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Table 3 The effect of L-NMMA on GFR and renal handling of sodium and potassium after six weeks of paricalcitol treatment in patients with stage III-IV CKD and albuminuria (n = 21)

From: Effect of paricalcitol on renin and albuminuria in non-diabetic stage III-IV chronic kidney disease: a randomized placebo-controlled trial

 

Baseline

30 min

60 min

90 min

120 min

P Within

P Between

GFR ( 51 Cr-EDTA clearance)

Placebo

26.3 ± 13.3

22.8 ± 10.9

24.2 ± 11.1

26.0 ± 11.7

27.8 ± 11.5

0.68

0.31

Paricalcitol

23.6 ± 11.5*

20.3 ± 9.7

22.5 ± 10.9

22.5 ± 12.0

23.9 ± 12.8

0.89

Urine output (ml/min)

Placebo

4.5 ± 2.1

3.1 ± 1.3

3.4 ± 1.2

3.6 ± 1.1

4.0 ± 1.8

0.02

0.15

Paricalcitol

3.4 ± 1.5*

2.4 ± 0.9

2.8 ± 1.2

3.1 ± 1.1

3.7 ± 1.5

0.01

Free water clearance (ml/min)

Placebo

1.7 ± 1.7

1.6 ± 1.4

1.1 ± 0.9

1.3 ± 0.9

1.5 ± 1.0

0.65

0.16

Paricalcitol

0.8 ± 1.0*

0.8 ± 1.0

0.7 ± 0.7

1.0 ± 0.9

1.3 ± 0.9

0.27

FE Na (%)

Placebo

5.9 ± 4.3

4.7 ± 3.4

4.4 ± 3.1

4.2 ± 2.8

4.1 ± 2.7

0.37

0.54

Paricalcitol

5.9 ± 4.5

4.4 ± 3.7

4.4 ± 3.4

4.6 ± 4.1

4.6 ± 4.0

0.73

FE K (%)

Placebo

85 ± 95

67 ± 70

62 ± 62

58 ± 51

55 ± 45

0.61

0.74

Paricalcitol

92 ± 96

71 ± 65

67 ± 58

66 ± 55

63 ± 50

0.63

u-AQP2 (ng/hr)

Placebo

99 ± 37

71 ± 29

77 ± 34

80 ± 37

87 ± 51

0.16

0.67

Paricalcitol

100 ± 35

71 ± 30

74 ± 29

75 ± 32

75 ± 31

0.03

u-ENaC γ (ng/hr)

Placebo

9.6 ± 7.7

-

8.8 ± 7.8

-

9.8 ± 9.0

0.92

0.32

Paricalcitol

10.3 ± 5.3

-

8.2 ± 2.3

-

8.8 ± 3.7

0.21

  1. Values are means ± SD. L-NMMA, NG-monomethyl-L-arginine; FENa, fractional excretion of sodium; FEK, fractional excretion of potassium; AQP2, aquaporin 2 channels; ENaCγ, gamma fraction of epithelial sodium channels. L-NMMA infusion was sustained for 60 minutes. Pwithin represents the probability of an effect of NOS inhibition after each treatment assessed by one-way ANOVA. Pbetween represents the probability that paricalcitol alters the response to L-NMMA assessed by a general linear model for repeated measures with treatment as factor.
  2. * = p < 0.05 vs. placebo at baseline.