Effect of Allopurinol or Febuxostat to Prevent Contrast Induced Acute Kidney Injury (CI-AKI)

NCT ID: NCT03767322

Last Updated: 2018-12-06

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

Total Enrollment

558 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-05

Study Completion Date

2019-12-31

Brief Summary

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A randomized, placebo-controlled, double-blind clinical trial of effect of allopurinol or febuxostat to prevent contrast induced acute kidney injury (CI-AKI)

Detailed Description

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Eligible patients (patients with glomerular filtration rate \< 60 ml/min or high riks patients based on Mehran score) that will be undergoing cardiac catheterization/intervention randomly assigned to receive allopurinol 300 mg or febuxostat 80 mg 12 hours before and 12 after 1 exposure of radiocontrast and IV hydration (normal saline 1 ml/kg/hr 12 pre and post radiocontrast exposure) or placebo and hydration.

Exclusion criteria: patients under treatment with allopurinol or febuxostat in the previous seven days, known allergy to allopurinol or febuxostat, patients on renal replacement therapy

Conditions

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Contrast-induced Nephropathy Contrast-induced Acute Kidney Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators
Double blind clinical trial

Study Groups

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Allopurinol group

The intervention group will receive 300 mg of allopurinol 12 hours before and 12 hours after the coronary intervention.

Group Type ACTIVE_COMPARATOR

Allopurinol

Intervention Type DRUG

Eligible patients will receive allopurinol 300 mg before and after coronary intervention

Placebo group

The placebo group will receive 300 mg of placebo 12 hours before and 12 hours after the coronary intervention.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Eligible patients will receive before and after coronary intervention

Febuxostat group

The intervention group will receive 80 mg of febuxostat 12 hours before and 12 hours after the coronary intervention

Group Type ACTIVE_COMPARATOR

Febuxostat

Intervention Type DRUG

Eligible patients will receive febuxostat 80 mg before and after coronary intervention

Interventions

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Allopurinol

Eligible patients will receive allopurinol 300 mg before and after coronary intervention

Intervention Type DRUG

Febuxostat

Eligible patients will receive febuxostat 80 mg before and after coronary intervention

Intervention Type DRUG

Placebo

Eligible patients will receive before and after coronary intervention

Intervention Type DRUG

Other Intervention Names

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Zyloprim Turazive

Eligibility Criteria

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Inclusion Criteria

* Age 18 years and older who are scheduled to coronary intervention
* Patients with Mehran score \> 5 or modified Mehran score \>2 even glomerular filtration rate \> 60 ml/min (high risk patients)
* Glomerular Filtration Rate \< 60 ml/min
* All the patients provided written informed consent for the procedures and the test drug

Exclusion Criteria

* Patients with shorter hospital stay (\<48 hours)
* Patients under treatment with allopurinol of febuxostat
* Patients on renal replacement therapy
* Known allergy to allopurinol or febuxostat
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Salvador López Gil

UNKNOWN

Sponsor Role collaborator

Armando Vázquez Rangel

UNKNOWN

Sponsor Role collaborator

Instituto Nacional de Cardiologia Ignacio Chavez

OTHER

Sponsor Role lead

Responsible Party

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Magdalena Madero

Nephrology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Magdalena Madero, MD

Role: PRINCIPAL_INVESTIGATOR

Instituto Nacional de Cardiologia Ignacio Chavez

Locations

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Instituto Nacional de Cardiologia Ignacio Chavez

Mexico City, México City, Mexico

Site Status

Countries

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Mexico

Central Contacts

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Magdalena Madero, MD

Role: CONTACT

01 52 55 5573 2911 ext. 21425

Salvador Lopez-Gil, MD

Role: CONTACT

01 52 55 5573 2911 ext. 21425

Facility Contacts

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Magdalena Madero, MD

Role: primary

015255 5573 2911 ext. 21425

Salvador Lopez-Gil, MD

Role: backup

015255 5573 2911 ext. 21425

References

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Ghelich Khan Z, Talasaz AH, Pourhosseini H, Hosseini K, Alemzadeh Ansari MJ, Jalali A. Potential Role of Allopurinol in Preventing Contrast-Induced Nephropathy in Patients Undergoing Percutaneous Coronary Intervention: A Randomized Placebo-Controlled Trial. Clin Drug Investig. 2017 Sep;37(9):853-860. doi: 10.1007/s40261-017-0542-z.

Reference Type BACKGROUND
PMID: 28608311 (View on PubMed)

Kumar A, Bhawani G, Kumari N, Murthy KS, Lalwani V, Raju ChN. Comparative study of renal protective effects of allopurinol and N-acetyl-cysteine on contrast induced nephropathy in patients undergoing cardiac catheterization. J Clin Diagn Res. 2014 Dec;8(12):HC03-7. doi: 10.7860/JCDR/2014/9638.5255. Epub 2014 Dec 5.

Reference Type BACKGROUND
PMID: 25653965 (View on PubMed)

Mendi MA, Afsar B, Oksuz F, Turak O, Yayla C, Ozcan F, Johnson RJ, Kanbay M. Uric Acid is a Useful Tool to Predict Contrast-Induced Nephropathy. Angiology. 2017 Aug;68(7):627-632. doi: 10.1177/0003319716639187. Epub 2016 Mar 22.

Reference Type BACKGROUND
PMID: 27006404 (View on PubMed)

Shibagaki Y, Ohno I, Hosoya T, Kimura K. Safety, efficacy and renal effect of febuxostat in patients with moderate-to-severe kidney dysfunction. Hypertens Res. 2014 Oct;37(10):919-25. doi: 10.1038/hr.2014.107. Epub 2014 Jun 19.

Reference Type BACKGROUND
PMID: 24942770 (View on PubMed)

Fukui T, Maruyama M, Yamauchi K, Yoshitaka S, Yasuda T, Abe Y. Effects of Febuxostat on Oxidative Stress. Clin Ther. 2015 Jul 1;37(7):1396-401. doi: 10.1016/j.clinthera.2015.03.026. Epub 2015 Apr 23.

Reference Type BACKGROUND
PMID: 25913922 (View on PubMed)

Other Identifiers

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PT-18-081

Identifier Type: -

Identifier Source: org_study_id

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