The Comparative Effectiveness of Alprostadil,Sodium Ferulate and Dopamine in Pediatric Acute Kidney Injury

NCT ID: NCT03892447

Last Updated: 2019-03-27

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

PHASE4

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2021-12-31

Brief Summary

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Acute kidney injury (AKI) is a pervasive clinical event in children.It has been independently associated with prolonged hospital stays, risk of in-hospital death and future progression to chronic kidney disease. Except for removal of nephrotoxic agents and optimization of supportive care,there are still no other effective therapeutic options recommended by recent guidelines. Renal ischemia is the main mechanism of AKI, the improving microcirculation therapy would be the effective management to improve the outcome of AKI in children.

Dopamine is a vasodilating drug that in small doses improves renal circulation. Alprostadil have been used in chronic arterial occlusion and Sodium Ferulate in ischemic cerebral vascular disease,they have a similar therapeutic effect of anti-platelet aggregation and vasodilation. Recent research shows that alprostadil might be associated with a significant reduction in postcontrast Scr, blood urine nitrogen (BUN) and Cystatin C (CysC) level and decrease the incidence of contrast-induced nephropathy.The investigators speculate that Alprostadil,Sodium Ferulate and dopamine would be effective in treating AKI in children.

This is a prospective, multicenter, randomized, double-blind, 52-week study. The purpose of this study is to evaluate the comparative effectiveness and safety of Alprostadil,Sodium Ferulate and dopamine in improving the outcome of AKI in children.

Detailed Description

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This study aims to explore the effective treatment of pediatric AKI and improve the outcome. It is a 52-week multicenter, randomized, double-blind,prospective study to evaluate comparative effectiveness and safety of alprostadil injection,sodium ferulate and dopamine injection. This study plans to recruit 8 to 10 centers, with 300 participants randomly divided into 3 groups and given respectively Alprostadil 0.2\~0.3ug/kg.h,iv,1h/d,14d,Sodium Ferulate2\~6mg/kg.d,iv,14d,Dopamine3\~5ug/kg .min,iv,3h/d,14d.Time of outcome measurement is 1w,2w,4w,24w,52w. Primary Outcome Measures is The change of Serum creatinin from baseline, estimated glomerular filtration rate (eGFR) and urine volume in the participants after the use of the study drug.

Conditions

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Children AKI Patients

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Alprostadil

Alprostadil 0.2\~0.3ug/kg.h,iv,1h/d,14d; Dopamine3~5 ug/kg·min,iv,3 h/d,14d

Group Type EXPERIMENTAL

Alprostadil

Intervention Type DRUG

Alprostadil 0.2\~0.3ug/kg.h,iv,1h/d,14d

Dopamine

Intervention Type DRUG

Dopamine3~5 ug/kg·min,iv,3 h/d,14d

Sodium Ferulate

Sodium Ferulate 2\~6mg/kg.d,iv,14d; Dopamine3~5 ug/kg·min,iv,3 h/d,14d

Group Type ACTIVE_COMPARATOR

Sodium Ferulate

Intervention Type DRUG

Sodium Ferulate 2\~6mg/kg.d,iv,14d

Dopamine

Intervention Type DRUG

Dopamine3~5 ug/kg·min,iv,3 h/d,14d

Interventions

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Alprostadil

Alprostadil 0.2\~0.3ug/kg.h,iv,1h/d,14d

Intervention Type DRUG

Sodium Ferulate

Sodium Ferulate 2\~6mg/kg.d,iv,14d

Intervention Type DRUG

Dopamine

Dopamine3~5 ug/kg·min,iv,3 h/d,14d

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Provide informed consent signed and dated by participants and/or their guardians
2. male or female, Asian.
3. Aged from 1 to 18 years.
4. Patients meet the AKI diagnosis criteria of 2012 Kidney Disease: Improving Global Outcome (SKDIGO) Guideline

Exclusion Criteria

1. prerenal or postrenal failure
2. Patients need renal replacement therapy
3. Patients with hemorrhagic disorders
4. Patients in shock
5. Patients with multiple organ failure
6. History of Alprostadil or Sodium Ferulate or dopamine sensitivity
7. Patients with heart failure
8. Patients with peptic ulcer
9. Patients with glaucoma
10. Patients with interstitial pneumonia
Minimum Eligible Age

1 Year

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shengjing Hospital

OTHER

Sponsor Role lead

Responsible Party

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Yubin Wu

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Shenjing Hospital

Shenyang, Liaoning, China

Site Status

Countries

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China

Central Contacts

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Yubin Wu, Professor

Role: CONTACT

18940257958

Related Links

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http://kdigo.org/

2012 SKDIGO Guideline

Other Identifiers

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SJES001

Identifier Type: -

Identifier Source: org_study_id

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