Trial Outcomes & Findings for Standard vs. Accelerated Initiation of RRT in Acute Kidney Injury (STARRT-AKI: Principal Trial) (NCT NCT02568722)

NCT ID: NCT02568722

Last Updated: 2024-10-18

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

3019 participants

Primary outcome timeframe

90 days following study randomization.

Results posted on

2024-10-18

Participant Flow

Participant milestones

Participant milestones
Measure
Standard RRT Initiation
RRT initiation will be guided by the presence of one or more clinical indications. Even in the absence of one of these indications, RRT may be commenced at the discretion of the treating physician. Standard RRT initiation: In the absence of kidney function recovery, the initiation of RRT will be permitted if one of the following develops: serum potassium ≥ 6.0 mmol/L; pH ≤ 7.20 or serum bicarbonate ≤ 12 mmol/L; evidence of severe respiratory failure, based on a PaO2/FiO2 ≤ 200 and clinical perception of volume overload; and/or persistent AKI \> 72 hours following the time of randomization.
Accelerated RRT Initiation
A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of the patient meeting the eligibility criteria. Accelerated RRT initiation: A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of eligibility. This 12 hour window includes the time needed to obtain consent.
Overall Study
STARTED
1507
1512
Overall Study
Withdrew Consent
18
9
Overall Study
Randomized Non-eligible
19
31
Overall Study
Lost to Follow-up
8
7
Overall Study
COMPLETED
1462
1465
Overall Study
NOT COMPLETED
45
47

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard RRT Initiation
n=1462 Participants
RRT initiation will be guided by the presence of one or more clinical indications. Even in the absence of one of these indications, RRT may be commenced at the discretion of the treating physician. Standard RRT initiation: In the absence of kidney function recovery, the initiation of RRT will be permitted if one of the following develops: serum potassium ≥ 6.0 mmol/L; pH ≤ 7.20 or serum bicarbonate ≤ 12 mmol/L; evidence of severe respiratory failure, based on a PaO2/FiO2 ≤ 200 and clinical perception of volume overload; and/or persistent AKI \> 72 hours following the time of randomization.
Accelerated RRT Initiation
n=1465 Participants
A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of the patient meeting the eligibility criteria. Accelerated RRT initiation: A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of eligibility. This 12 hour window includes the time needed to obtain consent.
Total
n=2927 Participants
Total of all reporting groups
Age, Continuous
64.6 years
STANDARD_DEVIATION 13.3 • n=1462 Participants
64.5 years
STANDARD_DEVIATION 14.2 • n=1465 Participants
64.5 years
STANDARD_DEVIATION 13.8 • n=2927 Participants
Sex: Female, Male
Female
467 Participants
n=1462 Participants
470 Participants
n=1465 Participants
937 Participants
n=2927 Participants
Sex: Female, Male
Male
995 Participants
n=1462 Participants
995 Participants
n=1465 Participants
1990 Participants
n=2927 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
North America
497 participants
n=1462 Participants
497 participants
n=1465 Participants
994 participants
n=2927 Participants
Region of Enrollment
Europe
572 participants
n=1462 Participants
574 participants
n=1465 Participants
1146 participants
n=2927 Participants
Region of Enrollment
New Zealand
80 participants
n=1462 Participants
82 participants
n=1465 Participants
162 participants
n=2927 Participants
Region of Enrollment
Brazil
4 participants
n=1462 Participants
4 participants
n=1465 Participants
8 participants
n=2927 Participants
Region of Enrollment
China
111 participants
n=1462 Participants
115 participants
n=1465 Participants
226 participants
n=2927 Participants
Region of Enrollment
Australia
198 participants
n=1462 Participants
193 participants
n=1465 Participants
391 participants
n=2927 Participants
Weight - kg
87.9 kg
STANDARD_DEVIATION 25.1 • n=1462 Participants • Number analyzed differs from number enrolled due to missing data.
87.8 kg
STANDARD_DEVIATION 26.6 • n=1465 Participants • Number analyzed differs from number enrolled due to missing data.
87.8 kg
STANDARD_DEVIATION 25.8 • n=2927 Participants • Number analyzed differs from number enrolled due to missing data.
Serum creatinine - mg/dl
1.3 mg/dl
STANDARD_DEVIATION 1.0 • n=1462 Participants
1.4 mg/dl
STANDARD_DEVIATION 1.0 • n=1465 Participants
1.3 mg/dl
STANDARD_DEVIATION 1.0 • n=2927 Participants
Estimated glomerular filtration rate - ml/min/1.73 m2
67.3 ml/min/1.73 m2
STANDARD_DEVIATION 29.8 • n=1462 Participants
66.0 ml/min/1.73 m2
STANDARD_DEVIATION 29.8 • n=1465 Participants
66.7 ml/min/1.73 m2
STANDARD_DEVIATION 29.8 • n=2927 Participants
Preexisting conditions - no./total no. (%) - Chronic kidney disease
626 Participants
n=1462 Participants
658 Participants
n=1465 Participants
1284 Participants
n=2927 Participants
Preexisting conditions - no./total no. (%) - Hypertension
823 Participants
n=1462 Participants
814 Participants
n=1465 Participants
1637 Participants
n=2927 Participants
Preexisting conditions - no./total no. (%) - Diabetes mellitus
459 Participants
n=1461 Participants • Data for this variable was missing for one participant in the standard arm.
439 Participants
n=1465 Participants • Data for this variable was missing for one participant in the standard arm.
898 Participants
n=2926 Participants • Data for this variable was missing for one participant in the standard arm.
Preexisting conditions - no./total no. (%) - Heart failure
204 Participants
n=1461 Participants • Data for this variable was missing for one participant in the standard arm.
204 Participants
n=1465 Participants • Data for this variable was missing for one participant in the standard arm.
408 Participants
n=2926 Participants • Data for this variable was missing for one participant in the standard arm.
Preexisting conditions - no./total no. (%) - Coronary artery disease
328 Participants
n=1461 Participants • Data for this variable was missing for one participant in the standard arm.
320 Participants
n=1465 Participants • Data for this variable was missing for one participant in the standard arm.
648 Participants
n=2926 Participants • Data for this variable was missing for one participant in the standard arm.
Preexisting conditions - no./total no. (%) - Liver disease
165 Participants
n=1461 Participants • Data for this variable was missing for one participant in the standard arm.
172 Participants
n=1465 Participants • Data for this variable was missing for one participant in the standard arm.
337 Participants
n=2926 Participants • Data for this variable was missing for one participant in the standard arm.
Preexisting conditions - no./total no. (%) - Metastatic cancer
84 Participants
n=1462 Participants
77 Participants
n=1465 Participants
161 Participants
n=2927 Participants
Preexisting conditions - no./total no. (%) - Hematologic cancer
83 Participants
n=1462 Participants
87 Participants
n=1465 Participants
170 Participants
n=2927 Participants
Preexisting conditions - no./total no. (%) - HIV infection or AIDS
13 Participants
n=1462 Participants
13 Participants
n=1465 Participants
26 Participants
n=2927 Participants
Admission category - no. (%) - Scheduled surgery
184 Participants
n=1462 Participants
207 Participants
n=1465 Participants
391 Participants
n=2927 Participants
Admission category - no. (%) - Unscheduled surgery
289 Participants
n=1462 Participants
285 Participants
n=1465 Participants
574 Participants
n=2927 Participants
Admission category - no. (%) - Medical
989 Participants
n=1462 Participants
973 Participants
n=1465 Participants
1962 Participants
n=2927 Participants
Hospital-acquired risk factor for AKI in previous wk - no./total no. (%) - Cardiopulmonary bypass
118 Participants
n=1462 Participants
112 Participants
n=1465 Participants
230 Participants
n=2927 Participants
Hospital-acquired risk factor for AKI in previous wk - no./total no. (%) - Aortic aneurysm repair
74 Participants
n=1461 Participants • Missing data
71 Participants
n=1465 Participants • Missing data
145 Participants
n=2926 Participants • Missing data
Hospital-acquired risk factor for AKI in previous wk - no./total no. (%) - Other vascular surgery
77 Participants
n=1462 Participants
76 Participants
n=1465 Participants
153 Participants
n=2927 Participants
Hospital-acquired risk factor for AKI in previous wk - no./total no. (%) - Major trauma
55 Participants
n=1462 Participants
62 Participants
n=1465 Participants
117 Participants
n=2927 Participants
Hospital-acquired risk factor for AKI in previous wk - no./total no. (%) - Obstetric complication
5 Participants
n=1462 Participants
5 Participants
n=1465 Participants
10 Participants
n=2927 Participants
Hospital-acquired risk factor AKI previous wk (no./total no. (%)) - Exposure radiocontrast material
375 Participants
n=1460 Participants • Missing data
382 Participants
n=1463 Participants • Missing data
757 Participants
n=2923 Participants • Missing data
Hospital-acquired risk factor for AKI in previous wk - no./total no. (%) - Receipt of aminoglycoside
148 Participants
n=1458 Participants • Missing data
154 Participants
n=1463 Participants • Missing data
302 Participants
n=2921 Participants • Missing data
Hospital-acquired risk factor for AKI in previous wk - no./total no. (%) - Receipt of amphotericin B
12 Participants
n=1460 Participants • Missing data
9 Participants
n=1464 Participants • Missing data
21 Participants
n=2924 Participants • Missing data
Clinical condition at randomization - Sepsis - no. (%)
834 Participants
n=1462 Participants
855 Participants
n=1465 Participants
1689 Participants
n=2927 Participants
Clinical condition at randomization - Septic shock - no. (%)
643 Participants
n=1462 Participants
640 Participants
n=1465 Participants
1283 Participants
n=2927 Participants
Clinical condition at randomization - SAPS II value
59.4 units on a scale
STANDARD_DEVIATION 17.4 • n=1462 Participants
58.1 units on a scale
STANDARD_DEVIATION 17.4 • n=1465 Participants
58.8 units on a scale
STANDARD_DEVIATION 17.4 • n=2927 Participants
Clinical condition at randomization - SOFA score
11.8 SOFA score (0-24)
STANDARD_DEVIATION 3.6 • n=1462 Participants
11.6 SOFA score (0-24)
STANDARD_DEVIATION 3.6 • n=1465 Participants
11.7 SOFA score (0-24)
STANDARD_DEVIATION 3.6 • n=2927 Participants
Clinical condition at randomization - Mechanical ventilation - no. (%)
1148 Participants
n=1462 Participants
1103 Participants
n=1465 Participants
2251 Participants
n=2927 Participants
Clinical condition at randomization - Vasoactive support - no. (%)
1052 Participants
n=1462 Participants
1008 Participants
n=1465 Participants
2060 Participants
n=2927 Participants
Clinical condition at randomization - Serum creatinine - mg/dl
3.4 mg/dl
STANDARD_DEVIATION 1.6 • n=1462 Participants
3.6 mg/dl
STANDARD_DEVIATION 1.7 • n=1465 Participants
3.5 mg/dl
STANDARD_DEVIATION 1.65 • n=2927 Participants
Clinical condition at randomization - Serum potassium - mmol/liter
4.5 mmol/liter
STANDARD_DEVIATION 0.8 • n=1462 Participants
4.5 mmol/liter
STANDARD_DEVIATION 0.8 • n=1465 Participants
4.5 mmol/liter
STANDARD_DEVIATION 0.8 • n=2927 Participants
Clinical condition at randomization - Serum bicarbonate - mmol/liter
19.5 mmol/liter
STANDARD_DEVIATION 4.5 • n=1462 Participants
19.7 mmol/liter
STANDARD_DEVIATION 4.7 • n=1465 Participants
19.6 mmol/liter
STANDARD_DEVIATION 4.6 • n=2927 Participants
Clinical condition at randomization - Median urinary output (IQR) - ml/24 hr
478 ml/24 hr
n=1462 Participants
450 ml/24 hr
n=1465 Participants
462 ml/24 hr
n=2927 Participants
Clinical condition at randomization- Oliguria or anuria - no./total no. (%)
618 Participants
n=1420 Participants • Missing data
647 Participants
n=1415 Participants • Missing data
1265 Participants
n=2835 Participants • Missing data
Clinical condition at randomization- Median cumulative fluid balance (IQR) - ml
2819 ml/ 24 hr
n=1462 Participants
2581 ml/ 24 hr
n=1465 Participants
2691.5 ml/ 24 hr
n=2927 Participants

PRIMARY outcome

Timeframe: 90 days following study randomization.

Outcome measures

Outcome measures
Measure
Standard RRT Initiation
n=1462 Participants
RRT initiation will be guided by the presence of one or more clinical indications. Even in the absence of one of these indications, RRT may be commenced at the discretion of the treating physician. Standard RRT initiation: In the absence of kidney function recovery, the initiation of RRT will be permitted if one of the following develops: serum potassium ≥ 6.0 mmol/L; pH ≤ 7.20 or serum bicarbonate ≤ 12 mmol/L; evidence of severe respiratory failure, based on a PaO2/FiO2 ≤ 200 and clinical perception of volume overload; and/or persistent AKI \> 72 hours following the time of randomization.
Accelerated RRT Initiation
n=1465 Participants
A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of the patient meeting the eligibility criteria. Accelerated RRT initiation: A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of eligibility. This 12 hour window includes the time needed to obtain consent.
All-cause Mortality.
639 Participants
643 Participants

SECONDARY outcome

Timeframe: 90 days following study randomization.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days following study randomization.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days following study randomization.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days following study randomization.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days following study randomization.

Defined as death, RRT dependence or sustained reduction in kidney function (defined as eGFR \< 75% baseline eGFR).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured from randomization through day 28.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured from randomization through day 28.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured from randomization through day 28.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured from randomization through day 90.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured in-hospital and at day 28.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured at day 90 and at day 365.

A measure of health-related quality of life and patient utility.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured from baseline through day 365.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured at day 365.

Outcome measures

Outcome data not reported

Adverse Events

Standard RRT Initiation

Serious events: 8 serious events
Other events: 245 other events
Deaths: 639 deaths

Accelerated RRT Initiation

Serious events: 15 serious events
Other events: 346 other events
Deaths: 643 deaths

Serious adverse events

Serious adverse events
Measure
Standard RRT Initiation
n=1489 participants at risk
RRT initiation will be guided by the presence of one or more clinical indications. Even in the absence of one of these indications, RRT may be commenced at the discretion of the treating physician. Standard RRT initiation: In the absence of kidney function recovery, the initiation of RRT will be permitted if one of the following develops: serum potassium ≥ 6.0 mmol/L; pH ≤ 7.20 or serum bicarbonate ≤ 12 mmol/L; evidence of severe respiratory failure, based on a PaO2/FiO2 ≤ 200 and clinical perception of volume overload; and/or persistent AKI \> 72 hours following the time of randomization.
Accelerated RRT Initiation
n=1503 participants at risk
A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of the patient meeting the eligibility criteria. Accelerated RRT initiation: A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of eligibility. This 12 hour window includes the time needed to obtain consent.
Cardiac disorders
Arrhythmia during RRT
0.07%
1/1489 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.13%
2/1503 • Number of events 2 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Surgical and medical procedures
CVC - associated bloodstream infection
0.00%
0/1489 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.07%
1/1503 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Surgical and medical procedures
Hemorrhage at site of CVC insertion
0.00%
0/1489 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.07%
1/1503 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Surgical and medical procedures
Hemothorax following CVC insertion
0.00%
0/1489 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.07%
1/1503 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Surgical and medical procedures
Major bleeding
0.00%
0/1489 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.07%
1/1503 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Surgical and medical procedures
Pneumothorax following CVC insertion
0.00%
0/1489 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.13%
2/1503 • Number of events 3 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Vascular disorders
RRT - associated hypotension
0.27%
4/1489 • Number of events 4 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.33%
5/1503 • Number of events 5 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
General disorders
Severe hypocalcemia (Ionized calcium < 0.90 mmol/L)
0.00%
0/1489 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.07%
1/1503 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
General disorders
Other
0.20%
3/1489 • Number of events 3 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.13%
2/1503 • Number of events 2 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent

Other adverse events

Other adverse events
Measure
Standard RRT Initiation
n=1489 participants at risk
RRT initiation will be guided by the presence of one or more clinical indications. Even in the absence of one of these indications, RRT may be commenced at the discretion of the treating physician. Standard RRT initiation: In the absence of kidney function recovery, the initiation of RRT will be permitted if one of the following develops: serum potassium ≥ 6.0 mmol/L; pH ≤ 7.20 or serum bicarbonate ≤ 12 mmol/L; evidence of severe respiratory failure, based on a PaO2/FiO2 ≤ 200 and clinical perception of volume overload; and/or persistent AKI \> 72 hours following the time of randomization.
Accelerated RRT Initiation
n=1503 participants at risk
A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of the patient meeting the eligibility criteria. Accelerated RRT initiation: A dialysis catheter will be placed and RRT initiated as soon as possible and within 12 hours of eligibility. This 12 hour window includes the time needed to obtain consent.
Vascular disorders
Hypotension
8.8%
131/1489 • Number of events 188 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
5.5%
83/1503 • Number of events 112 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Cardiac disorders
Arrhythmia
1.5%
23/1489 • Number of events 29 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
2.5%
37/1503 • Number of events 45 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Nervous system disorders
Seizure
0.00%
0/1489 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.07%
1/1503 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Surgical and medical procedures
Bleeding
0.34%
5/1489 • Number of events 5 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.67%
10/1503 • Number of events 10 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Surgical and medical procedures
Allergic reaction
0.07%
1/1489 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.07%
1/1503 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
General disorders
Decreased phosphate (<0.5 mmol/liter)
4.2%
62/1489 • Number of events 68 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
7.5%
112/1503 • Number of events 124 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
General disorders
Decreased potassium (<3.0 mmol/liter)
2.3%
34/1489 • Number of events 40 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
2.3%
34/1503 • Number of events 43 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
General disorders
Decreased ionized calcium (<0.90 mmol/ liter)
4.4%
66/1489 • Number of events 80 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
5.3%
80/1503 • Number of events 102 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Respiratory, thoracic and mediastinal disorders
Pneumothorax or hemothorax
0.13%
2/1489 • Number of events 2 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.27%
4/1503 • Number of events 5 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Vascular disorders
Thrombus (as confirmed on ultrasonography)
0.34%
5/1489 • Number of events 5 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.20%
3/1503 • Number of events 3 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Surgical and medical procedures
Arterial puncture
0.13%
2/1489 • Number of events 2 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.20%
3/1503 • Number of events 3 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
Infections and infestations
Bloodstream infection
0.07%
1/1489 • Number of events 1 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
0.47%
7/1503 • Number of events 7 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
General disorders
Other
1.3%
19/1489 • Number of events 20 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent
1.4%
21/1503 • Number of events 24 • Through study completion, 90 days following study randomization
All-Cause Mortality was pre-specified to be monitored/assessed only in participants who completed the study. AEs and SAEs were reported from the entire randomized population minus those who withdrew consent

Additional Information

Dr. Ron Wald

Unity Health Toronto

Phone: (416) 867-3703

Results disclosure agreements

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

Restriction type: GT60