Page last updated: 2024-10-25

debrisoquin and Kidney Failure, Chronic

debrisoquin has been researched along with Kidney Failure, Chronic in 6 studies

Debrisoquin: An adrenergic neuron-blocking drug similar in effects to GUANETHIDINE. It is also noteworthy in being a substrate for a polymorphic cytochrome P-450 enzyme. Persons with certain isoforms of this enzyme are unable to properly metabolize this and many other clinically important drugs. They are commonly referred to as having a debrisoquin 4-hydroxylase polymorphism.

Kidney Failure, Chronic: The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.

Research Excerpts

ExcerptRelevanceReference
"A possible modulating influence of noradrenergic activity on serum lipoproteins was assessed under placebo conditions and following 4 weeks of sympathetic neurone blockade with debrisoquine in 9 normal subjects, 11 patients with mild essential hypertension, 9 normotensive, and 9 hypertensive hemodialysis patients."5.06Association between sympathetic activity and the atherogenic serum cholesterol fraction. ( Beretta-Piccoli, C; Ferrari, P; Jahn, HA; Riesen, W; Schohn, DC; Shaw, SG; Weidmann, P, 1990)
"The influence of chronic renal failure on the stereoselective metabolism of rac-metoprolol was investigated in 15 hypertensive patients, 7 of them with chronic renal failure and 8 with normal renal function."2.71Influence of chronic renal failure on stereoselective metoprolol metabolism in hypertensive patients. ( Cerqueira, PM; Coelho, EB; Geleilete, TJ; Goldman, GH; Lanchote, VL, 2005)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19902 (33.33)18.7374
1990's2 (33.33)18.2507
2000's2 (33.33)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Schlaich, MP1
Socratous, F1
Hennebry, S1
Eikelis, N1
Lambert, EA1
Straznicky, N1
Esler, MD1
Lambert, GW1
Cerqueira, PM1
Coelho, EB1
Geleilete, TJ1
Goldman, GH1
Lanchote, VL1
Daumas, L1
Sabot, JF1
Vermeulen, E1
Clapot, P1
Allegre, F1
Pinatel, H1
Boucherat, M1
Francois, B1
Weidmann, P2
Schohn, DC1
Riesen, W1
Jahn, HA1
Ferrari, P1
Shaw, SG1
Beretta-Piccoli, C2
Schohn, D1
Jahn, H1
Garrick, R1
Ewan, CE1
Bauer, GE1
Neale, FC1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Impact of Renal SympAthetic DenerVation on Chronic HypErtension[NCT01628198]38 participants (Actual)Interventional2011-10-31Terminated (stopped due to recommendation by the study's DSMB due to insufficient data to determine efficacy.)
Renal Sympathetic Denervation for the Management of Chronic Hypertension[NCT01628172]96 participants (Actual)Interventional2011-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Ambulatory Diastolic Blood Pressure

The change in diastolic blood pressure as measured by 24 hour ambulatory monitoring at 6 months as compared to from baseline. (NCT01628198)
Timeframe: baseline and 6 months

InterventionmmHg mean change (Mean)
Renal Denervation Group-5.5

Mean Change in Ambulatory Systolic Blood Pressure

The change in systolic blood pressure as measured by 24 hour ambulatory monitoring at 6 months as compared to from baseline. (NCT01628198)
Timeframe: baseline and 6 months

InterventionmmHg (Mean)
Renal Denervation Group-10.2

Anti-hypertensive Medications

The total number of anti-hypertensive medications at baseline, 6 months, and 12 months (NCT01628198)
Timeframe: Baseline, 6 months, 12 months

Interventionmedications (Mean)
Baseline6 months12 months
Renal Denervation Group5.374.794.64

Blood Urea Nitrogen

A blood urea nitrogen (BUN) test measures the amount of nitrogen in blood that comes from the waste product urea. Urea is made when protein is broken down in the body. Urea is made in the liver and passed out in the urine. (NCT01628198)
Timeframe: baseline, 6 months, 12 months

Interventionmg/dL (Mean)
Baseline6 months12 months
Renal Denervation Group20.8222.1523.11

Creatinine

Creatinine measures the level of the waste product in the body. The amount of creatinine in the blood depends partly on the amount of muscle tissue you have. Men generally have higher creatinine levels than women.Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dL) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females. High levels of creatinine indicates kidney impairment. (NCT01628198)
Timeframe: baseline, 6 months, 12 months

Interventionmg/dl (Mean)
Baseline6 months12 months
Renal Denervation Group1.61.682.03

Office Diastolic BP

Different time points office diastolic blood pressure measurements (NCT01628198)
Timeframe: baseline, 6 month, 12 months

Interventionmm Hg (Mean)
Baseline6 months12 months
Renal Denervation Group87.0686.9387.75

Office Systolic BP

Different time points office systolic blood pressure measurements (NCT01628198)
Timeframe: baseline, 6 month, 12 months

Interventionmm Hg (Mean)
Baseline6 months12 months
Renal Denervation Group156.86151.19158.45

Renal Aortic Ratio

Renal artery blood flow as measured by Renal Aortic Ratio (RAR) = Peak systolic Velocity renal artery / Peak Systolic Velocity Aorta. A >60% stenosis is reported when there is a >3.5:1 Renal to Aortic Ratio. (NCT01628198)
Timeframe: Baseline and 12 months

Interventionratio (Mean)
Baseline Right RARBaseline Left RAR12 months Right RAR12 months Left RAR
Renal Denervation Group1.381.521.411.52

Renal Artery Dimensions

Dimensions of renal artery, right and left (NCT01628198)
Timeframe: baseline and 12 months

Interventionmm (Mean)
Baseline R KidneyBaseline L Kidney12 months R Kidney12 months L Kidney
Renal Denervation Group11.4311.6811.2611.39

Resistive Index

Renal artery blood flow as measured by Resistive Index. RI = (peak systolic velocity - end diastolic velocity ) / peak systolic velocity. the normal value is ~ 0.60, with 0.70 being around the upper limits of normal (NCT01628198)
Timeframe: Baseline and 12 months

Interventionindex (Mean)
Baseline Right RIBaseline Left RI12 months Right RI12 months Left RI
Renal Denervation Group0.670.720.720.72

Reviews

1 review available for debrisoquin and Kidney Failure, Chronic

ArticleYear
Sympathetic activation in chronic renal failure.
    Journal of the American Society of Nephrology : JASN, 2009, Volume: 20, Issue:5

    Topics: Animals; Cardiovascular Diseases; Catecholamines; Clonidine; Debrisoquin; Disease Models, Animal; Ef

2009
Sympathetic activation in chronic renal failure.
    Journal of the American Society of Nephrology : JASN, 2009, Volume: 20, Issue:5

    Topics: Animals; Cardiovascular Diseases; Catecholamines; Clonidine; Debrisoquin; Disease Models, Animal; Ef

2009
Sympathetic activation in chronic renal failure.
    Journal of the American Society of Nephrology : JASN, 2009, Volume: 20, Issue:5

    Topics: Animals; Cardiovascular Diseases; Catecholamines; Clonidine; Debrisoquin; Disease Models, Animal; Ef

2009
Sympathetic activation in chronic renal failure.
    Journal of the American Society of Nephrology : JASN, 2009, Volume: 20, Issue:5

    Topics: Animals; Cardiovascular Diseases; Catecholamines; Clonidine; Debrisoquin; Disease Models, Animal; Ef

2009

Trials

2 trials available for debrisoquin and Kidney Failure, Chronic

ArticleYear
Influence of chronic renal failure on stereoselective metoprolol metabolism in hypertensive patients.
    Journal of clinical pharmacology, 2005, Volume: 45, Issue:12

    Topics: Adrenergic beta-Antagonists; Adult; Antihypertensive Agents; Cytochrome P-450 CYP2D6; Debrisoquin; F

2005
Association between sympathetic activity and the atherogenic serum cholesterol fraction.
    Klinische Wochenschrift, 1990, Mar-05, Volume: 68, Issue:5

    Topics: Adult; Arteriosclerosis; Blood Pressure; Cholesterol; Cholesterol, HDL; Cholesterol, LDL; Cholestero

1990

Other Studies

3 other studies available for debrisoquin and Kidney Failure, Chronic

ArticleYear
Determination of debrisoquine and metabolites in human urine by gas chromatography-mass spectrometry.
    Journal of chromatography, 1991, Sep-18, Volume: 570, Issue:1

    Topics: Debrisoquin; Gas Chromatography-Mass Spectrometry; Humans; Kidney Failure, Chronic; Reference Values

1991
Norepinephrine-related mechanism in hypertension accompanying renal failure.
    Kidney international, 1985, Volume: 28, Issue:5

    Topics: Adult; Aged; Angiotensin II; Blood Pressure; Blood Volume; Debrisoquin; Female; Heart Rate; Humans;

1985
Serum uric acid in normal and hypertensive Australian subjects.
    Australian and New Zealand journal of medicine, 1972, Volume: 2, Issue:4

    Topics: Adolescent; Adult; Age Factors; Australia; Child; Colorimetry; Debrisoquin; Female; Guanethidine; Hu

1972