Page last updated: 2024-10-28

hydrochlorothiazide and Chronic Kidney Diseases

hydrochlorothiazide has been researched along with Chronic Kidney Diseases in 22 studies

Hydrochlorothiazide: A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.
hydrochlorothiazide : A benzothiadiazine that is 3,4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide substituted by a chloro group at position 6 and a sulfonamide at 7. It is diuretic used for the treatment of hypertension and congestive heart failure.

Research Excerpts

ExcerptRelevanceReference
" In this study, we assessed the additive effects of hydrochlorothiazide (HCTZ) on reducing proteinuria in CKD patients under treatment with losartan (LS)."9.19Impact of combined losartan/hydrochlorothiazide on proteinuria in patients with chronic kidney disease and hypertension. ( Fujisaki, K; Higashi, H; Hirakata, H; Kanai, H; Katafuchi, R; Kitazono, T; Nakano, T; Nakayama, M; Taniguchi, M; Tsuruya, K, 2014)
"The present study failed to demonstrate the non-inferiority of the antialbuminuric effect of benidipine relative to that of hydrochlorothiazide in RAS inhibitor-treated hypertensive patients with macroalbuminuria."9.19Comparison of the antialbuminuric effects of benidipine and hydrochlorothiazide in Renin-Angiotensin System (RAS) inhibitor-treated hypertensive patients with albuminuria: the COSMO-CKD (COmbination Strategy on Renal Function of Benidipine or Diuretics Tr ( Ando, K; Fujita, T; Isshiki, M; Kashihara, N; Nakanishi, T; Nangaku, M; Nishizawa, Y; Nitta, K; Rakugi, H; Shimosawa, T; Takahashi, K; Tomita, K; Yokoyama, H, 2014)
"The prevalence of hypertension is high in patients with diabetes mellitus (DM), chronic kidney disease (CKD) and chronic cardiovascular disease (CVD), as well as in black and elderly subjects."6.49Effectiveness of the fixed-dose combination of olmesartan/amlodipine/hydrochlorothiazide for the treatment of hypertension in patients stratified by age, race and diabetes, CKD and chronic CVD. ( Chrysant, SG, 2013)
"To investigate whether distal diuretics are noninferior to dietary sodium restriction in reducing BP in patients with CKD stage G3 or G4 and hypertension, we conducted a 6-week, randomized, open-label crossover trial comparing amiloride/hydrochlorothiazide (5 mg/50 mg daily) with dietary sodium restriction (60 mmol per day)."5.34A Randomized Trial of Distal Diuretics versus Dietary Sodium Restriction for Hypertension in Chronic Kidney Disease. ( Bovée, DM; Danser, AHJ; De Mik-van Egmond, A; Greupink, R; Hoorn, EJ; Masereeuw, R; Middel, I; Russel, FGM; Visser, WJ; Zietse, R, 2020)
"BEAHIT (Benidipine and Hydrochlorothiazide in Fosinopril Treated Chronic Kidney Disease Patients with Hypertension) was approved by Changzheng Hospital Ethics Committee (CZ-20160504-16)."5.24Comparison of efficacy and safety between benidipine and hydrochlorothiazide in fosinopril-treated hypertensive patients with chronic kidney disease: protocol for a randomised controlled trial. ( Dai, B; Lv, J; Mei, C; Wang, Y; Xue, C; Yang, B; Yu, S; Zhao, G; Zhou, C, 2017)
" In this study, we assessed the additive effects of hydrochlorothiazide (HCTZ) on reducing proteinuria in CKD patients under treatment with losartan (LS)."5.19Impact of combined losartan/hydrochlorothiazide on proteinuria in patients with chronic kidney disease and hypertension. ( Fujisaki, K; Higashi, H; Hirakata, H; Kanai, H; Katafuchi, R; Kitazono, T; Nakano, T; Nakayama, M; Taniguchi, M; Tsuruya, K, 2014)
"The present study failed to demonstrate the non-inferiority of the antialbuminuric effect of benidipine relative to that of hydrochlorothiazide in RAS inhibitor-treated hypertensive patients with macroalbuminuria."5.19Comparison of the antialbuminuric effects of benidipine and hydrochlorothiazide in Renin-Angiotensin System (RAS) inhibitor-treated hypertensive patients with albuminuria: the COSMO-CKD (COmbination Strategy on Renal Function of Benidipine or Diuretics Tr ( Ando, K; Fujita, T; Isshiki, M; Kashihara, N; Nakanishi, T; Nangaku, M; Nishizawa, Y; Nitta, K; Rakugi, H; Shimosawa, T; Takahashi, K; Tomita, K; Yokoyama, H, 2014)
" Alcohol consumption, female sex, n-terminal pro-brain natriuretic peptide (NT-proBNP), hydrochlorothiazide (HCT), and mineralocorticoid receptor antagonist (MRA) use, or angiotensin II receptor I blocker (ARB) non-use were associated with hyponatremia in patients with normal renal function (p ≤ 0."4.12Clinical predictors of hyponatremia in patients with heart failure according to severity of chronic kidney disease. ( Bušić, Ž; Čulić, V; Velat, I, 2022)
"This cohort study found that among older adults, chlorthalidone use was associated with a higher risk of eGFR decline, cardiovascular events, and hypokalemia compared with hydrochlorothiazide use."4.02Comparison of Clinical Outcomes and Safety Associated With Chlorthalidone vs Hydrochlorothiazide in Older Adults With Varying Levels of Kidney Function. ( Bugeja, A; Burns, K; Canney, M; Edwards, C; Hundemer, GL; Knoll, G; Petrcich, W; Sood, MM, 2021)
" AZL-M/CLD showed greater systolic BP reductions after initial dosing (P = ."2.87Long-term efficacy and tolerability of azilsartan medoxomil/chlorthalidone vs olmesartan medoxomil/hydrochlorothiazide in chronic kidney disease. ( Bakris, GL; Hisada, M; Juhasz, A; Kupfer, S; Lloyd, E; Oparil, S; Zhao, L, 2018)
"The prevalence of hypertension is high in patients with diabetes mellitus (DM), chronic kidney disease (CKD) and chronic cardiovascular disease (CVD), as well as in black and elderly subjects."2.49Effectiveness of the fixed-dose combination of olmesartan/amlodipine/hydrochlorothiazide for the treatment of hypertension in patients stratified by age, race and diabetes, CKD and chronic CVD. ( Chrysant, SG, 2013)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19902 (9.09)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's16 (72.73)24.3611
2020's4 (18.18)2.80

Authors

AuthorsStudies
Edwards, C1
Hundemer, GL1
Petrcich, W1
Canney, M1
Knoll, G1
Burns, K1
Bugeja, A1
Sood, MM1
Velat, I1
Bušić, Ž1
Čulić, V1
Bovée, DM1
Visser, WJ1
Middel, I1
De Mik-van Egmond, A1
Greupink, R1
Masereeuw, R1
Russel, FGM1
Danser, AHJ1
Zietse, R1
Hoorn, EJ1
Bossoni, S1
Chiesa, L1
Giustina, A1
van der Merwe, WM1
Bakris, GL1
Zhao, L1
Kupfer, S1
Juhasz, A1
Hisada, M1
Lloyd, E1
Oparil, S1
Arias, SC1
Valente, CP1
Machado, FG1
Fanelli, C1
Origassa, CS1
de Brito, T1
Camara, NO1
Malheiros, DM1
Zatz, R2
Fujihara, CK1
Nishimura, H1
Shintani, M1
Maeda, K1
Otoshi, K1
Fukuda, M1
Okuda, J1
Nishi, S1
Ohashi, S1
Kato, S1
Baba, Y1
Nasr, SH1
Milliner, DS1
Wooldridge, TD1
Sethi, S1
Chrysant, SG2
Fujisaki, K1
Tsuruya, K1
Nakano, T1
Taniguchi, M1
Higashi, H1
Katafuchi, R1
Kanai, H1
Nakayama, M1
Hirakata, H1
Kitazono, T1
Ando, K1
Nitta, K1
Rakugi, H1
Nishizawa, Y1
Yokoyama, H1
Nakanishi, T1
Kashihara, N1
Tomita, K1
Nangaku, M2
Takahashi, K1
Isshiki, M1
Shimosawa, T1
Fujita, T1
Hayashi, M1
Uchida, S1
Kawamura, T1
Kuwahara, M1
Iino, Y1
Vasco, RF1
Moyses, RM1
Elias, RM1
Xue, C1
Zhou, C1
Yang, B1
Lv, J1
Dai, B1
Yu, S1
Wang, Y1
Zhao, G1
Mei, C1
Abe, M1
Okada, K1
Maruyama, T1
Matsumoto, S1
Matsumoto, K1
Greathouse, MK1
Weir, MR2
Karadsheh, F1
Kereiakes, DJ1
Izzo, JL1
Littlejohn, T1
Melino, M1
Lee, J1
Fernandez, V1
Heyrman, R1
Suzuki, H1
Shimada, Y1
Fujiwara, K1
SACKNER, MA1
WALLACK, AA1
BELLET, S1
SHULGA, IuD1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
DD-study: Diet or Diuretics for Salt-sensitivity in Chronic Kidney Disease[NCT02875886]Phase 428 participants (Actual)Interventional2016-09-30Completed
A Randomized, Open-Label, Phase 3 Study to Compare Long-Term Safety and Tolerability of the TAK-491 and Chlorthalidone Fixed-Dose Combination Versus Olmesartan Medoxomil and Hydrochlorothiazide Fixed-Dose Combination in Hypertensive Subjects With Moderate[NCT01309828]Phase 3153 participants (Actual)Interventional2011-03-31Completed
Comparison of Efficacy and Safety Between Benidipine and Hydrochlorothiazide in Fosinopril Treated Chronic Kidney Disease Patients With Hypertension: a Randomized Controlled Trial[NCT02646397]Phase 4508 participants (Anticipated)Interventional2016-02-29Not yet recruiting
A Randomized, Double-Blind, Parallel Group Study Evaluating the Efficacy and Safety of Co-Administration of a Triple Combination Therapy of Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide in Subjects With Hypertension[NCT00649389]Phase 32,500 participants (Actual)Interventional2008-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percentage of Participants at Final Visit Who Achieve Target Systolic Blood Pressure <130 mm Hg

Systolic blood pressure is the arithmetic mean of the 3 serial sitting systolic blood pressure measurements. Percentage of participants who achieve a sitting clinic systolic blood pressure response defined as less than 130 mm Hg at Week 52. (NCT01309828)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Azilsartan Medoxomil + Chlorthalidone69.3
Olmesartan Medoxomil + Hydrochlorothiazide78.4

Percentage of Participants at Final Visit Who Achieved Both a Clinic Systolic and Diastolic Blood Pressure Response

Systolic/diastolic blood pressure is the arithmetic mean of the 3 serial sitting systolic/diastolic blood pressure measurements. Percentage of participants who achieved both a sitting clinic systolic and diastolic blood pressure response, defined as systolic blood pressure less than 130 mm Hg and diastolic blood pressure less than 80 mm Hg at Week 52. (NCT01309828)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Azilsartan Medoxomil + Chlorthalidone58.7
Olmesartan Medoxomil + Hydrochlorothiazide73.0

Percentage of Participants at Final Visit Who Achieved Target Diastolic Blood Pressure <80 mm Hg

Diastolic blood pressure is the arithmetic mean of the 3 serial sitting diastolic blood pressure measurements. Percentage of participants at Week 52 who achieved a sitting clinic diastolic blood pressure response, defined as less than 80 mm Hg. (NCT01309828)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Azilsartan Medoxomil + Chlorthalidone80.0
Olmesartan Medoxomil + Hydrochlorothiazide87.8

Number of Participants With at Least 1 Adverse Event (AE)

An AE is any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have a causal relationship with this treatment. A serious AE is defined as any untoward medical occurrence that resulted in death, was life threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability or incapacity, led to a congenital anomaly/birth defect or was an important medical event that may have required intervention to prevent any of items above. (NCT01309828)
Timeframe: From the first dose of open-label study drug until 14 days (or 30 days for a serious adverse event) after the last dose of open- label study drug (up to 56 weeks).

,
Interventionparticipants (Number)
Adverse EventsAdverse Events Leading to DiscontinuationSerious Adverse EventsSerious Adverse Events Leading to DiscontinuationDeath
Azilsartan Medoxomil + Chlorthalidone6817850
Olmesartan Medoxomil + Hydrochlorothiazide5815941

Change From Baseline to Week 12 in Seated Diastolic Blood Pressure (SeDBP).

(NCT00649389)
Timeframe: baseline to 12 weeks

Interventionmm Hg (Mean)
OM40/AML10-17.8
OM40/HCTZ25-16.5
AML10/HCTZ25-14.8
OM40/AML10/HCTZ25-21.5

Change in Seated Systolic Blood Pressure From Baseline to Week 12

(NCT00649389)
Timeframe: Baseline to week 12

Interventionmm Hg (Mean)
OM40/AML10-31.1
OM40/HCTZ25-31.2
AML10/HCTZ25-28.9
OM40/AML10/HCTZ25-38.1

Percentage of Subjects Who Reached Blood Pressure Goal (<140/90 mmHg; <130/80 mmHg for Subjects With Diabetes, Chronic Renal Disease, or Chronic Cardiovascular Disease)by 12 Weeks

(NCT00649389)
Timeframe: Baseline to 12 weeks

InterventionPercentage of subjects (Number)
OM40/AML1046.0
OM40/HCTZ2546.6
AML10/HCTZ2534.9
OM40/AML10/HCTZ2564.3

Change in Mean 24-hour Ambulatory Blood Pressure From Baseline to Week 12 or Early Termination

(NCT00649389)
Timeframe: Baseline to 12 weeks or early termination

,,,
Interventionmm Hg (Mean)
Diastolic blood pressureSystolic blood pressure
AML10/HCTZ25-10.7-18.5
OM40/AML10-13.9-23.5
OM40/AML10/HCTZ25-18.0-30.3
OM40/HCTZ25-14.5-23.9

Reviews

3 reviews available for hydrochlorothiazide and Chronic Kidney Diseases

ArticleYear
Effectiveness of the fixed-dose combination of olmesartan/amlodipine/hydrochlorothiazide for the treatment of hypertension in patients stratified by age, race and diabetes, CKD and chronic CVD.
    Expert review of cardiovascular therapy, 2013, Volume: 11, Issue:9

    Topics: Age Factors; Amlodipine; Cardiovascular Diseases; Diabetes Complications; Drug Therapy, Combination;

2013
The role of ARBs alone or with HCTZ in the treatment of hypertension and prevention of cardiovascular and renal complications.
    Postgraduate medicine, 2012, Volume: 124, Issue:2

    Topics: Angiotensin Receptor Antagonists; Antihypertensive Agents; Cardiovascular Diseases; Drug Therapy, Co

2012
Thiazide and thiazide-like diuretics: an opportunity to reduce blood pressure in patients with advanced kidney disease.
    Current hypertension reports, 2012, Volume: 14, Issue:5

    Topics: Antihypertensive Agents; Chlorthalidone; Glomerular Filtration Rate; Humans; Hydrochlorothiazide; Hy

2012

Trials

9 trials available for hydrochlorothiazide and Chronic Kidney Diseases

ArticleYear
A Randomized Trial of Distal Diuretics versus Dietary Sodium Restriction for Hypertension in Chronic Kidney Disease.
    Journal of the American Society of Nephrology : JASN, 2020, Volume: 31, Issue:3

    Topics: Adult; Aged; Amiloride; Blood Pressure Determination; Cross-Over Studies; Diet, Sodium-Restricted; D

2020
Long-term efficacy and tolerability of azilsartan medoxomil/chlorthalidone vs olmesartan medoxomil/hydrochlorothiazide in chronic kidney disease.
    Journal of clinical hypertension (Greenwich, Conn.), 2018, Volume: 20, Issue:4

    Topics: Aged; Benzimidazoles; Chlorthalidone; Drug Therapy, Combination; Female; Humans; Hydrochlorothiazide

2018
Which is a better treatment for hypertensive patients with diabetes: a combination of losartan and hydrochlorothiazide or a maximum dose of losartan?
    Clinical and experimental hypertension (New York, N.Y. : 1993), 2013, Volume: 35, Issue:8

    Topics: Aged; Albuminuria; Antihypertensive Agents; Diabetes Mellitus, Type 2; Dose-Response Relationship, D

2013
Impact of combined losartan/hydrochlorothiazide on proteinuria in patients with chronic kidney disease and hypertension.
    Hypertension research : official journal of the Japanese Society of Hypertension, 2014, Volume: 37, Issue:11

    Topics: Adult; Aged; Creatinine; Diuretics; Drug Combinations; Drug Therapy, Combination; Female; Glomerular

2014
Comparison of the antialbuminuric effects of benidipine and hydrochlorothiazide in Renin-Angiotensin System (RAS) inhibitor-treated hypertensive patients with albuminuria: the COSMO-CKD (COmbination Strategy on Renal Function of Benidipine or Diuretics Tr
    International journal of medical sciences, 2014, Volume: 11, Issue:9

    Topics: Adult; Aged; Albuminuria; Amlodipine; Blood Pressure; Dihydropyridines; Female; Glomerular Filtratio

2014
Prospective randomized study of the tolerability and efficacy of combination therapy for hypertensive chronic kidney disease: results of the PROTECT-CKD study.
    Clinical and experimental nephrology, 2015, Volume: 19, Issue:5

    Topics: Adult; Aged; Amlodipine; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhi

2015
Comparison of efficacy and safety between benidipine and hydrochlorothiazide in fosinopril-treated hypertensive patients with chronic kidney disease: protocol for a randomised controlled trial.
    BMJ open, 2017, 02-24, Volume: 7, Issue:2

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Angiotensin-Converting Enzyme Inhibitors; Antihypertensi

2017
Blood pressure-lowering and antiproteinuric effect of switching from high-dose angiotensin receptor blockers to normal-dose telmisartan and low-dose hydrochlorothiazide in hypertensive patients with chronic kidney disease.
    International journal of clinical pharmacology and therapeutics, 2010, Volume: 48, Issue:3

    Topics: Aged; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Animals; Be

2010
Olmesartan/amlodipine/hydrochlorothiazide in participants with hypertension and diabetes, chronic kidney disease, or chronic cardiovascular disease: a subanalysis of the multicenter, randomized, double-blind, parallel-group TRINITY study.
    Cardiovascular diabetology, 2012, Oct-30, Volume: 11

    Topics: Aged; Amlodipine; Antihypertensive Agents; Cardiovascular Diseases; Diabetes Complications; Double-B

2012

Other Studies

10 other studies available for hydrochlorothiazide and Chronic Kidney Diseases

ArticleYear
Comparison of Clinical Outcomes and Safety Associated With Chlorthalidone vs Hydrochlorothiazide in Older Adults With Varying Levels of Kidney Function.
    JAMA network open, 2021, 09-01, Volume: 4, Issue:9

    Topics: Aged; Chlorthalidone; Drug-Related Side Effects and Adverse Reactions; Female; Glomerular Filtration

2021
Clinical predictors of hyponatremia in patients with heart failure according to severity of chronic kidney disease.
    Wiener klinische Wochenschrift, 2022, Volume: 134, Issue:17-18

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Biomarkers; Calcium Chan

2022
Severe hypocalcemia in a thyroidectomized woman with Covid-19 infection.
    Endocrine, 2020, Volume: 68, Issue:2

    Topics: Aged; Angiotensin-Converting Enzyme Inhibitors; Betacoronavirus; Calcium; Calcium Gluconate; Coronav

2020
Treatment of hypertension in CKD patients with azilsartan/chlorthalidone vs olmesartan/hydrochlorothiazide.
    Journal of clinical hypertension (Greenwich, Conn.), 2018, Volume: 20, Issue:4

    Topics: Antihypertensive Agents; Benzimidazoles; Chlorthalidone; Humans; Hydrochlorothiazide; Hypertension;

2018
Regression of albuminuria and hypertension and arrest of severe renal injury by a losartan-hydrochlorothiazide association in a model of very advanced nephropathy.
    PloS one, 2013, Volume: 8, Issue:2

    Topics: Acute Kidney Injury; Albuminuria; Aldosterone; Animals; Antihypertensive Agents; Drug Therapy, Combi

2013
Triamterene crystalline nephropathy.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2014, Volume: 63, Issue:1

    Topics: Antihypertensive Agents; Biopsy; Creatinine; Diagnostic Errors; Drug Combinations; Drug-Related Side

2014
Furosemide Increases the Risk of Hyperparathyroidism in Chronic Kidney Disease.
    American journal of nephrology, 2016, Volume: 43, Issue:6

    Topics: Aged; Aged, 80 and over; Calcium; Diuretics; Female; Furosemide; Humans; Hydrochlorothiazide; Hyperp

2016
Combination therapy with losartan/hydrochlorothiazide for blood pressure reduction and goal attainment in a real-world clinical setting in Japan.
    Therapeutic advances in cardiovascular disease, 2012, Volume: 6, Issue:6

    Topics: Age Factors; Aged; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Blood Pressure;

2012
The diuretic effects of hydrochlorothiazide in congestive heart failure, cirrhosis, chronic renal disease and hypertension: preliminary report based on a study of 28 cases.
    The American journal of the medical sciences, 1959, Volume: 237, Issue:5

    Topics: Acetazolamide; Diuretics; Edema; Heart Failure; Hydrochlorothiazide; Hypertension; Kidney Failure, C

1959
[APPLICATION OF HYPOTHIAZIDE IN CHRONIC KIDNEY DISEASES].
    Sovetskaia meditsina, 1963, Volume: 27

    Topics: Acute Kidney Injury; Blood Chemical Analysis; Glomerulonephritis; Hydrochlorothiazide; Hypertension;

1963