NITRATE-OCT-CIN (Sub-Study of NITRATE-OCT)
NCT05544981 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 300
Last updated 2023-06-05
Summary
The NITRATE-OCT:- Contrast Nephropathy Sub-study is a proof-of concept single center, randomized, clinical trial designed to ascertain whether a dietary NO3- approach might prove useful adjunctive therapy improving renal function and reducing CIN in patients with stable angina undergoing elective angioplasty.
Objectives: To determine whether dietary NO3- ingestion exerts any effect on the glomerular filtration rate (GFR) after the exposure to contrast media.
To determine if dietary NO3- ingestion will decrease the incidence of contrast induced nephropathy.
Setting: The patients will be recruited from an on-going clinical trial NITRATE-OCT. This is a study assessing whether the use of dietary NO3- may reduce the incidence of restenosis following elective angioplasty. This study is recruiting patients with stable angina and single/multiple coronary artery stenosis undergoing elective PCI who are haemodynamically stable (systolic BP\>100 mmHg). These patients will be recruited at The Barts Heart Centre at St Bartholomew's Hospital. This is one of the biggest centres in the UK, serving a population of almost two million people from The City of London and The North East up to the M25 and is a 24/7 centre performing approximately 3000 angioplasties a year.
The study will take place in the Clinical Trials Unit, William Harvey Heart Centre.
Target population: A total of 246 patients (male and female, age 18-85) with stable angina as per requirements indicated above. Follow-up will take place in the Clinical Trials Unit, William Harvey Research Institute.
Treatment: Patients will be randomised (using an on line randomisation database) to receive 70 ml of a beetroot juice concentrate containing 4-5 mmol nitrate or nitrate-depleted placebo juice concentrate. This intervention will be taken by the patient daily from one day prior to re-establishment of flow with PCI and stent implantation.
Conditions
Interventions
- DIETARY_SUPPLEMENT
-
Beetroot Juice
70 ml of beetroot juice containing \~5 mmol of inorganic nitrate
- DIETARY_SUPPLEMENT
-
Beetroot Juice
70 ml of beetroot juice which is nitrate-depleted
Sponsors & Collaborators
-
Queen Mary University of London
lead OTHER
Principal Investigators
-
Daniel A Jones, MBBS, PhD · Queen Mary University of London
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-01-02
- Primary Completion
- 2022-12-02
- Completion
- 2022-12-31
Countries
- United Kingdom
Study Locations
More Related Trials
-
Efficacy and Safety of Alprostadil Prevent Contrast Induced Nephropathy
NCT01722513 ·Status: UNKNOWN ·Phase: PHASE4
-
Inorganic Nitrate (NaNO3) Prevention of Contrast-Associated Acute Kidney Injury
NCT07016074 ·Status: RECRUITING ·Phase: PHASE2
-
Renoprotective Effects of Fluid Prophylaxis Strategies for Contrast Induced Nephropathy (CIN)
NCT00749827 ·Status: WITHDRAWN ·Phase: PHASE4
-
Effect of Sublingually Generated S-nitroso-N-acetylcysteine on Systemic Blood Pressure.
NCT05798481 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Ameliorating Contrast Induced Nephropathy After Coronary Angiography
NCT06139952 ·Status: COMPLETED ·Phase: PHASE4
-
Contrast Nephropathy Prevention With N-Acetylcysteine in Acute Myocardial Infarction
NCT00237614 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Effect of Intravenous Acetadote on Incidence of Contrast Induced Nephropathy
NCT00939913 ·Status: UNKNOWN ·Phase: PHASE4
-
COmbined N-acetylcysteine and Bicarbonate in PCI To Reduce Adverse Side Effect of contrasT
NCT00497328 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Adequate Hydration Therapy Combined With Intravenous Infusion of Isosorbide Dinitrate Prevention for CIN
NCT02718521 ·Status: UNKNOWN ·Phase: NA
-
Supplementation With Beetroot Juice to Prevent Contrast Associated Nephropathy During Hospitalization for Acute Coronary Syndrome Without ST Elevation
NCT06695429 ·Status: RECRUITING ·Phase: NA
-
Sodium Bicarbonate and N-Acetylcysteine for Nephroprotection in Acute Myocardial Infarction
NCT01218178 ·Status: COMPLETED
-
Prevention of Contrast-induced Nephropathy in Patients With Acute Myocardial Infarction
NCT01160627 ·Status: COMPLETED ·Phase: NA
-
Effect of Sodium Bicarbonate Solution in Decreasing the Incidence of Contrast Induced Nephropathy (CIN)
NCT00514150 ·Status: COMPLETED ·Phase: PHASE3
-
RCT to Evaluate the Renal Protective Effects of Remote Ischaemic Preconditioning in Peripheral Angioplasty
NCT02054871 ·Status: UNKNOWN ·Phase: NA
-
Contrast Induced Nephropathy Among Vascular Patients Undergoing Lower Limb Angioplasty
NCT04879186 ·Status: UNKNOWN
-
Red Blood Cell Distribution Width as a Marker of Contrast Induced Nephropathy in Patients With Coronary Intervention
NCT03164681 ·Status: UNKNOWN
-
Hydration and Contrast-Induced Nephropathy in Primary Angioplasty
NCT00770614 ·Status: COMPLETED ·Phase: PHASE4
-
Myocardial Salvage and Contrast Dye Induced Nephropathy Reduction by N-Acetylcystein
NCT00463749 ·Status: COMPLETED ·Phase: PHASE3
-
Use of Remote Ischaemic Preconditioning in the Prevention of Contrast Induced Nephropathy
NCT02516072 ·Status: COMPLETED ·Phase: NA
-
Study of Intravenous Amino Acid Infusion to Prevent Contrast Dye Mediated Renal Damage
NCT00313807 ·Status: WITHDRAWN ·Phase: PHASE2
-
Risk of Acute Kidney Injury After Intravenous Contrast Computed Tomography Scans
NCT04606056 ·Status: ACTIVE_NOT_RECRUITING
-
A Prospective, Randomized TrialComparing Oral N-Acetylcysteine and Intravenous Sodium Bicarbonate
NCT00579995 ·Status: TERMINATED ·Phase: NA
-
Citrate Pharmacokinetics and Regional Citrate Anticoagulation in CRRT
NCT00948558 ·Status: UNKNOWN
-
Effect of N-Acetylcysteine (NAC) on Creatinine in Chronic Kidney Disease
NCT00506506 ·Status: COMPLETED ·Phase: PHASE3
-
Preventing Contrast Nephropathy With Sodium Bicarbonate in Patients With Pulmonary Edema,Heart Failure,Uncontrolled HTN
NCT00513825 ·Status: COMPLETED ·Phase: PHASE2