About this trial
To assess quantitatively the evolution over time of electrolyte-free water clearance and electrolyte mass balance in patients with non-hypervolemic hypotonic hyponatremia
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients ≥ 18 years
Hypotonic hyponatremia
glucose-corrected plasma sodium <130 mmol/l
serum osmolality <280 mosmol/kg or lack of signs of non-hypotonic hyponatremia
Disqualifiers
Signs of extracellular volume expansion
Patients with liver cirrhosis and severe liver damage AST/ALT>3xULN, AP>6xULN, Bilirubin ≥ 3mg/dl
Patients with heart failure
Patients on dialysis and/or patients with oliguric renal impairment and plasma creatinine ≥ 3mg/dl
Trial population
Patients with non-hypervolemic hyponatremia
Trial design
Cohort
Prospective
Treatments tested in this trial
Patients
Other interventionPatients will get study-specific measurements within first 5 days of standard of care treatment of hyponatremia or until discharge
Treatment groups
Trial outcomes
Primary outcomes
Changes in Plasma Sodium
Measurement of plasma sodium in blood samples
Changes in plasma osmolality
Measurement of plasma osmolality for determination of electrolyte-free water clearance before, during and after hyponatremia treatment
Changes in urine osmolality
Determination of electrolyte-free water clearance before, during and after hyponatremia treatment by measurement of urine osmolality
Changes in urine volume
Determination of electrolyte-free water clearance before, during and after hyponatremia treatment by measurement of urine volume
Secondary outcomes
Changes in body weight
Measurement of body weight before, during and after hyponatremia treatment by bioimpedance measurement
Changes in total body water
Measurement of body water before, during and after hyponatremia treatment by bioimpedance measurement
Changes in intracellular volume
Measurement of intracellular volume before, during and after hyponatremia treatment by bioimpedance measurement
Changes in extracellular volume
Measurement of extracellular volume before, during and after hyponatremia treatment by bioimpedance measurement
Sponsors and contacts
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