialysisDiagnostic Test: Collection of blood, urine and stool samplesChildren of all ages with an eGFR <60ml/min/1.73m2, including those on dialysis
Healthy age and gender matched childrenDiagnostic Test: Collection of blood, urine and stool samples1. All children <18 years 2. Normal renal function (eGFR 90-120ml/min/1.73m2 \[calculated by Schwartz formula\] in children >1 year and serum creatinine <35μMol/L in children <1 year) 3. Weight, height and BMI within 2 SD of normal using WHO growth charts In order to make this study as 'real-life' as possible, free-living UK children on their usual diet and dietary supplementation (including Ca and Vit D), if any, will be included, but analysis will account for medication doses and blood levels.
  • Collection of blood, urine and stool samples (Diagnostic test), also known as DEXA - lumbar spine and hips, tibial peripheral quantitative CT, Dietary record: Collection of blood, urine and stool samples, diet diary and bone scans

+Outcome measures

Primary outcomes

  • Calcium isotope fractionation in blood, urine and stool in healthy children and those with CKD [24 months]: available on request
  • number of children with fractures, and clinical and biochemical correlates of fractures [12 months]: available on request
  • Bone scans - whole body & lumbar spine DEXA, bone mineral density on tibial peripheral quantitative CT scan [24 months]: available on request

+Eligibility

Sex: All, ages: any to 18 Years, accepts healthy volunteers

I - For healthy children

Inclusion criteria

* All children <18 years
* Normal renal function (eGFR 90-120ml/min/1.73m2 \[calculated by Schwartz formula\] in children >1 year and serum creatinine <35μMol/L in children <1 year)
* Weight, height and BMI within 2 SD of normal using WHO growth charts In order to make this study as 'real-life' as possible, free-living UK children on their usual diet and dietary supplementation (including Ca and Vit D), if any, will be included, but analysis will account for medication doses and blood levels.

Exclusion criteria

* Pre-existing bone disease - inherited or acquired
* Fractures in the preceding 6 months
* Glucocorticoid therapy in the preceding year, or a lifetime cumulative steroid exposure ≥6 months
* Bisphosphonate therapy at any time in the past
* Any acute illness in the preceding 2 weeks (when the child is unable to maintain their usual diet or has bed rest)

II - For CKD and dialysis children

Inclusion criteria

* Children of all ages with an eGFR <60ml/min/1.73m2, including those on dialysis.

Exclusion criteria

* As listed above for healthy children.

+Locations (1)

FacilityCityCountryStatus
Great Ormond Street Hospital for Children NHS Foundation TrustLondonUnited Kingdom

+Investigators