A Study to Explore the Renal Safety of Visipaque Injection 320 mgI/mL in Patients With Chronic Kidney Disease

NCT ID: NCT03119662

Last Updated: 2019-12-17

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

4 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-08

Study Completion Date

2018-10-19

Brief Summary

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This parallel-group, randomized, placebo-controlled study will examine the incidence and severity of acute kidney injury (AKI) in patients with chronic kidney disease (CKD) stage III/IV following an i.v. injection of iso-osmolar iodinated contrast material iodixanol (Visipaque™ Injection 320 mgI/mL), as compared with patients who received saline and underwent a non-enhanced CT (NECT) and duplex ultrasound (US) during their scheduled post-EVAR surveillance imaging.

Detailed Description

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GEHC has decided not to provide this detail

Conditions

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Chronic Kidney Diseases

Keywords

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Acute kidney injury (AKI) Acute kidney injury network (AKIN) Chronic kidney disease (CKD) Contrast-enhanced computed tomography (CECT) Endovascular Aneurysm Repair (EVAR) Iodixanol Non-enhanced computed tomography (NECT) Serum creatinine (SCr)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Visipaque™: Contrast-Enhanced Computed Tomography (CECT)

Participants received 1 intravenous injection of Visipaque™ 320 mg I/ml injection (100 mL iodixanol) and underwent computed tomography (CT) examination.

Group Type EXPERIMENTAL

Visipaque

Intervention Type DRUG

100 mL iodixanol (Visipaque Injection 320 mg I/mL), followed by a 10 mL saline flush to ensure delivery of the full dose of Visipaque.

Saline: Non-Enhanced Computed Tomography (NECT)

Participants received 1 intravenous injection of saline placebo (matched to Visipaque™ 320 mg I/ml injection) and underwent computed tomography (CT) examination and supplemental non-contrast duplex ultrasonography imaging examination.

Group Type PLACEBO_COMPARATOR

Placebos

Intervention Type DRUG

100 mL saline, followed by a 10 mL saline flush.

Interventions

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Visipaque

100 mL iodixanol (Visipaque Injection 320 mg I/mL), followed by a 10 mL saline flush to ensure delivery of the full dose of Visipaque.

Intervention Type DRUG

Placebos

100 mL saline, followed by a 10 mL saline flush.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Was ≥18 years of age at the time that written informed consent is obtained.
* Was male or is a nonpregnant, nonlactating female who is either surgically sterile or is postmenopausal. Women of childbearing potential must use adequate contraception from Screening until 30 days after the Baseline Visit and must have a negative pregnancy test at the Baseline Visit.
* Was an outpatient who has undergone successful EVAR and is scheduled for his/her next post-procedural imaging follow-up examination.
* Had previously completed one or more of his or her post-EVAR surveillance imaging examination(s) that provided evidence on stable post-EVAR status.
* Had a documented diagnosis of stage III or IV CKD and stable renal function.
* Was able to provide written informed consent.
* Was able and willing to comply with all study procedures as described in the protocol.

Exclusion Criteria

* Was pregnant, lactating, is possibly pregnant, or is actively trying to conceive during the study period.
* Was a patient for whom an endoleak or other clinically meaningful EVAR-related complication (as judged by the investigator) has already been discovered.
* Was undergoing surveillance following a Thoracic Endovascular Repair (TEVAR).
* Had a known or suspected history of immediate or delayed hypersensitivity to iodine or any iodinated contrast medium.
* Was using metformin (e.g., Glucophage®) that cannot be discontinued for the period of 24 hours prior to the Baseline Visit and for at least 48 hours after the imaging procedure.
* Had been exposed to any intravascular iodinated contrast medium in the 7 days prior to the Baseline Visit.
* Had congestive heart failure (New York Heart Association \[NYHA\] Class IV) or hepatic failure/liver cirrhosis.
* Had Stage V CKD.
* Had a pre-existing requirement for renal dialysis.
* Had undergone percutaneous transluminal renal angioplasty (PTRA) within 12 months before the index EVAR procedure or is scheduled to undergo PTRA during the study period.
* Had any clinically active, serious, life-threatening disease, medical, or significant psychiatric condition; has a life expectancy of less than 6 months; or is, in the Investigator's opinion, unsuitable for participation in the study for any reason.
* Had been enrolled in another clinical study within the 30 days prior to the Screening Visit or is planned to enroll in another clinical study within the duration of this study.
* Had been previously enrolled in this study.
* Was using i.v. vasopressor or inotropic medications.
* Had used nonsteroidal anti-inflammatory drugs (NSAIDs) or any nephrotoxic medication within 48 hours of the Baseline Visit or will do so within 72 hours after the CT procedure-with the exception of acetylsalicylic acid (Aspirin) at a dose of ≤100 mg daily (QD).
* Had been hospitalized within 30 days prior to Screening Visit for any reason other than practical purposes for management of tests or diagnostic assessments.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Syneos Health

OTHER

Sponsor Role collaborator

GE Healthcare

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University Hospital

Birmingham, Alabama, United States

Site Status

: Aventiv Research Inc.

Mesa, Arizona, United States

Site Status

Central Arkansas Veteran's Healthcare System

Little Rock, Arkansas, United States

Site Status

Alliance Research Centers

Laguna Hills, California, United States

Site Status

Universal Axon Clinical Research, LLC

Doral, Florida, United States

Site Status

Jacksonville Center for Clinical Research

Jacksonville, Florida, United States

Site Status

University of South Florida - South Tampa Campus

Tampa, Florida, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

Norton Hospital

Louisville, Kentucky, United States

Site Status

Boston University Medical Center/Boston Medical Center

Boston, Massachusetts, United States

Site Status

The Duluth Clinic, Ltd.

Duluth, Minnesota, United States

Site Status

Mount Sinai West

New York, New York, United States

Site Status

University of North Carolina at Chapel Hill Clinical Translational Research Center

Chapel Hill, North Carolina, United States

Site Status

Wake Forest Baptist Health

Winston-Salem, North Carolina, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

University of Vermont Medical Center

Burlington, Vermont, United States

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

CRCHUM- CHUM Research Center

Montreal, , Canada

Site Status

St. Boniface General Hospital

Winnipeg, , Canada

Site Status

Oddzial Chirurgii Naczyniowej i Ogolnej, Wojewodzki Szpital Specjalistyczny Nr 4 w Bytomiu

Bytom, , Poland

Site Status

Klinika Kardiochirurgii i Chirurgii Naczyniowej, Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Klinika Chirurgii Naczyniowej i Angiologii, Samodzielny Publiczny Szpital Kliniczny nr 1

Lublin, , Poland

Site Status

Oddzial Chirurgii Ogolnej i Naczyn, Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego

Poznan, , Poland

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Puerta del Mar

Cadiz, , Spain

Site Status

Hospital Universitario Son Espases

Palma, , Spain

Site Status

St. George's Healthcare NHS Trust, St. George's Hospital

London, , United Kingdom

Site Status

Royal Stoke University Hospital, Radiology Department

Stoke-on-Trent, , United Kingdom

Site Status

Countries

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United States Belgium Canada Poland Spain United Kingdom

References

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Solomon R. PRESERVE: The End or the Beginning of a New Era in Prevention of Contrast-Associated Acute Kidney Injury? Am J Kidney Dis. 2018 Sep;72(3):322-324. doi: 10.1053/j.ajkd.2018.03.013. Epub 2018 May 8. No abstract available.

Reference Type DERIVED
PMID: 29751980 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2016-001668-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GE-012-106

Identifier Type: -

Identifier Source: org_study_id