Page last updated: 2024-10-28

hydroxyurea and Kidney Failure, Chronic

hydroxyurea has been researched along with Kidney Failure, Chronic in 12 studies

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
"We are unsure if hydroxyurea improves glomerular filtration rate or reduces hyperfiltration in children aged nine to 18 months, but it may improve their ability to concentrate urine and may make little or no difference to the incidence of acute chest syndrome, painful crises, and hospitalisations."5.41Interventions for chronic kidney disease in people with sickle cell disease. ( Carpenter, A; Dale-Harris, I; Dorée, C; Estcourt, LJ; Roy, NB, 2023)
"Treatment with hydroxyurea for 24 months did not influence GFR in young children with SCA."2.77Effect of hydroxyurea treatment on renal function parameters: results from the multi-center placebo-controlled BABY HUG clinical trial for infants with sickle cell anemia. ( Alvarez, O; Howard, T; Iyer, RV; Luo, Z; McCarville, MB; Miller, ST; Rana, SR; Rogers, ZR; Sarnaik, SA; Schwartz, GJ; Thompson, B; Thornburg, CD; Wang, WC; Ware, RE, 2012)
" On the basis of the exposure and the apparent clearance from the current and 2 historical studies, the authors have proposed an initial dosing regimen of hydroxyurea (7."2.71The influence of renal function on hydroxyurea pharmacokinetics in adults with sickle cell disease. ( Ataga, K; Gothelf, S; Grasela, DM; Kaul, S; Kutlar, A; Olson, JS; Orringer, E; Yan, JH, 2005)
"Zileuton was well tolerated by all participants including those with severe renal impairment and those receiving hemodialysis."2.68Pharmacokinetics of zileuton and its metabolites in patients with renal impairment. ( Awni, WM; Chu, SY; Drajesk, J; Halstenson, CE; Hansen, R; Keane, WF; Machinist, JM; Patterson, K; Wong, S, 1997)
" All other treatments were continued with some dosage adjustments."1.35Management of refractory essential thrombocythemia with anagrelide in a patient undergoing hemodialysis. ( Demulder, AC; Malarme, M; Mesquita, Mdo C; Noubouossie, D; Sol, EB, 2009)
"Enalapril treatment for 3."1.33Enalapril and hydroxyurea therapy for children with sickle nephropathy. ( Fitzhugh, CD; Ware, RE; Wigfall, DR, 2005)
"Thymidine incorporation was greatest at 0."1.25Effect of calcium and magnesium on deoxyribonucleic acid synthesis in rat parathyroid glands in vitro. ( Lee, MJ; Roth, SI, 1975)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19901 (8.33)18.7374
1990's1 (8.33)18.2507
2000's6 (50.00)29.6817
2010's3 (25.00)24.3611
2020's1 (8.33)2.80

Authors

AuthorsStudies
Roy, NB2
Carpenter, A1
Dale-Harris, I1
Dorée, C2
Estcourt, LJ2
Fortin, PM1
Bull, KR1
Trivella, M1
Hopewell, S1
Hariri, E1
Mansour, A1
El Alam, A1
Daaboul, Y1
Korjian, S1
Aoun Bahous, S1
Mesquita, Mdo C1
Sol, EB1
Malarme, M1
Noubouossie, D1
Demulder, AC1
Alvarez, O1
Miller, ST1
Wang, WC1
Luo, Z1
McCarville, MB1
Schwartz, GJ1
Thompson, B1
Howard, T1
Iyer, RV1
Rana, SR1
Rogers, ZR1
Sarnaik, SA1
Thornburg, CD1
Ware, RE2
Ohashi, N1
Yonemura, K1
Sugiura, T1
Isozaki, T1
Togawa, A1
Fujigaki, Y1
Yamamoto, T1
Hishida, A1
La Spina, M1
Russo, G1
Fitzhugh, CD1
Wigfall, DR1
Yan, JH1
Ataga, K1
Kaul, S1
Olson, JS1
Grasela, DM1
Gothelf, S1
Kutlar, A1
Orringer, E1
Losada, R1
Bravo, I1
Capildeo, K1
Charles, K1
Awni, WM1
Wong, S1
Chu, SY1
Patterson, K1
Hansen, R1
Machinist, JM1
Drajesk, J1
Keane, WF1
Halstenson, CE1
Lee, MJ1
Roth, SI1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pediatric Hydroxyurea Phase III Clinical Trial (BABY HUG)[NCT00006400]Phase 3193 participants (Actual)Interventional2000-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in the Renal Function That Was Measured by Diethylenetriaminepentaacetic Acid (DTPA) Glomerular Filtration Rate (GFR)

DTPA GFR was originally a co-primary efficacy outcome for the study. Later in May 29, 2009, this measurement was discontinued because of statistical futility (an extremely small chance that the difference between treatment groups would be statistically significant for this outcome) and the small risk posed by the radiation exposure involved with performing the DTPA GFR test. Subjects who had missing data at baseline or 2 years measurement were excluded from the analysis (29 subjects from the hydroxurea, and 31 subjects from the placebo group excluded). (NCT00006400)
Timeframe: Before initiation of treatment and at 2 years

InterventionmL/min/1.73m^2 (Mean)
Hydroxyurea22.56
Placebo20.74

Change From Baseline in the Renal Function That Was Measured by GFR (Calculated Using New Schwartz Formula)

GFR was calculated using new Schwartz formula: 39.1× [height (cm)/serum creatinine (mg/dL)]0.516 × [1.8/cystatin C]0.294 × [30/blood urea nitrogen]0.169 × [1.099]if male × [height(m)/1.4]0.188. Children with missing baseline or 2 years GFR were excluded from the analysis. (NCT00006400)
Timeframe: Before initiation of treatment and at 2 years

InterventionmL/min/1.73m^2 (Mean)
Hydroxyurea10.57
Placebo14.33

Change From Baseline in the Renal Function That Was Measured by Glomerular Filtration Rate (GFR) (Calculated Using Schwartz Formula)

Schwartz formula used to calculate GFR is: 0.55× height (cm)/serum creatinine (mg/dL). Where height is in cm and serum creatinine is in mg/dL. Children with missing baseline or 2 years GFR were excluded from the analysis. (NCT00006400)
Timeframe: Before initiation of treatment and at 2 years

InterventionmL/min/1.73m^2 (Mean)
Hydroxyurea28.65
Placebo33.36

Reviews

4 reviews available for hydroxyurea and Kidney Failure, Chronic

ArticleYear
Interventions for chronic kidney disease in people with sickle cell disease.
    The Cochrane database of systematic reviews, 2023, 08-04, Volume: 8

    Topics: Acute Chest Syndrome; Adolescent; Adult; Anemia, Sickle Cell; Angiotensin-Converting Enzyme Inhibito

2023
Interventions for chronic kidney disease in people with sickle cell disease.
    The Cochrane database of systematic reviews, 2017, 07-03, Volume: 7

    Topics: Adult; Albuminuria; Anemia, Sickle Cell; Angiotensin-Converting Enzyme Inhibitors; Antisickling Agen

2017
Sickle cell nephropathy: an update on pathophysiology, diagnosis, and treatment.
    International urology and nephrology, 2018, Volume: 50, Issue:6

    Topics: Analgesics; Anemia, Sickle Cell; Biomarkers; Glomerular Filtration Rate; Hematuria; Humans; Hydroxyu

2018
New drugs for childhood anemia.
    Minerva pediatrica, 2003, Volume: 55, Issue:5

    Topics: Adult; Age Factors; Anemia; Anemia, Hemolytic, Autoimmune; Anemia, Sickle Cell; Antibodies, Monoclon

2003

Trials

3 trials available for hydroxyurea and Kidney Failure, Chronic

ArticleYear
Effect of hydroxyurea treatment on renal function parameters: results from the multi-center placebo-controlled BABY HUG clinical trial for infants with sickle cell anemia.
    Pediatric blood & cancer, 2012, Volume: 59, Issue:4

    Topics: Anemia, Sickle Cell; Antisickling Agents; Creatinine; Cystatin C; Double-Blind Method; Female; Glome

2012
The influence of renal function on hydroxyurea pharmacokinetics in adults with sickle cell disease.
    Journal of clinical pharmacology, 2005, Volume: 45, Issue:4

    Topics: Adult; Aged; Anemia, Sickle Cell; Female; Humans; Hydroxyurea; Kidney; Kidney Failure, Chronic; Kidn

2005
Pharmacokinetics of zileuton and its metabolites in patients with renal impairment.
    Journal of clinical pharmacology, 1997, Volume: 37, Issue:5

    Topics: Adult; Aged; Female; Humans; Hydroxyurea; Kidney Diseases; Kidney Failure, Chronic; Kidney Function

1997

Other Studies

5 other studies available for hydroxyurea and Kidney Failure, Chronic

ArticleYear
Management of refractory essential thrombocythemia with anagrelide in a patient undergoing hemodialysis.
    Clinical therapeutics, 2009, Volume: 31, Issue:11

    Topics: Aged; Aspirin; Blood Cell Count; Blood Chemical Analysis; Blood Transfusion; Drug Resistance; Erythr

2009
Withdrawal of interferon-alpha results in prompt resolution of thrombocytopenia and hemolysis but not renal failure in hemolytic uremic syndrome caused by interferon-alpha.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2003, Volume: 41, Issue:3

    Topics: Adult; Antineoplastic Combined Chemotherapy Protocols; Hemolysis; Hemolytic-Uremic Syndrome; Humans;

2003
Enalapril and hydroxyurea therapy for children with sickle nephropathy.
    Pediatric blood & cancer, 2005, Volume: 45, Issue:7

    Topics: Adolescent; Albuminuria; Anemia, Sickle Cell; Antihypertensive Agents; Antisickling Agents; Child; C

2005
Is the group of older sickle cell disease patients from Trinidad and Tobago different?
    American journal of hematology, 2006, Volume: 81, Issue:3

    Topics: Adult; Aged; Aging; Anemia, Sickle Cell; Antisickling Agents; Blood Transfusion; Female; Foot Ulcer;

2006
Effect of calcium and magnesium on deoxyribonucleic acid synthesis in rat parathyroid glands in vitro.
    Laboratory investigation; a journal of technical methods and pathology, 1975, Volume: 33, Issue:1

    Topics: Animals; Autoradiography; Calcium; Deoxycytidine; DNA; Humans; Hydroxyurea; Hyperplasia; Kidney; Kid

1975