CClinicalTrials.gg
CompletedNCT03102632Updated Oct 19, 2023

A Clinical Trial of Water Therapy for Autosomal Dominant Polycystic Kidney Disease

An interventional study of High Water Intake in Autosomal Dominant Polycystic Kidney, sponsored by The Rogosin Institute. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-10-19.

Sponsored by The Rogosin Institute · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Patients affected by Autosomal Dominant Polycystic Kidney Disease (ADPKD) need a safe and effective long-term treatment regimen. Unfortunately, there are still no disease-specific treatment for ADPKD approved in the US. A rational step towards identifying such agents is to test therapies that have a proven safety profile with mechanisms of action that can counter the disease progression.

The purpose of this study is to investigate whether drinking increased amounts of water (water loading) might slow down polycystic kidney growth or kidney function decline. Water loading can cause the suppression of a pathway that causes fluid buildup and cyst growth. High water intake has been safely used in the clinical setting, such as in the case of kidney stone therapy. New York State tap water is widely available and safe, making it highly cost-effective as well.

Read the detailed description

The study will involve 11 visits to the study site over 19 months. Participants will need to follow specific dietary and fluid recommendations. There will be physical examinations and medical history assessments at each visit. Testing will include undergoing magnetic resonance imaging (MRI), blood and urine tests. Study participants will be compensated for their time. Detailed study procedures will be reviewed upon contact with the study team.

02

Conditions studied

03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • pre-existing diagnosis of Autosomal Dominant Polycystic Kidney Disease
  • estimated glomerular filtration rate of 40 ml/min or greater
  • urine osmolality > 400 mOsm/L

Exclusion criteria

Exclusion Criteria:

  • estimated glomerular filtration rate less than 40 ml/min
  • low blood sodium levels
  • syndrome of inappropriate diuretic hormone
  • use of thiazide diuretics or selective serotonin reuptake inhibitors (SSRIs)
  • use of tolvaptan, another vasopressin receptor antagonist, vasopressin agonists or dDAVP
  • contraindications to magnetic resonance imaging (MRI) (pacemakers, defibrillators, implanted electronic devices, metallic foreign body)
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
Single (Outcomes assessor)
Enrollment
10 participants (actual)

Study arms

  • No intervention
    Usual Water Intake

    For the first 6 months of the study, the participants will continue their usual water intake.

  • Experimental
    High Water Intake

    After a 6 month period of usual water intake, a high water intake daily amount will be prescribed for 1 year.

    Other: High Water Intake

Interventions

  • OtherHigh Water Intake

    After 6 months of usual, unchanged diet and fluid intake, participants will be asked to increase the daily fluid intake based on the principal investigator's prescription. The actual amount of extra water prescribed will depend on the results of the participant's 24 hour urine test.

05

What researchers measure

Primary outcomes

  1. Change in total kidney volume, as measured from magnetic resonance imaging

    Total kidney volumes will be measured before and after the period of high water intake. Kidney volume growth with high water intake will be compared to baseline kidney volume growth.

    Time frame: 18 months

Secondary outcomes

  1. Kidney function change

    Blood creatinine levels will be measured and compared before and after the high water intake period.

    Time frame: 18 months

  2. Change in urine and blood markers of response to high water intake

    Blood and urine biomarkers of response to high water intake will be measured before and after the period of high water intake.

    Time frame: 18 months.

06

Study locations

1 site
  • The Rogosin Institute
    New York, New York 10021, United States
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03102632
Lead sponsor
The Rogosin Institute
Collaborators
Weill Medical College of Cornell University
Responsible party
Sponsor
First posted
Apr 6, 2017
Start date
Jun 1, 2017
Primary completion
Dec 31, 2021
Completion
Dec 31, 2021
Last update
Oct 19, 2023

Study contacts

Martin Prince, MD
principal investigator · Weill Medical College of Cornell University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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