Prevention of Contrast Induced Nephropathy by Erythropoietin

NCT ID: NCT01364402

Last Updated: 2012-10-10

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

142 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2013-12-31

Brief Summary

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This ia a prospective, randomized, double blind, placebo controlled trial. patients schedule for primary PCI or elective PCI will randomly allocated to receive either a single dose of EPO (Recormon, Roche, Epoetin beta) or saline intravenously before PCI.

The investigators assume that the incidence rate of CIN will be significantly lower in the EPO group compared to placebo. In addition, EPO administration will result in a decrease of infarct size.

Detailed Description

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Radiological procedures utilizing intravascular contrast media are being widely applied for both diagnostic and therapeutic purposes. This has resulted in the increasing incidence of procedure-related contrast-induced nephropathy (CIN), which was found to be associated with poor outcome including higher in-hospital mortality rates. Therefore, finding ways to prevent CIN is a valuable clinical and research goal. However, there are no current methods for efficient and cost-effective prevention CIN. Erythropoietin (EPO) has been shown to elicit tissue-protective effects in various experimental models and few clinical studies of acute kidney injury (AKI). Therefore, this prospective, randomized, double blind, placebo controlled trial aim to evaluate, for the first time, the effectiveness of EPO in the prevention of CIN after percutaneous coronary intervention (PCI).

The potential reno-protective effect of EPO is expected to reduce the incidence of the third leading cause of hospital-acquired acute kidney injury. The above together with a cardio-protective effect of EPO is expected to reduce patient's morbidity, mortality and the high health cost associated with CIN treatment.

Conditions

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Diabetes Chronic Kidney Insufficiency

Keywords

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scheduled for PCI

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Erythropoietin

Group Type EXPERIMENTAL

Epoetin beta

Intervention Type DRUG

50,000U intravenously

Placebo

Group Type PLACEBO_COMPARATOR

Saline 0.9%

Intervention Type DRUG

normal saline intravenously

Interventions

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Epoetin beta

50,000U intravenously

Intervention Type DRUG

Saline 0.9%

normal saline intravenously

Intervention Type DRUG

Other Intervention Names

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Epoietin beta Hydration

Eligibility Criteria

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Inclusion Criteria

* Over 18 years of age.
* Diabetic patients.
* eGFR \< 60 ml/min/1.73m2.
* Scheduled for primary or elective PCI.

Exclusion Criteria

* Non diabetic patients.
* Patients with eGFR ≥ 60 ml/min/1.73m2.
* Chronic renal replacement therapy.
* Subject with active malignancy.
* Subject with any known history of seizure disorders.
* Subject with polycythemia.
* Uncontrolled hypertension.
* Known allergy or hypersensitivity to EPO.
* Use of EPO 1 week prior to randomization.
* Use of long acting EPO (CERA) during 1 month prior to randomization.
* Use of NAC or bicarbonate during 3 days prior to randomization.
* Contrast media exposure during the last 7 days before randomization.
* Pregnant or lactating women.
* Participation in other clinical trial.
* Refusal or inability to give informed consent due to mental or physical state.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Western Galilee Hospital-Nahariya

OTHER_GOV

Sponsor Role lead

Responsible Party

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Western Galilee Hospital

Principal Investigators

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Shaul Atar, MD

Role: PRINCIPAL_INVESTIGATOR

Western Galilee Hospital

Locations

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Western Galilee Hospital

Nahariya, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Lilach Shema-Didi, RN, MPH

Role: CONTACT

Phone: 972-507887538

Email: [email protected]

Lilach Shema-Didi, RN, MPH

Role: CONTACT

Email: [email protected]

Facility Contacts

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Shaul Atar, MD

Role: primary

Batya Kristal, MD

Role: backup

References

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Nishiwaki H, Abe Y, Suzuki T, Hasegawa T, Levack WM, Noma H, Ota E. Erythropoiesis-stimulating agents for preventing acute kidney injury. Cochrane Database Syst Rev. 2024 Sep 20;9(9):CD014820. doi: 10.1002/14651858.CD014820.pub2.

Reference Type DERIVED
PMID: 39301879 (View on PubMed)

Other Identifiers

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EPO1

Identifier Type: -

Identifier Source: org_study_id