Theophylline, N-acetylcysteine, and Theophylline Plus N-acetylcysteine in Preventing Contrast-induced Nephropathy

NCT ID: NCT02088502

Last Updated: 2014-03-17

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

PHASE2/PHASE3

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Brief Summary

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The aim of this study is to determine the efficacy of Theophylline, N-Acetylcysteine and, and Theophylline plus N-acetylcysteine in the prevention of contrast-induced nephropathy. Investigators assume that Theophylline plus N-acetylcysteine is more effective than Theophylline alone and N-acetylcysteine alone. Investigators include patients referring for elective coronary angiography or angioplasty and allocate them to each of the mentioned treatments from 24 hours before to 48 hours after administration of contrast material. Investigators then measure serum creatinine and see if it is raised by ≥ 0.5 mg/dL or ≥ 25% of the baseline value.

Detailed Description

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Conditions

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Contrast-Induced Nephropathy

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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N-acetylcysteine

Patients in the N-acetylcysteine group receive 600 mg non-effervescent N-acetylcysteine tablet plus placebo twice daily from 24 hours before to 48 hours after administration of contrast material.

Group Type ACTIVE_COMPARATOR

N-acetylcysteine

Intervention Type DRUG

0.9% sodium chloride

Intervention Type DRUG

All patients are hydrated with 0.9% sodium chloride (1 mL/kg/hour) for 24 hours, 12 hours before operation. Patients with left ventricular ejection fraction less than 40% or New York Heart Association functional class III-IV, are hydrated with 0.5 mL/kg per hour.

Theophylline

Patients in the Theophylline group receive 200 mg Theophylline slow-release tablet plus placebo twice daily from 24 hours before to 48 hours after administration of contrast material.

Group Type ACTIVE_COMPARATOR

Theophylline

Intervention Type DRUG

0.9% sodium chloride

Intervention Type DRUG

All patients are hydrated with 0.9% sodium chloride (1 mL/kg/hour) for 24 hours, 12 hours before operation. Patients with left ventricular ejection fraction less than 40% or New York Heart Association functional class III-IV, are hydrated with 0.5 mL/kg per hour.

Theophylline plus N-acetylcysteine

Patients in the Theophylline plus N-acetylcysteine group receive Theophylline slow-release 200 mg tablet plus non-effervescent N-acetylcysteine 600 mg tablet twice daily from 24 hours before to 48 hours after administration of contrast material.

Group Type ACTIVE_COMPARATOR

N-acetylcysteine

Intervention Type DRUG

Theophylline

Intervention Type DRUG

0.9% sodium chloride

Intervention Type DRUG

All patients are hydrated with 0.9% sodium chloride (1 mL/kg/hour) for 24 hours, 12 hours before operation. Patients with left ventricular ejection fraction less than 40% or New York Heart Association functional class III-IV, are hydrated with 0.5 mL/kg per hour.

Interventions

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N-acetylcysteine

Intervention Type DRUG

Theophylline

Intervention Type DRUG

0.9% sodium chloride

All patients are hydrated with 0.9% sodium chloride (1 mL/kg/hour) for 24 hours, 12 hours before operation. Patients with left ventricular ejection fraction less than 40% or New York Heart Association functional class III-IV, are hydrated with 0.5 mL/kg per hour.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* adult patients
* candidate of elective coronary angiography or angioplasty
* at least moderate risk for contrast induced nephropathy

Exclusion Criteria

* unstable angina or myocardial infarction, cardiac arrhythmia, seizures, acute renal failure, end-stage renal disease
* unstable serum creatinine
* unstable hemodynamic
* intravascular administration of contrast material in the past month
* using theophylline or N-acetylcysteine in the past month,
* known hypersensitivity to theophylline or N-acetylcysteine
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Isfahan University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Mortaza Arabmomeni

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mortaza Arabmomeni, M.D.

Role: STUDY_DIRECTOR

Isfahan University of Medical Sciences

Locations

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Chamran Hospital

Isfahan, Isfahan, Iran

Site Status RECRUITING

Countries

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Iran

Central Contacts

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Mortaza Arabmomeni, M.D.

Role: CONTACT

09131268466

Facility Contacts

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Mortaza Arabmomeni, M.D.

Role: primary

09131268466

References

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Albabtain MA, Almasood A, Alshurafah H, Alamri H, Tamim H. Efficacy of ascorbic acid, N-acetylcysteine, or combination of both on top of saline hydration versus saline hydration alone on prevention of contrast-Induced nephropathy: a prospective randomized study. J Interv Cardiol. 2013 Feb;26(1):90-6. doi: 10.1111/j.1540-8183.2012.00767.x. Epub 2012 Sep 20.

Reference Type BACKGROUND
PMID: 22994682 (View on PubMed)

Other Identifiers

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392300

Identifier Type: -

Identifier Source: org_study_id

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