Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
200 participants
INTERVENTIONAL
1996-05-31
Brief Summary
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The investigators hypothesize that an infusion of saline + furosemide + mannitol will reduce rates of contrast-induced nephropathy when compared with saline infusion controls.
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Detailed Description
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We hypothesize that an infusion of saline + furosemide + mannitol will reduce rates of contrast-induced nephropathy when compared with saline infusion controls.
We define an episode of contrast nephropathy using the conventional often published definition of a 25% relative increase in serum creatinine OR a 44 umol absolute increase in serum creatinine within 48 hours of contrast exposure.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
QUADRUPLE
Study Groups
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Intervention
Saline hydration + mannitol + furosemide
intravenous saline hydration + mannitol + furosemide
500 mls half-normal saline + 25g mannitol + 100 mg furosemide
Controls
Saline hydration without mannitol or furosemide
intravenous saline hydration
500 mls half-normal saline
Interventions
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intravenous saline hydration + mannitol + furosemide
500 mls half-normal saline + 25g mannitol + 100 mg furosemide
intravenous saline hydration
500 mls half-normal saline
Eligibility Criteria
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Inclusion Criteria
* serum creatinine \> 150 umol/L
* able and willing to provide informed consent
Exclusion Criteria
* unable to tolerate a fluid load (e.g., acute pulmonary edema)
* ESRD, on dialysis
* previous enrollment in this study or previous contrast administration with the last 2 weeks
* refusal by treating physician
21 Years
ALL
No
Sponsors
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Alberta Heritage Foundation for Medical Research
OTHER
University of Alberta
OTHER
Responsible Party
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University of Alberta
Principal Investigators
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Sumit R Majumdar, MD, MPH
Role: PRINCIPAL_INVESTIGATOR
University of Alberta
Locations
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University of Alberta Hospitals
Edmonton, Alberta, Canada
Countries
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References
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Majumdar SR, Kjellstrand CM, Tymchak WJ, Hervas-Malo M, Taylor DA, Teo KK. Forced euvolemic diuresis with mannitol and furosemide for prevention of contrast-induced nephropathy in patients with CKD undergoing coronary angiography: a randomized controlled trial. Am J Kidney Dis. 2009 Oct;54(4):602-9. doi: 10.1053/j.ajkd.2009.03.024. Epub 2009 Jun 17.
Hashimoto H, Yamada H, Murata M, Watanabe N. Diuretics for preventing and treating acute kidney injury. Cochrane Database Syst Rev. 2025 Jan 29;1(1):CD014937. doi: 10.1002/14651858.CD014937.pub2.
Other Identifiers
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HSRIF #96-20
Identifier Type: -
Identifier Source: org_study_id
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