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Research Question
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Children and adolescents with chronic kidney disease (CKD) are at high risk for
cardiovascular (CV) morbidity and mortality. Recent studies suggest that pediatric patients
with even moderately impaired kidney function may be afflicted with significant early
cardiac and vascular abnormalities.
The pathogenesis and the natural course of CV comorbidity in pediatric CKD patients is still
elusive. In this multicenter, prospective, observational study the prevalence, degree and
progression of CV comorbidity in children will be characterized and related to CKD
progression. The morphology and function of the heart and vessels will be monitored by
sensitive, non-invasive methods and will be compared with aged matched healthy controls.
Multiple potential clinical, anthropometric, biochemical, and pharmacological risk factors
will be monitored prospectively and will be related to CV status. Genotyping might identify
predisposing genetic factors for progression of CV comorbidity and underlying nephropathies.
(from ClinicalTrials.gov)
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Ethics Approval
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Sorry, not currently available
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Study Design
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Observational Model: Cohort, Time Perspective: Prospective
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Design Type
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Sorry, not currently available
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Design Details
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Sorry, not currently available
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Health Condition(s) or Problem
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Chronic Kidney Disease; Pediatric; Cardiovascular Disease
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Participants Inclusion Criteria
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Inclusion Criteria:
- Age 6 to 17 years
- GFR 10 to 45 ml/min/1.73m² (CKD stage IIIb to V);
Exclusion Criteria:
- Active systemic vasculitis
- Diabetes mellitus
- Renal vascular anomalies
- Anomalies of the limbs preventing standardized diagnostic procedures
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Participants Exclusion Criteria
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Inclusion Criteria:
- Age 6 to 17 years
- GFR 10 to 45 ml/min/1.73m² (CKD stage IIIb to V);
Exclusion Criteria:
- Active systemic vasculitis
- Diabetes mellitus
- Renal vascular anomalies
- Anomalies of the limbs preventing standardized diagnostic procedures
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Participant Sex
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Sorry, not currently available
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Participant Age Range
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Sorry, not currently available
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Participant Type
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Sorry, not currently available
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Target Sample Size
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650
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Date of First Enrolment
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Sorry, not currently available
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Date of Recruitment End
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Sorry, not currently available
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Date of End of Follow-up
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Sorry, not currently available
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Trial End Date
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Sorry, not currently available
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Recruitment Status
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Recruiting
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Overall Trial Status
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Sorry, not currently available
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Countries of Recruitment
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Austria; Belgium; Czech Republic; France; Germany; Hungary; Italy; Lithuania; Poland; Portugal; Serbia; Sweden; Switzerland; Turkey; United Kingdom
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Nation
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England
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Location
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London
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Interventions
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Sorry, not currently available
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Primary Outcome Measures
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Functional and morphological evidence of cardiovascular disease progression (arterial stiffness, myocardial dysfunction, cIMT, LVMI) and association with clinical, anamnestic, anthropometric, biochemical, drug-related and genetic risk factors
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Secondary Outcome Measures
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Genetic risk factors for early manifesting progressive vascular lesions and progressive kidney disease by the genome-wide SNP-screening and haplotype analysis.; 3 years; No
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Website
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http://www.4C-study.org
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