Title
Efficacy of Antioxidant Therapy Compared With Enalapril in Sickle Nephropathy
A Phase 2 Study of the Efficacy of Antioxidant Therapy Compared With Enalapril in Slowing the Progression of Sickle Nephropathy in Children
Phase
N/ALead Sponsor
University of The West IndiesStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Microalbuminuria Sickle Cell NephropathyIntervention/Treatment
acetylcysteine enalapril ...Study Participants
30The purpose of this study is to determine whether enalapril or antioxidant therapy (N-Acetylcysteine) is effective in reducing microalbuminuria in children with sickle cell disease and and its progression to sickle nephropathy
0.25-0.35 mg/kg/day
N-Acetylcysteine 0.5 mmol/kg
Inclusion Criteria: Homozygous S sickle cell disease Diagnosed by newborn screening determined to have persistent microalbuminuria satisfied criteria for microalbuminuria screening parental consent Exclusion Criteria: Asymptomatic bacteriuria on screening urine cultures On Hydroxyurea therapy Pre-existing complications of SCD which would meet local criteria for HU therapy