Effect of Fenofibrate on Kidney Function: a Six-week Randomized Cross-over Trial in Healthy People

Study Overview
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Brief Summary
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The purpose of this study was to test the effect of fenofibrate treatment on glomerular filtration rate (GFR), kidney hemodynamics and tubular function in middle-aged subjects with normal kidney function to further investigate the increase in creatinine levels observed in fenofibrate-treated subjects.

Official Title
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A Double-blind, Cross-over, Placebo-controlled Study Evaluating the Effect of Fenofibrate 160 mg Tablets on Glomerular Filtration Rate and Other Renal Function Test in Healthy Subjects

Conditions
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Healthy Volunteers

Intervention / Treatment
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* Drug: Fenofibrate 160 mg tablet
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female Age: 30-60 years old Subjects with normal renal function as documented by: Plasma creatinine < 130 µmol/L, AND Cockcroft & Gault creatinine clearance (Co Cr CL) >80 ml/min Certified as normal by a comprehensive medical assessment and laboratory investigations the results of which are within the normal range /or clinically acceptable for the present subjects and who have a negative urinary screen for drugs of abuse. Written informed consent Exclusion Criteria: Body Mass Index (BMI) ≥ 30 kg/m² or <18 kg/m². Pregnant, breast-feeding, or woman with child bearing potential without a reliable method of contraception. Having received an investigational drug in the last 90 days before date of inclusion. With known hypersensitivity to fibrates. Unable or unwilling to comply with the protocol, or likely to leave the study before its completion. Who would undertake important change in physical exercise or vigorous sport competitions during the study period. Drug therapies are not permitted during the study, except contraceptive pill when applicable, with the exception of occasional use of paracetamol. Any administration of treatment, which could bring about induction or inhibition of hepatic microsomal enzymes within 3 months of the study start. Diabetes mellitus, Heart diseases, Kidney diseases, hypertension, asthma, Liver diseases, Chronic pancreatitis, or identified risk or known history of acute pancreatitis, Known cholelithiasis without cholecystectomy, ASAT and/or ALAT > 1.3 times ULN, Gastric or peptic ulcer or intestinal diseases, Musculoskeletal diseases or increased CK > 1.0 times ULN, History of neoplasm, Mental illness, Regular user of sedatives, hypnotics, tranquillisers or any other addictive agents or who are known to be prone to alcohol abuse (i.e. history or evidence of acute abuse), or alcohol intake >14 units per week (unit = ½ pint of beer, 1 glass of wine, 2,5 cl standard spirits), or heavy smokers (>10 cigarettes/day), or excessive drinker of tea, coffee and/or beverages containing caffeine (>8 cups/day), Blood donor with recent donation (in the three months preceding the initiation of the study) or would make blood donations during the study, Blood transfusion or administration of blood-derived products, in the year preceding the study.

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br> | Drug: Fenofibrate 160 mg tablet<br> <br> |
| Placebo Comparator: 2<br> | Drug: Placebo<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Glomerular filtration rate (GFR) assessed by the measure of inulin clearance |  | After two periods of 6 weeks treatment (fenofibrate and placebo in cross-over) separated by a 6wks wash out | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| GFR evaluated by raw values of plasma creatinine and cystatin C levels |  | before and after each treatment period | 
| Renal haemodynamics evaluated by raw values of renal plasma and blood flows |  | before and after each treatment period | 
| Tubular function: creatinine clearance, albuminuria, urine N-acetyl Beta D glucosaminidase and Retinol Binding Protein, sodium clearance and sodium fractional excretion |  | before and after each treatment period | 
| Other functions : blood and urine urea, total proteins, albumin, uric acid, Na+, K+, blood fasting glucose, urinary creatinine, erythrocytes, leukocytes, casts and Calculated osmolarity, free water and urinary urate |  | before and after each treatment period | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fenofibrate, Glomerular filtration rate, inulin clearance, creatinine, healthy volunteers, cross-over