Effect Camostat for Kidney Protection in Chronic Kidney Disease
Condition(s) studied
Investigational drug(s) / intervention(s)
Camostat Mesylate: Oral Camostat Mesylate 200 mg x 3 daily for 4 days.
Study summary
This clinical trial aims to evaluate the effects of Camostat Mesylate, a serine protease inhibitor, in patients with chronic kidney disease (CKD) and proteinuria. Proteinuria accelerates CKD progression and increases cardiovascular risks. By inhibiting serine protease activity and tubular complement activation, camostat may mitigate progressive kidney injury, potentially improving clinical outcomes.
This is an interventional, non-randomized, open-label pharmacodynamic trial that includes CKD patients with proteinuria and healthy controls. This approach has been chosen as the trial serves as a pilot study, aiming to investigate a novel treatment target in CKD patients. Including healthy controls allows a comparison of the effect of Camostat Mesilate on normal physiology versus CKD with proteinuria.
Participants will:
* Follow a standardized sodium diet of 150 mmol/day for 8 days.
* Receive oral Camostat Mesilate (200 mg thrice daily) for four days (day 5-8 on the diet).
* Provide blood and urine samples, record blood pressure, and undergo body composition measurements at baseline, during intervention, and at study completion.
The primary effect parameters are urine sodium and water excretion, body water content/weight, and home blood pressure. Secondary endpoints are tubular complement activation, urine protease activity, ENaC activation, 24-hour urine albumin excretion, and plasma concentrations of renin, angiotensin II, aldosterone, and NT-proBNP.
Eligibility
Primary outcome measure(s)
- 24 h Urine sodium excretion (mmol/day) — At baseline (day 0), before treatment with IMP (day 5), and after completion of 4 days treatment with IMP (day 9).
- Water excretion (L) — At baseline (day 0), before treatment with IMP (day 5), and after completion of 4 days treatment with IMP (day 9).
24 h urine collection - Total Body Water (L) — At baseline (day 0), before treatment with IMP (day 5), and after completion of 4 days treatment with IMP (day 9).
Measured by Body Composition Monistor - Home blood pressure — At baseline (day 0), before treatment with IMP (day 5), and after completion of 4 days treatment with IMP (day 9).
Trial sites (1)
| Facility | City | Region | Status |
|---|---|---|---|
| Department of Nephrology, Odense University Hospital | Odense | Denmark | Recruiting |
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Other trials for the same condition
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT06794593 on ClinicalTrials.gov ↗ ← All trials in Denmark