Study of Intravenous Amino Acid Infusion to Prevent Contrast Dye Mediated Renal Damage
NCT00313807 · Status: WITHDRAWN · Phase: PHASE2 · Type: INTERVENTIONAL
Last updated 2015-03-11
Summary
Exposure to radiographic contrast dye during coronary angiography is well known to cause either transient decreases in renal function or acute renal failure. Although the overall incidence is low, acute renal failure occurs most frequently in patients with both diabetes and chronic renal failure where the average reported incidence is upwards of 20%. The etiology of contrast-induced nephropathy is related to acute decline in renal blood flow following dye exposure resulting in ischemic injury at the level of the medulla. The development of acute renal failure following radiocontrast dye administration is significant because it contributes to morbidity and mortality in patients at risk.
The administration of amino acids, either through intravenous infusion or a protein meal, results in a substantial increase in renal plasma flow (RPF) and glomerular filtration rate (GFR). In both healthy subjects and in those with chronic renal failure, an amino acid infusion produces a 20% rise in GFR and effective RPF.
We hypothesize that the 20% rise in effective RPF and GFR following an amino acid infusion will counteract the radiocontrast dye-induced vasoconstriction and reduce the renal toxicity of contrast medium in a group of high-risk patients.
Conditions
- Contrast Nephropathy
- Renal Failure
Interventions
- DRUG
-
Amino Acid
7% amino acid infusion
- DRUG
-
0.9% Saline Infusion
Sponsors & Collaborators
-
Queen's University
lead OTHER
Principal Investigators
-
Karen E Yeates, MD MPH · Assistant Professor, Queen's University - Division of Nephrology, Department of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2005-11-30
- Completion
- 2008-09-30
More Related Trials
-
Inorganic Nitrate (NaNO3) Prevention of Contrast-Associated Acute Kidney Injury
NCT07016074 ·Status: RECRUITING ·Phase: PHASE2
-
Remote Ischemic Preconditioning as a Method Against Subclinical Renal Injury and Contrast-induced Nephropathy
NCT02700958 ·Status: COMPLETED ·Phase: NA
-
Prevention of Contrast-induced Nephropathy in Patients With Acute Myocardial Infarction
NCT01160627 ·Status: COMPLETED ·Phase: NA
-
Renal Effects of Three Iodinated Contrast Media (CM) in Patients at Risk Undergoing Coronary Angiography
NCT00335101 ·Status: WITHDRAWN ·Phase: PHASE4
-
Aminophylline and Contrast Induced Nephropathy in Acute Myocardial Infarction
NCT01594489 ·Status: COMPLETED ·Phase: PHASE4
-
Remote Ischemic Preconditioning to Prevent Contrast Nephropathy
NCT02674451 ·Status: TERMINATED ·Phase: NA
-
Preventing contrAst Induced Nephropathy After TranscathEter Aortic Valve Replacement
NCT03121053 ·Status: UNKNOWN ·Phase: PHASE4
-
Double-Blind Placebo-Controlled CIN Trial
NCT02467075 ·Status: TERMINATED ·Phase: PHASE4
-
Angiotensin Converting Enzyme Inhibitors & Contrast Induced Nephropathy in Patients Receiving a Cardiac Catheterization
NCT00317252 ·Status: COMPLETED ·Phase: PHASE2
-
Folic Acid for Prevention of Contrast Induced Nephropathy
NCT02444013 ·Status: UNKNOWN ·Phase: PHASE4
-
Risk of Acute Kidney Injury After Intravenous Contrast Computed Tomography Scans
NCT04606056 ·Status: ACTIVE_NOT_RECRUITING
-
The Use of Sodium Bicarbonate in the Prevention of Contrast Induced Nephropathy
NCT00494637 ·Status: TERMINATED ·Phase: NA
-
Oral Salt and Water to Prevent Contrast Nephropathy
NCT02084771 ·Status: WITHDRAWN ·Phase: PHASE4
-
Prevention of Contrast Induced Nephropathy in Patients With Advanced Renal Dysfunction Undergoing Coronary Interventions
NCT02468401 ·Status: COMPLETED ·Phase: NA
-
Oral Versus Intravenous Hydration to Prevent Contrast Induced Nephropathy
NCT01093131 ·Status: WITHDRAWN ·Phase: PHASE4
-
Contrast Induced Nephropathy Among Vascular Patients Undergoing Lower Limb Angioplasty
NCT04879186 ·Status: UNKNOWN
-
The Relationship Between HHcy and Contrast-induced Nephropathy in Hypertensive Patients After Coronary Artery Diagnosis and Treatment
NCT02575092 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Predictive Value of CHA2DS2VASC Score for Contrast-induced Nephropathy After Primary Percutaneous Coronary Intervention in ST-segment Elevation Myocardial Infarction Patients
NCT04730778 ·Status: COMPLETED
-
Ameliorating Contrast Induced Nephropathy After Coronary Angiography
NCT06139952 ·Status: COMPLETED ·Phase: PHASE4
-
Renal Effect of Pentoxyphylline in High Risk Patients Undergoing Angiography
NCT01144091 ·Status: WITHDRAWN ·Phase: NA
-
Renal Effects of Two Iodinated Contrast Media in Patients at Risk Undergoing Coronary Angiography
NCT00209430 ·Status: COMPLETED ·Phase: PHASE4
-
COOL RCN: Cooling to Prevent Radiocontrast Nephropathy
NCT00306306 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Contrast Nephropathy and Nitrates
NCT01999517 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Continuing vs. Discontinuing ACE Inhibitors on Renal Function After Coronary Angiography
NCT07184918 ·Status: COMPLETED ·Phase: NA
-
Role of Amlodipine in Reduction of CIN
NCT07291375 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1