Observational study on chronic kidney disease diagnosis in patients with hypertension in Kazakhstan
Prospective Observational Multicenter Study of Patients With Arterial Hypertension and Chronic Kidney Disease Markers in Kazakhstan (PROGRESS-CKD)
This study looks at how often people with high blood pressure in Kazakhstan are diagnosed with chronic kidney disease and what signs they have that might indicate this condition.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 1282 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | AstraZeneca Industry-sponsored |
| Locations | 29 sites (Temirlanovka, Turkistan Oblast and 28 other locations) |
| Trial ID | NCT06744335 on ClinicalTrials.gov |
What this trial studies
This multicenter, non-interventional observational study aims to evaluate the rate of chronic kidney disease (CKD) diagnosis among patients with arterial hypertension (AH) and specific CKD markers in Kazakhstan. The study will assess the proportion of patients exhibiting markers such as albuminuria/proteinuria and reduced glomerular filtration rate (GFR). It will also analyze demographic and clinical characteristics of these patients, along with their routine therapy before and after CKD diagnosis. The study will include both a full analysis of all patients and a modified analysis for those confirmed to have CKD during the study.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 and older with a diagnosis of hypertension and laboratory markers indicating potential chronic kidney disease.
Not a fit: Patients without hypertension or those who have a documented diagnosis of chronic kidney disease prior to the study will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could enhance early diagnosis and management of chronic kidney disease in patients with hypertension, potentially improving patient outcomes.
How similar studies have performed: While there may be similar observational studies, this specific approach focusing on the intersection of hypertension and CKD markers in Kazakhstan is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Age ≥18 years at the time of inclusion; * Patient signed and dated written informed consent form (ICF) in accordance with ICH GCP and local legislation prior to inclusion in the study for the prospective observational cohort; * Established diagnosis of hypertension, diagnosed in accordance with current clinical guidelines for hypertension, i.e. in adults, i.e. systolic blood pressure (SBP) ≥140 mmHg and/or diastolic blood pressure (DBP) ≥90 mmHg. when measured at two different visits * Laboratory markers of CKD (eGFR \<60 mL/min/1.73 m2 and/or albuminuria/proteinuria\*) measured during the period ≤12 months prior to inclusion in the study and persisting ≥3 months between two measurements without a recorded diagnosis of CKD in the primary medical record prior to inclusion; \* any of the following: urine albumin/creatinine ratio (UACR) ≥30 mg/g (3 mg/mmol), Urine protein-creatinine ratio (uPCR) ≥150 mg/g (15 mg/mmol), albuminuria ≥30 mg/d or Urine protein-creatinine ratio (uPCR) ≥0.15 mg/d. * Absence of documented diagnosis of CKD in the patient's medical records prior to inclusion in the study Exclusion Criteria: * Absence of a signed ICF in patients in the prospective follow-up group * Participation in any randomized controlled trial within 3 months prior to inclusion in this study or during participation in this study * An established diagnosis of type 1 or type 2 diabetes mellitus. * Diagnosis of symptomatic chronic heart failure (CHF), NYHA functional class III-IV, documented in the patient's medical records * Diagnosis of AH of secondary genesis
Where this trial is running
Temirlanovka, Turkistan Oblast and 28 other locations
- Ordabasy Central District Hospital — Temirlanovka, Turkistan Oblast, Kazakhstan (Recruiting)
- City Polyclinic No. 2 — Aktobe, Kazakhstan (Withdrawn)
- City Polyclinic No. 4 — Aktobe, Kazakhstan (Recruiting)
- City Cardiology Center — Almaty, Kazakhstan (Recruiting)
- Interna Clinic, Scientific Centre for Internal Medicine LLP — Almaty, Kazakhstan (Not_yet_recruiting)
- JSC Research Institute of Cardiology and Internal Diseases — Almaty, Kazakhstan (Recruiting)
- LLP Almaty Sema Hospital — Almaty, Kazakhstan (Recruiting)
- Municipal state enterprise with the right of economic management City polyclinic No. 5 — Almaty, Kazakhstan (Recruiting)
- National Hospital of Medical Center of the Presidents Affairs Administration of the Republic of Kazakhstan — Almaty, Kazakhstan (Recruiting)
- AIS Clinic — Astana, Kazakhstan (Recruiting)
- City Polyclinic No. 2 — Astana, Kazakhstan (Recruiting)
- Family Health Center Shipager — Astana, Kazakhstan (Recruiting)
- Green Clinic — Astana, Kazakhstan (Recruiting)
- Medical Center Hospital of the President's Affairs Administration of the Republic of Kazakhstan — Astana, Kazakhstan (Recruiting)
- Medical Center Zhanuya — Astana, Kazakhstan (Recruiting)
- Onege Family Health and Happiness Centre, LLP — Astana, Kazakhstan (Recruiting)
- State Enterprise on the Right of Economic Management City Polyclinic No. 5 Astana — Astana, Kazakhstan (Recruiting)
- State Enterprise on the Right of Economic Management City Polyclinic No. 6 Astana — Astana, Kazakhstan (Recruiting)
- UMC Diagnostic Centre — Astana, Kazakhstan (Recruiting)
- Enbekshikazakh Multidisciplinary Interdistrict Hospital — Esik, Kazakhstan (Recruiting)
- City Polyclinic No. 1 — Karaganda, Kazakhstan (Recruiting)
- City Polyclinic No. 3 — Karaganda, Kazakhstan (Recruiting)
- Communal State Enterprise Polyclinic No. 4 of Kostanay City — Kostanay, Kazakhstan (Not_yet_recruiting)
- Communal State Enterprise on the right of economic management City Polyclinic No. 7 — Semey, Kazakhstan (Recruiting)
- LLP Sau Zhurek Healthy Heart — Shymkent, Kazakhstan (Not_yet_recruiting)
- NJSC Heart Centre Shymkent — Shymkent, Kazakhstan (Recruiting)
- IE Dr.Selina — Stepnogorsk, Kazakhstan (Recruiting)
- Clinical and Diagnostic Center of the International Kazakh-Turkish University named after Khoja Ahmet Yasawi — Turkestan, Kazakhstan (Active_not_recruiting)
- State Enterprise on the Right of Economic Management Zhambyl District Central Hospital — Uzynaghash, Kazakhstan (Recruiting)
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.