Page last updated: 2024-11-01

nifedipine and Renal Insufficiency, Chronic

nifedipine has been researched along with Renal Insufficiency, Chronic in 11 studies

Nifedipine: A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure.

Renal Insufficiency, Chronic: Conditions in which the KIDNEYS perform below the normal level for more than three months. Chronic kidney insufficiency is classified by five stages according to the decline in GLOMERULAR FILTRATION RATE and the degree of kidney damage (as measured by the level of PROTEINURIA). The most severe form is the end-stage renal disease (CHRONIC KIDNEY FAILURE). (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002)

Research Excerpts

ExcerptRelevanceReference
"In a prospective, multicenter, observational study, Chinese patients with CKD and uncontrolled hypertension were given nifedipine GITS 60 mg with a primary endpoint of change in office systolic BP (SBP) at 12 weeks."8.02Effectiveness and Tolerability of Nifedipine GITS in Patients with Chronic Kidney Disease and Uncontrolled Hypertension: A Prospective, Multicenter, Observational Study (ADRENAL). ( Chen, J; Chen, Q; Cheng, H; Hong, F; Huang, J; Li, R; Li, W; Liu, C; Liu, J; Lv, R; Shen, S; Song, W; Wang, H; Wang, J; Wei, L; Wu, H; Xiao, H; Yu, F; Zhang, T; Zhang, X, 2021)
" Next, in a randomized double-blind crossover study of 27 subjects with proteinuric CKD, we examined the effects of 6 weeks of treatment with placebo, sitaxentan (endothelin A antagonist), and nifedipine on these peptides alongside the primary end points of proteinuria, blood pressure, and arterial stiffness."5.20Plasma pro-endothelin-1 peptide concentrations rise in chronic kidney disease and following selective endothelin A receptor antagonism. ( Chariyavilaskul, P; Corder, R; Dhaun, N; Goddard, J; Kimmitt, RA; MacIntyre, IM; Webb, DJ; Wood, EG; Yuzugulen, J, 2015)
" We conducted a randomized, double-blind, three-way crossover study in 27 patients with proteinuric CKD to compare the effects of the ET(A) receptor antagonist sitaxentan, nifedipine, and placebo on proteinuria, BP, arterial stiffness, and various cardiovascular biomarkers."5.17Endothelin-A receptor antagonism modifies cardiovascular risk factors in CKD. ( Blackwell, S; Dhaun, N; Goddard, J; Johnston, NR; Melville, V; Talwar, DK; Webb, DJ, 2013)
"In a prospective, multicenter, observational study, Chinese patients with CKD and uncontrolled hypertension were given nifedipine GITS 60 mg with a primary endpoint of change in office systolic BP (SBP) at 12 weeks."4.02Effectiveness and Tolerability of Nifedipine GITS in Patients with Chronic Kidney Disease and Uncontrolled Hypertension: A Prospective, Multicenter, Observational Study (ADRENAL). ( Chen, J; Chen, Q; Cheng, H; Hong, F; Huang, J; Li, R; Li, W; Liu, C; Liu, J; Lv, R; Shen, S; Song, W; Wang, H; Wang, J; Wei, L; Wu, H; Xiao, H; Yu, F; Zhang, T; Zhang, X, 2021)
"Pregnancy-induced hypertension is a major cause of maternal and fetal morbidity and mortality."2.61Hypertension and Pregnancy: Management and Future Risks. ( Jim, B; Reddy, S, 2019)
"This study employed population pharmacokinetic (PopPK) modeling to delineate potential changes in CYP3A activity in patients with CKD."1.72Population Pharmacokinetic Modelling for Nifedipine to Evaluate the Effect of Parathyroid Hormone on CYP3A in Patients with Chronic Kidney Disease. ( Fu, C; Guo, C; Li, W; Liang, W; Liu, J; Pei, Q; Tan, H; Yang, B; Yang, G; Zhang, H, 2022)
" The new model is useful for estimating the risk of drug interaction in clinical practice when AST-120 is used in combination with other drugs."1.43Prediction of drug interaction between oral adsorbent AST-120 and concomitant drugs based on the in vitro dissolution and in vivo absorption behavior of the drugs. ( Kotegawa, T; Koya, Y; Machi, Y; Namiki, N; Shobu, Y; Uchida, S, 2016)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's7 (63.64)24.3611
2020's4 (36.36)2.80

Authors

AuthorsStudies
Fu, C1
Pei, Q1
Liang, W1
Yang, B1
Li, W2
Liu, J2
Tan, H1
Guo, C1
Zhang, H1
Yang, G1
Wei, Y1
Wang, Y1
Yao, Q1
Zhou, L1
Fu, P1
Peng, CC2
Chen, CR2
Chen, CY2
Lin, YC2
Chen, KC2
Peng, RY1
Wang, JC1
Wu, MS1
Lin, YF1
Lv, R1
Chen, J1
Wang, H1
Wang, J1
Cheng, H1
Li, R1
Zhang, T1
Wei, L1
Chen, Q1
Huang, J1
Yu, F1
Shen, S1
Wu, H1
Liu, C1
Hong, F1
Zhang, X1
Xiao, H1
Song, W1
Reddy, S1
Jim, B1
Imanishi, M1
Ishizawa, K1
Sakurada, T1
Ishizawa, Y1
Yamano, N1
Kihira, Y1
Ikeda, Y1
Tsuchiya, K1
Tamaki, T1
Dhaun, N2
Yuzugulen, J1
Kimmitt, RA1
Wood, EG1
Chariyavilaskul, P1
MacIntyre, IM1
Goddard, J2
Webb, DJ2
Corder, R1
Koya, Y1
Uchida, S1
Machi, Y1
Shobu, Y1
Namiki, N1
Kotegawa, T1
Kobayashi, N1
Ishimitsu, T1
Melville, V1
Blackwell, S1
Talwar, DK1
Johnston, NR1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effectiveness and Tolerability of Long-Acting Nifedipine Gastrointestinal Therapeutic System in Chronic Kidney Disease With Uncontrolled Hypertension Patients, a Prospective, Multicenter, Observational Study[NCT03194633]871 participants (Actual)Observational2017-07-10Completed
THE EFFECTS OF SITAXSENTAN ONCE DAILY DOSING ON PROTEINURIA, 24-HOUR BLOOD PRESSURE, AND ARTERIAL STIFFNESS IN SUBJECTS WITH CHRONIC KIDNEY DISEASE[NCT00810732]Phase 227 participants (Actual)Interventional2007-05-09Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Carotid-Femoral Pulse Wave Velocity (PWV) at Week 3 and 6

Carotid-femoral pulse wave velocity (PWV), a measure of arterial stiffness, is determined from the time taken for the arterial pulse to propagate from the carotid to the femoral artery. Baseline was defined as the pre-dose measurement for the measure collected at Week 0 of each treatment period. Week 3 and Week 6 was an average of measurement for the measure collected at Week 3 and 6 of each treatment period. (NCT00810732)
Timeframe: Baseline, Week 3 and 6

,,
InterventionMeter per second (Mean)
BaselineChange at Week 3Change at Week 6
Nifedipine7.94-0.21-0.38
Placebo7.74-0.210.29
Sitaxsentan7.97-0.19-0.41

Change From Baseline in Mean 24-Hour Urine Total Protein Level at Week 6

Mean urine total protein assessment included 24-hour urine collections to assess total protein excretion per 24 hours. Baseline was derived from an average of Week 0 (pre-dose) 24-hour urine collections prior to each treatment period. Week 6 was derived from an average of Week 6 24-hour urine collections for each treatment period. (NCT00810732)
Timeframe: Baseline, Week 6

,,
InterventionGrams per 24 hours (Mean)
BaselineChange at week 6
Nifedipine1.950.01
Placebo2.07-0.06
Sitaxsentan2.07-0.62

Change From Baseline in Mean Systemic Arterial Blood Pressure (BP), Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 3 and 6

The 24-hour ambulatory BP monitoring was performed by using a BP cuff which was attached to the participant's arm, using the same arm throughout the study, with a small monitor that comfortably sits in the pocket of participant. Mean values over 24-hour measurements at each measurement period were calculated. The change in total 24-hour ambulatory monitoring of systemic arterial BP, SBP and DBP at Week 3 and 6 relative to baseline were reported. Baseline was as an average of the pre-dose measurement for the measure collected at Week 0 of each treatment period. Week 3 and Week 6 was an average of measurement for the measure collected at Week 3 and 6 of each treatment period. (NCT00810732)
Timeframe: Baseline, Week 3 and 6

,,
InterventionMillimeter of Mercury (mmHg) (Mean)
Mean Systemic Arterial BP: BaselineMean Systemic Arterial BP: Change at Week 3Mean Systemic Arterial BP: Change at Week 6Mean Systemic Arterial SBP :BaselineMean Systemic Arterial SBP: Change at Week 3Mean Systemic Arterial SBP: Change at Week 6Mean Systemic Arterial DBP: BaselineMean Systemic Arterial DBP: Change at Week 3Mean Systemic Arterial DBP: Change at Week 6
Nifedipine93.78-2.95-3.54125.12-4.20-4.4778.27-2.09-2.86
Placebo92.98-1.20-0.35125.17-2.81-1.5777.58-0.86-0.41
Sitaxsentan92.94-4.59-3.74124.03-4.88-3.9977.56-4.85-3.60

Reviews

2 reviews available for nifedipine and Renal Insufficiency, Chronic

ArticleYear
Hypertension and Pregnancy: Management and Future Risks.
    Advances in chronic kidney disease, 2019, Volume: 26, Issue:2

    Topics: Antihypertensive Agents; Aspirin; Cardiovascular Diseases; Chronic Disease; Diuretics; Female; Human

2019
[Drug development for cardiorenal disease based on oxidative stress control].
    Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan, 2014, Volume: 134, Issue:6

    Topics: Animals; Cardiovascular Diseases; Humans; Nifedipine; Nitric Oxide; Nitroso Compounds; Oxidative Str

2014

Trials

2 trials available for nifedipine and Renal Insufficiency, Chronic

ArticleYear
Plasma pro-endothelin-1 peptide concentrations rise in chronic kidney disease and following selective endothelin A receptor antagonism.
    Journal of the American Heart Association, 2015, Mar-23, Volume: 4, Issue:3

    Topics: Adult; Biomarkers; Blood Pressure; Calcium Channel Blockers; Cross-Over Studies; Double-Blind Method

2015
Endothelin-A receptor antagonism modifies cardiovascular risk factors in CKD.
    Journal of the American Society of Nephrology : JASN, 2013, Volume: 24, Issue:1

    Topics: Adult; Biomarkers; Blood Pressure; Cardiovascular Diseases; Cross-Over Studies; Double-Blind Method;

2013

Other Studies

7 other studies available for nifedipine and Renal Insufficiency, Chronic

ArticleYear
Population Pharmacokinetic Modelling for Nifedipine to Evaluate the Effect of Parathyroid Hormone on CYP3A in Patients with Chronic Kidney Disease.
    Drug design, development and therapy, 2022, Volume: 16

    Topics: Cytochrome P-450 CYP3A; Humans; Models, Biological; Nifedipine; Parathyroid Hormone; Renal Insuffici

2022
Successful management of twin pregnancy in a woman with advanced chronic kidney disease: A case report.
    Medicine, 2019, Volume: 98, Issue:33

    Topics: Adult; Cesarean Section; China; Creatinine; Female; Glucocorticoids; Humans; Infant, Newborn; Nifedi

2019
Nifedipine Upregulates ATF6-α, Caspases -12, -3, and -7 Implicating Lipotoxicity-Associated Renal ER Stress.
    International journal of molecular sciences, 2020, Apr-29, Volume: 21, Issue:9

    Topics: Activating Transcription Factor 6; Animals; Biomarkers; Caspase 12; Caspase 3; Caspase 7; Caspases;

2020
Nifedipine Exacerbates Lipogenesis in the Kidney via KIM-1, CD36, and SREBP Upregulation: Implications from an Animal Model for Human Study.
    International journal of molecular sciences, 2020, Jun-19, Volume: 21, Issue:12

    Topics: Animals; CD36 Antigens; Diet, High-Fat; Disease Models, Animal; Doxorubicin; Female; Gene Expression

2020
Effectiveness and Tolerability of Nifedipine GITS in Patients with Chronic Kidney Disease and Uncontrolled Hypertension: A Prospective, Multicenter, Observational Study (ADRENAL).
    Advances in therapy, 2021, Volume: 38, Issue:9

    Topics: Antihypertensive Agents; Blood Pressure; Humans; Hypertension; Nifedipine; Prospective Studies; Rena

2021
Prediction of drug interaction between oral adsorbent AST-120 and concomitant drugs based on the in vitro dissolution and in vivo absorption behavior of the drugs.
    European journal of clinical pharmacology, 2016, Volume: 72, Issue:11

    Topics: Administration, Oral; Adsorption; Aluminum Hydroxide; Amlodipine; Aspirin; Carbon; Drug Interactions

2016
Assessment on antihypertensive effect and safety of nifedipine controlled-release tablet administered at 80 mg/day in practical clinic.
    Clinical and experimental hypertension (New York, N.Y. : 1993), 2012, Volume: 34, Issue:3

    Topics: Adult; Age Factors; Aged; Ambulatory Care Facilities; Amlodipine; Antihypertensive Agents; Blood Pre

2012