2012, Number 1
<< Back Next >>
Rev Cubana Invest Bioméd 2012; 31 (1)
Randomized double-blind study with Renalof in patients with calcium oxalate renal lithiasis
Atiés SMC, Edighill VV, Abreu VR
Language: Spanish
References: 34
Page: 87-100
PDF size: 236.40 Kb.
ABSTRACT
A double-blind, randomized, placebo-controlled, parallel group phase III clinical trial was conducted with the purpose of evaluating the effectiveness and safety of Renalof to remove and/or reduce calcium lithiasis in patients with calcium urolithiasis. The patients chosen were aged 18-65 and had stones smaller than 10 mm. These patients were treated with a natural product manufactured by the Spanish laboratory Catálisis SA, in a dosage of 1 capsule 3 times a day during 3 months, and monthly clinical, radiological, tomographic and echographic follow-up to record adverse effects. The main evaluation criterion was the size and number of the calculi, with favorable response when they either disappeared or their size was reduced. 110 patients were randomized to Renalof (n=52) and placebo (n=58). Stone size reduction was 7.7 % for the Renalof group and 0 % for the placebo group by the third month, whereas the stone disappearance response was 86.5 % by the third month for the Renalof group. The mean number of colics decreased by the third month, with only 0.4 ± 1.3 for the Renalof group. It was concluded that Renalof is an efficient product for the destruction or reduction of calcium renoureteral calculi, with no adverse effects.
REFERENCES
Jungers P, Joly D, Barbey F, Choukroun G, Daudon M. ESRD caused by nephrolitiasis: Prevalence, mechanisms, and prevention. Am J Kidney Dis. 2004;44:799-805.
Arce Gómez DL, Jacas García C, Soriano González B. Diagnóstico de litiasis renal por microsistema de oreja. MEDISAN. 2007;11(3).
Campuzano S, Bousoño C. Risk of urolithiasis in patients with cystic fibrosis. Nefrologia. 2009;29(1):61-66.
Abraham PA, Smith CL. Medical evaluation and management of calcium nephrolithiasis. Med Clin North Am. 1984;68:28.
Johnson CM, Wilson DM, O'Fallon WM, Malek RS, Kurland LT. Renal stone epidemiology: A 25 year study in Rochester, Minnessota. Kidney Int. 1979;16:624-31.
Worcester E, Parks JH, Josephson MA, Thisted RA, Coe FL. Causes and consequences of kidney loss in patients with nephrolitiasis. Kidney Int. 2003;64:2204-2213.
Larrea E. Informe sobre morbilidad por litiasis en Cuba. Grupo Nacional de Urología. Ministerio de Salud Pública. La Habana, Cuba, 1984.
The British Pharmaceutical Codex, Published by direction of the Council of the Pharmaceutical Society of Great Britain. London, 1911.
Peris JB, Stübing G, Romo, A. Plantas medicinales de la Península Ibérica y Baleares. Madrid: Jaguar; 2001.
Real Farmacopea Española. Madrid: Ministerio de Sanidad y Consumo; 2000.
Catálogo de Especialidades Farmacéuticas. Departamento Técnico del Consejo General de Colegios Oficiales de Farmacéuticos. Madrid: Consejo General de Colegios Oficiales de Farmacéuticos; 2000.
Schulz V, Hänsel R, Tyler VE. Rational phytotherapy, a physicians guide to herbal medicine. 4ª ed. Berlín: Springer Verlag; 2001.
Pak CYC, Resnick MI. Tratamiento médico y nuevos enfoques terapéuticos de la urolitiasis. Urol Clinf North Am. 2000;27(2).
Sugandh N, Menon M. A practical approach to the evaluation and treatment of nephrolithiasis. Aua Update Series. Lesson 30, volume xix; 2000.
Hall PM. Kidney stones: formation, treatment, and prevention. Cleve Clin J Med. 2009;76:58391.
Bach E. Bach por Bach: obras completas, escritos y conferencias, 156 pp., Buenos Aires: Ediciones Continente S.R.L.; 1993. ISBN 950-754-006-7.
García Reyes MF, Valle Artiz PP. Auriculoterapia como tratamiento de la litiasis renal en Venezuela en los años 2005-2006. Disponible en: http://www.ilustrados.com/documentos /ariculo-litiasis-020108.doc
Grases F, Melero G, Costa Bauzá A. Urolithiasis and phytotherapy. Int Urol Nephrol. 1994;26(5):507-11.
Muñoz Martínez JA. Litiasis renal oxalocálcica. Avances en la comprensión de su etiología y mejoras en la metodología analítica para su estudio. Trabajo para optar por el título de Doctor en Química. Universidad Autonómica de Barcelona; Octubre 2004. p. 19.
Puente R, Leal D. Tratamiento endourológico de litiasis urinaria: Evaluación de resultados del equipo B de CETELU desde 1998 a 2004. Rev Med Uruguay. 2006;22:22-28.
Curhan GC. A 44 year-old woman with kidney stones. JAMA. 2005;293:1107-14.
Springhart WP, Marquet CG, Sur RL. Forced versus minimal intravenous hydration in the management of acute renal colic: a randomized trial. J Endourol. 2006;20:71316.
Mardis HK, Parks JH, Muller G, Ganzel K, Coe FL. Outcome of metabolic evaluation and medical treatment for calcium nephrolithiasis in a private urological practice. J Urol. 2004;171:85-8.
Montell Hernández OA. Idiopathic hypercalciuria. Rev Méd Electrónica. 2008;30(3).
Kourambas H, Aslan B. Role of stone analysis in metabolic evaluation and medical treatment of nephrolithiasis. J Endourol. 2001;15(2):181-6.
Samplaski MK, Irwin BH, Desai M. Less-invasive ways to remove stones from the kidneys and ureters. Cleve Clin J Med. 2009;76:59298.
Pearle T. Renal urolithiasis: therapy for special circumstances part I. Aua Update Series 2001;xx:lesson 39.
Hollingsworth JM, Rogers MA, Kaufman SR. Medical therapy to facilitate urinary stone passage: a meta-analysis. Lancet. 2006;368:117179.
Kyle JW, Montiglio C, Michael S. Shock wave lithotripsy. Success for renal stones based on patient and stone computed tomography characteristics. Urology. 2007;70:1043-47.
Grases F, Genestar C. Inhibidores de la litiasis renal: Evolución histórica, situación actual y perspectivas futuras. Med Clin. 1988;83.
Muñoz Martínez JA. Litiasis renal oxalocálcica. Avances en la comprensión de su etiología y mejoras en la metodología analítica para su estudio. Trabajo para optar por el título de Doctor en Química. Universidad Autonómica de Barcelona, Octubre 2004. p. 102-104.
Hall PM. Nephrolithiasis: treatment, causes, and prevention. Cleve Clin J Med. 2009;76:58391.
Grases F, Gil JJ, Conte A. Glycosaminogycans: inhibition of calcium oxalate crystalline growth and promotion of crystal aggregation. Colloid Surfaces. 1989;36:29-38.
Peter K, Vollhardt C. Química Orgánica. Barcelona: Ediciones Omega S.A.; 1994.