Trial Outcomes & Findings for Protocol to Assess the Severity of Acute Kidney Injury (NCT NCT00673244)

NCT ID: NCT00673244

Last Updated: 2022-10-18

Results Overview

Urine output measured in ml/hr for first 6 hours after furosemide administration

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

77 participants

Primary outcome timeframe

Time from furosemide administration to 6 hours after furosemide administration

Results posted on

2022-10-18

Participant Flow

Participant milestones

Participant milestones
Measure
Did Not Progress to AKIN Stage III
Did not meet the following criteria within 14 days of furosemide stress test (FST): Need for RRT, increase in serum creatinine of 300% over baseline, urine output of 0.3 cc/kg/hour × 24 hours
Progressed to AKIN Stage III
Meet the following criteria within 14 days of Furosemide stress test (FST): need for RRT, increase in serum creatinine of 300% over baseline, urine output of 0.3 cc/kg/hour × 24 hours
Overall Study
STARTED
52
25
Overall Study
COMPLETED
52
25
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Protocol to Assess the Severity of Acute Kidney Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Did Not Progress to AKIN Stage III
n=52 Participants
Subject did not require RRT, increase in serum creatinine of 300% over baseline, urine output of 0.3 cc/kg/hour × 24 hours within 14 days of FST.
Progressed to AKIN Stage III
n=25 Participants
Subject required RRT, increase in serum creatinine of 300% over baseline, urine output of 0.3 cc/kg/hour × 24 hours within 14 days of FST.
Total
n=77 Participants
Total of all reporting groups
Age, Continuous
63.8 years
STANDARD_DEVIATION 2.2 • n=5 Participants
68.2 years
STANDARD_DEVIATION 1.9 • n=7 Participants
65.3 years
STANDARD_DEVIATION 14.0 • n=5 Participants
Sex: Female, Male
Female
33 Participants
n=5 Participants
11 Participants
n=7 Participants
44 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
14 Participants
n=7 Participants
33 Participants
n=5 Participants
Race/Ethnicity, Customized
African American
29 Participants
n=5 Participants
15 Participants
n=7 Participants
44 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
15 Participants
n=5 Participants
8 Participants
n=7 Participants
23 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
8 Participants
n=5 Participants
2 Participants
n=7 Participants
10 Participants
n=5 Participants
Chronic kidney disease
17 Participants
n=5 Participants
7 Participants
n=7 Participants
24 Participants
n=5 Participants
Hypertension
41 Participants
n=5 Participants
19 Participants
n=7 Participants
60 Participants
n=5 Participants
Congestive heart failure
15 Participants
n=5 Participants
10 Participants
n=7 Participants
25 Participants
n=5 Participants
Diabetes
22 Participants
n=5 Participants
13 Participants
n=7 Participants
35 Participants
n=5 Participants
NSAIDS
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Aminoglycosides
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Amphotericin
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Contrast
15 Participants
n=5 Participants
6 Participants
n=7 Participants
21 Participants
n=5 Participants
Post-cardiac surgery
6 Participants
n=5 Participants
3 Participants
n=7 Participants
9 Participants
n=5 Participants
Sepsis
12 Participants
n=5 Participants
3 Participants
n=7 Participants
15 Participants
n=5 Participants
Baseline eGFR
60.6 ml/minute/1.73m2
STANDARD_DEVIATION 8.8 • n=5 Participants
73.3 ml/minute/1.73m2
STANDARD_DEVIATION 4.2 • n=7 Participants
68.6 ml/minute/1.73m2
STANDARD_DEVIATION 4.1 • n=5 Participants
Baseline UFR
95.7 ml/hr
STANDARD_DEVIATION 16.3 • n=5 Participants
29.7 ml/hr
STANDARD_DEVIATION 4.2 • n=7 Participants
74.6 ml/hr
STANDARD_DEVIATION 11.6 • n=5 Participants
Furosemide-naïve
23 Participants
n=5 Participants
6 Participants
n=7 Participants
29 Participants
n=5 Participants
Urinary Sediment Cast Scoring Index for Acute Kidney Injury
2.1 Scores on a scale
STANDARD_DEVIATION 0.16 • n=5 Participants
2.7 Scores on a scale
STANDARD_DEVIATION 0.23 • n=7 Participants
2.3 Scores on a scale
STANDARD_DEVIATION 0.13 • n=5 Participants
FeNa above 1%
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants
Cardiovascular Sequential Organ Failure Assessment
1.05 Scores on a scale
STANDARD_DEVIATION 0.2 • n=5 Participants
1.5 Scores on a scale
STANDARD_DEVIATION 0.4 • n=7 Participants
1.16 Scores on a scale
STANDARD_DEVIATION 0.3 • n=5 Participants
APACHE II score
16.5 Scores of a scale
STANDARD_DEVIATION 1.2 • n=5 Participants
21.6 Scores of a scale
STANDARD_DEVIATION 2.5 • n=7 Participants
17.8 Scores of a scale
STANDARD_DEVIATION 1.11 • n=5 Participants
AKIN stage at enrollment
AKIN I
34 Participants
n=5 Participants
7 Participants
n=7 Participants
41 Participants
n=5 Participants
AKIN stage at enrollment
AKIN II
18 Participants
n=5 Participants
18 Participants
n=7 Participants
36 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Time from furosemide administration to 6 hours after furosemide administration

Urine output measured in ml/hr for first 6 hours after furosemide administration

Outcome measures

Outcome measures
Measure
Progressed to AKIN Stage III
n=25 Participants
Need for RRT, increase in serum creatinine of 300% over baseline, urine output of 0.3 cc/kg/hour × 24 hours within 14 days of furosemide stress test.
Did Not Progress to AKIN Stage-III
n=52 Participants
Did not need RRT, have increase in serum creatinine of 300% over baseline, or have urine output of 0.3 cc/kg/hour × 24 hours within 14 days of furosemide stress test.
Urine Volume
Urine Volume - Hour 2
96 ml
Standard Error 46.6
392 ml
Standard Error 42.2
Urine Volume
Urine Volume - Hour 3
109 ml
Standard Error 35.4
311 ml
Standard Error 31.7
Urine Volume
Urine Volume - Hour 1
89 ml
Standard Error 33
329 ml
Standard Error 46
Urine Volume
Urine Volume - Hour 4
88 ml
Standard Error 23.4
265 ml
Standard Error 31.1
Urine Volume
Urine Volume - Hour 5
83 ml
Standard Error 23.7
219 ml
Standard Error 22.8
Urine Volume
Urine Volume - Hour 6
75 ml
Standard Error 17.4
194 ml
Standard Error 22.3

Adverse Events

Progressed to AKIN III

Serious events: 0 serious events
Other events: 0 other events
Deaths: 9 deaths

Did Not Progress to AKIN III

Serious events: 0 serious events
Other events: 0 other events
Deaths: 7 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Lakhmir S. Chawla

Department of Anesthesiology and Critical Care Medicine, George Washington University

Phone: 202-994-7903

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place