Fenoldopam and Ketanserin for Acute Kidney Failure Prevention After Cardiac Surgery

NCT ID: NCT00557219

Last Updated: 2016-11-15

Study Results

Results pending

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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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2015-04-30

Brief Summary

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The purpose of the study is to compare the effect of fenoldopam and ketanserin on kidney function preservation in patients at high risk for renal failure after cardiac surgery. Acute, oliguric renal failure develops in up to 2% of patients undergoing cardiac surgery. Some of them require renal replacement therapy and despite that mortality in this group exceeds 30-60%. The investigators await that the use of fenoldopam and/or ketanserin may decrease the rate of severe renal failure.

Detailed Description

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Informed, signed consent will be obtained from the patient before surgery. In patients with acute consciousness disorders, the consent will be obtained from a legal representative and confirmed by the local court - accordingly to Polish legacy.

Patients willing to participate into the study and fulfilling at least one of two inclusion criteria will be randomly assigned to one of the three study groups. The treatment will be applied for 24 hours.

Intention to treat analysis will include comparison for differences of continuous, homogeneous distributed data with use of parametric tests, parametric or inhomogeneous distributed data - with use of nonparametric tests. The treatment effect will be assessed by comparison of the odds ratios for primary and secondary outcomes between the groups.

Conditions

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Acute Renal Failure

Keywords

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cardiac surgery fenoldopam ketanserin renal replacement therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Placebo

Control group receiving placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

continuous intravenous infusion of 2 mL/hour of 0.9% natrium chloride solution for 24 hours

Ketanserin

patients receiving ketanserin infusion

Group Type EXPERIMENTAL

ketanserin (Sufrexal)

Intervention Type DRUG

continuous intravenous infusion 0.1 mg/kg/hour ketanserin for 24 hours

Fenoldopam

patients receiving fenoldopam infusion

Group Type EXPERIMENTAL

fenoldopam (Corlopam)

Intervention Type DRUG

continuous intravenous infusion of 0.3 μg/kg/min fenoldopam for 24 hours

Interventions

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fenoldopam (Corlopam)

continuous intravenous infusion of 0.3 μg/kg/min fenoldopam for 24 hours

Intervention Type DRUG

placebo

continuous intravenous infusion of 2 mL/hour of 0.9% natrium chloride solution for 24 hours

Intervention Type DRUG

ketanserin (Sufrexal)

continuous intravenous infusion 0.1 mg/kg/hour ketanserin for 24 hours

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* cardiac surgery
* at least one risk factor for acute renal failure:

1. oliguria \< 0.5 ml/kg/hour for over 3 hours despite adequate blood volume and furosemide intravenously
2. at least 60 mg furosemide/12 hours iv to maintain diuresis \> 1 ml/kg/hour

Exclusion Criteria

* refused or none consent
* chronic renal failure with chronic renal replacement therapy
* chronic increase of serum creatinine \> 2 mg/dl
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Gdansk

OTHER

Sponsor Role lead

Responsible Party

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Maciej M. Kowalik

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Katarzyna Klajbor, MD

Role: PRINCIPAL_INVESTIGATOR

Dept. of Cardiac Anesthesiology, Medical University of Gdańsk

Romuald Lango, MD, PhD

Role: STUDY_DIRECTOR

Dept. of Cardiac Anesthesiology, Medical University of Gdańsk

Locations

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Department of Cardiac Anesthesiology, Medical University of Gdańsk

Gdansk, , Poland

Site Status

Countries

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Poland

References

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Esezobor CI, Bhatt GC, Effa EE, Hodson EM. Fenoldopam for preventing and treating acute kidney injury. Cochrane Database Syst Rev. 2024 Nov 28;11(11):CD012905. doi: 10.1002/14651858.CD012905.pub2.

Reference Type DERIVED
PMID: 39607014 (View on PubMed)

Related Links

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http://www.informator.gumed.edu.pl/327

home page of the Dept. of Cardiac Anesthesiology, MUG

Other Identifiers

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AMG-NKEBN/225/2007

Identifier Type: -

Identifier Source: org_study_id