Renal Effect of Pentoxyphylline in High Risk Patients Undergoing Angiography
NCT01144091 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2015-04-08
Summary
The investigators will study 2 separate groups:
* Cardiology patients undergoing invasive coronary angiography +/- PCI (Percutaneous coronary intervention).
* Patients undergoing CT examination with contrast medium. All patients will receive intravenous (I.V) hydration for 8-12h before and 36 to 48 h after angiography with 0.45% saline 100ml/h.
All patients will receive oral N-acetyl cysteine 1200 mg twice daily, a day before, on the day of the angiography and for another 48 hours.
In addition, patients will be assigned to receive oral pentoxyphylline (P group) or placebo (C - control group) tablets 3 times a day one day before, on the day of the procedure and for another 48 hours.
Baseline Serum Creatinine (S.Cr) levels in will be taken before angiography and two days after angiography. Radio-contrast nephropathy is defined, in this study, as increase in serum ≥ 25 % of baseline after injection of the radio-contrast agent. Pentoxyfylline is an orally active haemorheological agent for the treatment of peripheral vascular disease, cerebrovascular disease and a number of other conditions involving a defective regional microcirculation. Pentoxyfylline acts primarily by increasing red blood cell deformability, by reducing blood viscosity and by decreasing the potential for platelet aggregation and thrombus formation (mechanism unclear). Pentoxyfylline has also proven to have a significant anti inflammatory effect as well as anti oxidant effect, mechanisms considered to be important patho-physiological causes of contrast induced nephropathy.
Conditions
- Contrast Induced Nephropathy
- Diabetes Mellitus
Interventions
- DRUG
-
pentoxyphylline
pentoxyphylline tablets, 400 mg per tablet, 3 times a day one day before, on the day of the procedure and for another 48 hours.
- DRUG
-
placebo tablets 3 times a day one day before, on the day of the procedure and for another 48 hours.
- DRUG
-
pentoxiphylline
pentoxyphylline tablets, 400 mg per tablet, 3 times a day one day before, on the day of the procedure and for another 48 hours.
- DRUG
-
placebo tablets 3 times a day one day before, on the day of the procedure and for another 48 hours.
Sponsors & Collaborators
-
Meir Medical Center
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-12-31
- Primary Completion
- 2013-04-30
- Completion
- 2013-12-31
More Related Trials
-
A Study of Two Iodinated Contrast Agents in Renally Impaired Patients Undergoing Cardiac Angiography
NCT00289029 ·Status: COMPLETED ·Phase: PHASE4
-
Myocardial Salvage and Contrast Dye Induced Nephropathy Reduction by N-Acetylcystein
NCT00463749 ·Status: COMPLETED ·Phase: PHASE3
-
Renoprotective Effect of Febuxostat on Contrast Induced Acute Kidney Injury in Chronic Kidney Disease Patients Stage 3
NCT05264584 ·Status: COMPLETED ·Phase: NA
-
Patients With Renal Impairment and Diabetes Undergoing Computed Tomography (CT)
NCT00289614 ·Status: COMPLETED ·Phase: PHASE4
-
The Use of Inorganic Nitrate for the Prevention of Contrast-induced Nephropathy
NCT03627130 ·Status: COMPLETED ·Phase: PHASE2
-
Polymorphism of Oxidative Stress Genes in the Pathogenesis and Antioxidant Prevention of Contrast Induced Nephropathy
NCT01142024 ·Status: COMPLETED ·Phase: NA
-
Double-Blind Placebo-Controlled CIN Trial
NCT02467075 ·Status: TERMINATED ·Phase: PHASE4
-
Prevention of Contrast-induced Nephropathy in Patients With Acute Myocardial Infarction
NCT01160627 ·Status: COMPLETED ·Phase: NA
-
Risk of Acute Kidney Injury After Intravenous Contrast Computed Tomography Scans
NCT04606056 ·Status: ACTIVE_NOT_RECRUITING
-
Deferiprone for the Prevention of Contrast-Induced Acute Kidney Injury
NCT01146925 ·Status: COMPLETED ·Phase: PHASE2
-
Continuing or Discontinuing ACE/ARBs in Patients With Chronic Kidney Disease Undergoing Coronary Angiography
NCT05271448 ·Status: UNKNOWN ·Phase: NA
-
Renal PRotection Against Contrast mEdium-induced nephroPathy in High Risk Patients undErgoing Coronary Angiography
NCT02463604 ·Status: COMPLETED ·Phase: NA
-
Study of Intravenous Amino Acid Infusion to Prevent Contrast Dye Mediated Renal Damage
NCT00313807 ·Status: WITHDRAWN ·Phase: PHASE2
-
Acetylcysteine, Theophylline, and a Combination of Both in the Prophylaxis of Contrast-Induced Nephropathy
NCT00492518 ·Status: COMPLETED ·Phase: PHASE4
-
Coenzyme Q10 Role in Prevention of Contrast Induced Nephropathy in Acute Coronary Syndrome Patients.
NCT06429345 ·Status: RECRUITING ·Phase: PHASE4
-
Effect of N-Acetylcysteine (NAC) on Creatinine in Chronic Kidney Disease
NCT00506506 ·Status: COMPLETED ·Phase: PHASE3
-
Berberine Prevent Contrast-induced Nephropathy in Patients With Diabetes
NCT02808351 ·Status: COMPLETED ·Phase: PHASE4
-
Prevention of Contrast Induced Nephropathy in Patients With Advanced Renal Dysfunction Undergoing Coronary Interventions
NCT02468401 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of Alprostadil Prevent Contrast Induced Nephropathy
NCT01722513 ·Status: UNKNOWN ·Phase: PHASE4
-
Safety of Low Dose IV Contrast CT Scanning in Chronic Kidney Disease
NCT02476526 ·Status: COMPLETED ·Phase: PHASE4
-
Theophylline, N-acetylcysteine, and Theophylline Plus N-acetylcysteine in Preventing Contrast-induced Nephropathy
NCT02088502 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Assessing a Dose-Response Relationship of Hydralazine and Its Effects on DNA Methyltransferase 1 in Polycystic Kidney Disease Patients
NCT03423810 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Efficacy of N-Acetylcysteine in Prevention of Post-Catheterization Contrast-Induced Nephropathy in Diabetic Patients With Chronic Kidney Disease
NCT00808795 ·Status: COMPLETED ·Phase: PHASE3
-
Contrast Nephropathy Prevention With N-Acetylcysteine in Acute Myocardial Infarction
NCT00237614 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Inorganic Nitrate (NaNO3) Prevention of Contrast-Associated Acute Kidney Injury
NCT07016074 ·Status: RECRUITING ·Phase: PHASE2