Effects of BRS and LRS on Postoperative Acute Kidney Injury

NCT ID: NCT04835038

Last Updated: 2023-04-12

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

3400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-01

Study Completion Date

2023-08-31

Brief Summary

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1. Title: Effects of Sodium Bicarbonate Ringer's Injection and Sodium Lactated Ringer's Injection on postoperative acute kidney injury in patients undergoing major abdominal surgery: a randomized, controlled, open-label clinical study
2. Objective: To evaluate the effect of BRS and LRS infusion on acute renal injury in patients undergoing major abdominal surgery
3. Primary outcome: Incidence of AKI at 28 days postoperative (defined as acute kidney injury, according to Kidgo 2012 definition and classification).
4. Study Design: Randomized, controlled, open-label clinical study.

Detailed Description

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1. Subjects: patients who planned to undergo elective major abdominal surgery.
2. Study data collection period: Subjects signed the consent form until 28 days after discharge or died in hospital or withdrew from the study.
3. Number of research centers/sample size: 3400 patients were planned to be included.
4. Study process: Among patients undergoing elective surgery, the researchers will include patients who meet the inclusion criteria for elective major abdominal surgery and agree to participate in the study. The data to be collected in this study will be recorded by the researcher in the eCRF, including:

(1) Data to be collected during the screening period and preoperatively: patients' basic characteristics and demographic data (2) Data to be recorded during and/or after surgery: primary study indicators, secondary indicators, and other indicators.

Conditions

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Acute Kidney Injury

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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Sodium Bicarbonate Ringer's Injection group

Intraoperative fluid therapy performed with BRS (Sodium Bicarbonate Ringer's Injection)

Group Type EXPERIMENTAL

Sodium Bicarbonate Ringer's Injection

Intervention Type DRUG

Intraoperative fluid therapy performed with BRS (Sodium Bicarbonate Ringer's Injection)

Sodium Lactated Ringer's Injection group

Intraoperative fluid therapy performed with LRS (Sodium Lactated Ringer's Injection)

Group Type ACTIVE_COMPARATOR

Sodium Lactated Ringer's Injection

Intervention Type DRUG

Intraoperative fluid therapy performed with LRS (Sodium Lactated Ringer's Injection)

Interventions

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Sodium Bicarbonate Ringer's Injection

Intraoperative fluid therapy performed with BRS (Sodium Bicarbonate Ringer's Injection)

Intervention Type DRUG

Sodium Lactated Ringer's Injection

Intraoperative fluid therapy performed with LRS (Sodium Lactated Ringer's Injection)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. ASA grade Ⅰ-Ⅲ.
2. patients aged between 20 and 70, signed informed consent form, and are willing to participate in the study.
3. BMI ≤ 30kg/m2.
4. elective major abdominal surgery for the first time (radical resection of ovarian cancer, radical resection of cervical cancer, radical resection of gastric cancer, radical resection of colorectal cancer, radical resection of bladder tumor and radical resection of prostate tumor).
5. NYHA cardiac function grade Ⅰ-Ⅲ.
6. the function of liver and kidney is normal before operation.
7. the blood coagulation function was normal before operation.
8. hemoglobin \> 70g/L.
9. sinus rhythm was detected by electrocardiogram and there were no other malignant arrhythmias.

Exclusion Criteria

1. Emergency surgery.
2. liver and kidney surgery.
3. complicated with chronic respiratory diseases and FEV1/FVC \< 70%.
4. the operation time is less than 2 hours.
5. patients with mental illness or cognitive impairment.
6. uncontrolled hypertension with blood pressure higher than 180 × 100mmHg.
7. patients with hypothyroidism.
8. pregnant or lactating patients. -
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tongji Hospital

OTHER

Sponsor Role lead

Responsible Party

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Shiyong Li

Principal Investigator, Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shiyong Li

Role: PRINCIPAL_INVESTIGATOR

Tongji Hospital

Locations

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Tongji hospital

Wuhan, Hubei, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Shiyong Li

Role: CONTACT

18062154189

Facility Contacts

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Pu Zhou, Phd

Role: primary

86-27-83663250

Other Identifiers

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ChiCTR2100044465

Identifier Type: -

Identifier Source: org_study_id

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