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NCT03982160Active, not recruitingPhase 4

L-arginine to Reduce Sympathetic Nerve Activity in CKD Patients

Role of Decreased Nitric Oxide in the Tonic Elevation of Resting Sympathetic Nerve Activity in Chronic Kidney Disease Patients

Source: ClinicalTrials.gov · Last updated 18 Jun 2026

Brief summary (registry, in English)

Chronic kidney disease (CKD) is associated with a higher risk of cardiovascular disease and death. An overactive sympathetic nervous system in CKD patients is one of the major mechanisms increasing the cardiovascular risks in this patient population. A potential signal driving sympathetic nerve activity (SNA) involves accumulation of the endogenous nitric oxide synthase (NOS) inhibitor asymmetric dimethylarginine (ADMA). ADMA is elevated in CKD and is a strong, independent predictor of future cardiovascular events in these patients. . The goal of this study is to determine whether overcoming the accumulation of endogenous ADMA with acute L-arginine infusion reduces SNA in CKD patients.

Status (registry)
Active, not recruiting
Phase (registry)
Phase 4
Study type
Interventional
Enrollment
15 (estimated)
First submitted
6 Jun 2019
Start date
1 Feb 2018
Primary completion date
31 Dec 2026
Lead sponsor
The University of Texas at Arlington
NCT number
NCT03982160

What you commit to

  • Study type: Interventional · Phase 4
  • Planned participants: 15
  • From 1 Feb 2018 to the primary completion date, 31 Dec 2026
  • 2 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • previous organ transplantation
  • immunosuppressant therapy
  • taking menopausal drugs (estradiol)

Other illness

  • myocardial infarction
  • heart failure
  • cancer with current treatment
  • human immunodeficiency virus infection
  • resting heart rate ≥ 100 bpm and

Lab values

  • anemia (hemoglobin \<8 g/dl)

Other

  • pregnancy and/or lactating
  • current tobacco use
  • treatment for diabetic neuropathy
  • systolic blood pressure ≤ 90 mmHg

Who the study is looking for

  • CKD patients classified as Stage 3 and 4 of National Kidney Foundation Classification with estimated glomerular filtration rate (GFR) between 15 and 59 mL/min/1.73 m2 according to the Modification of Diet in Renal Disease (MDRD) formula based on serum creatinine, age, gender, and race.
  • Men and women 35 to 75 years of age

Age in the registry: 35 years to 75 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
UT Southwestern
Coordinator of this site? Confirm its status
DallasUnited StatesUnknown status
University of Delaware
Coordinator of this site? Confirm its status
NewarkUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.