Milrinone Pharmacokinetics and Acute Kidney Injury
NCT01966237 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 92
Last updated 2021-06-22
Summary
Acute kidney injury (AKI) occurs in 40% of children following heart surgery. Serum creatinine (Scr) is a late biomarker of AKI, rising 24-48 hours after surgery. Thus, for medicines excreted in the urine, AKI could potentially lead to toxic levels in the blood. Urinary biomarkers have the ability to detect AKI earlier. Whether early detection of AKI through urinary biomarkers can predict altered drug levels is unknown.
Milrinone is used to improve heart function after surgery, but accumulates in AKI resulting in low blood pressure. Dose adjustments are not currently possible because of the late rise in SCr, and are based on clinical parameters that may lead to clinically relevant over or under-dosing. Thus, this study will address an important knowledge gap being the first to use elevations of AKI biomarker concentrations to anticipate increased milrinone levels.
Conditions
- Congenital Heart Disease
- Acute Kidney Injury
Sponsors & Collaborators
-
Thrasher Research Fund
collaborator OTHER -
Children's Hospital Medical Center, Cincinnati
lead OTHER
Principal Investigators
-
Katja M Gist, DO, MSCS · University of Colorado, Denver
Eligibility
- Min Age
- 1 Day
- Max Age
- 1 Year
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-09-30
- Primary Completion
- 2017-07-31
- Completion
- 2018-07-31
Countries
- United States
Study Locations
More Related Trials
-
Thyroid Hormones in Critically Ill Children
NCT00664079 ·Status: TERMINATED
-
Relationship of Brain Natriuretic Peptide (BNP) Levels to Cardiac Diagnosis, Operation Performed, Post-operative Course and Outcome
NCT00238810 ·Status: COMPLETED
-
Pediatric Hypertension and the Renin-Angiotensin SystEm (PHRASE)
NCT04752293 ·Status: RECRUITING
-
Cerebrum and Cardiac Protection With Allopurinol in Neonates With Critical Congenital Heart Disease Requiring Cardiac Surgery With Cardiopulmonary Bypass
NCT04217421 ·Status: RECRUITING ·Phase: PHASE3
-
Milrinone for Prevention of Post-ligation Cardiac Syndrome Trial
NCT06679855 ·Status: RECRUITING ·Phase: PHASE3
-
Diagnosis of Central Adrenal Insufficiency in Patients With Prader-Willi Syndrome
NCT02368379 ·Status: COMPLETED ·Phase: NA
-
Pharmacokinetics of Post Operative Cefuroxime in Infants Undergoing Cardiac Surgery
NCT02850250 ·Status: WITHDRAWN
-
Fluid Balance, Hormones and Urine Proteomics in Nephrotic Syndrome in Childhood
NCT00690586 ·Status: COMPLETED
-
Alkaline Citrate Treatment to Lower the Risk of Nephrocalcinosis in Preterm Infants
NCT00249951 ·Status: COMPLETED ·Phase: PHASE3
-
Study of the Relationship Between Calcium Levels and Intact Parathyroid Hormone (iPTH) in Adults With Repaired or Palliated Conotruncal Cardiac Defects
NCT00004361 ·Status: COMPLETED
-
Milrinone in Congenital Diaphragmatic Hernia
NCT02951130 ·Status: COMPLETED ·Phase: PHASE2
-
Critical Congenital Heart Defect (CHD) Outcomes in Children
NCT00208689 ·Status: TERMINATED
-
Adrenocorticotropic Hormone (ACTH) for Frequently Relapsing and Steroid Dependent Nephrotic Syndrome
NCT02132195 ·Status: COMPLETED ·Phase: PHASE3
-
Incidence of Acute Kidney Injury and Risk Factors in Newborns With Congenital Diaphragmatic Hernia
NCT06050525 ·Status: COMPLETED
-
A Study Evaluating the Efficacy and Safety of IV L-Citrulline for the Prevention of Clinical Sequelae of Acute Lung Injury Induced by Cardiopulmonary Bypass in Pediatric Patients Undergoing Surgery for Congenital Heart Defects
NCT05253209 ·Status: TERMINATED ·Phase: PHASE3
-
Angiotensin Converting Enzyme Inhibition in Children With Mitral Regurgitation
NCT00113698 ·Status: TERMINATED ·Phase: PHASE3
-
Serum Brain Natriuretic Peptide Levels and Pulmonary Hypertension in Pediatric Sickle Cell Patients
NCT01023451 ·Status: COMPLETED
-
Effects of Perioperative Nesiritide or Milrinone Infusion on Recovery From Fontan Surgery
NCT00543309 ·Status: TERMINATED ·Phase: PHASE2
-
Amnioinfusion for Fetal Renal Failure
NCT06728228 ·Status: RECRUITING ·Phase: NA
-
Pharmacokinetic Study of Milrinone in Babies With Persistent Pulmonary Hypertension of the Newborn
NCT01088997 ·Status: TERMINATED ·Phase: NA
-
Neuroendocrine Dysfunction in Critically Ill Pediatric Patients
NCT00207896 ·Status: COMPLETED
-
Cardiac Performance Evaluation in Children With Steroid Dependent vs Steroid Resistant Nephrotic Syndrome
NCT06622915 ·Status: RECRUITING ·Phase: NA
-
Study of Adrenocorticotropic Hormone on Children With Frequent Relapse or Steroid-dependent Nephrotic Syndrome: a Prospective, Multicenter, Randomized,Open-label Clinical Trial.
NCT06079788 ·Status: RECRUITING ·Phase: PHASE3
-
Retrospective Evaluation of Carvedilol Versus Captopril in CHF Patients
NCT00249067 ·Status: TERMINATED
-
Establishment of a Database for Long-Term Monitoring of Patients With Nephropathic Cystinosis
NCT00004312 ·Status: COMPLETED