Study of Roxadustat for Reducing the Incidence of Acute Kidney Injury After Coronary Artery Bypass Grafting

NCT ID: NCT05010460

Last Updated: 2025-12-09

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-30

Study Completion Date

2025-05-20

Brief Summary

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Acute kidney injury is a frequent complication after coronary artery bypass grafting (CABG). Roxadustat is a prolyl hydroxylase inhibitor (PHI) which can stabilize hypoxia-inducible factor (HIF) and improve the hypoxic tolerance of tissues. Roxadustat has shown effect in reducing acute kidney injury in animal studies.

This study aims to evaluate the efficacy of administration of Roxadustat before surgery in the prevention of acute kidney injury after CABG.

Detailed Description

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Acute kidney injury is a frequent complication after coronary artery bypass grafting (CABG), with a incidence of 28-38%. Renal ischemia-reperfusion injury is the main mechanism for acute kidney injury after CABG.

Roxadustat is a kind of prolyl hydroxylase inhibitor (PHI) which can stabilize hypoxia-inducible factor (HIF) and improve the hypoxic tolerance of tissues. Roxadustat has shown effect in reducing acute kidney injury in animal studies.

This study aims to evaluate the efficacy of administration of Roxadustat (before surgery) in the prevention of acute kidney injury after CABG. This is a multicenter, randomized, double-blind, placebo-controlled study.

Conditions

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Coronary Artery Bypass

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Roxadustat

Roxadustat

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

orally 100mg every other day for 5-8 days prior to CABG

placebo

Placebo has the same appearance with the experimental drug (Roxadustat).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

orally 100mg every other day for 5-8 days prior to CABG

Interventions

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Roxadustat

orally 100mg every other day for 5-8 days prior to CABG

Intervention Type DRUG

Placebo

orally 100mg every other day for 5-8 days prior to CABG

Intervention Type DRUG

Other Intervention Names

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Evrenzo

Eligibility Criteria

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Inclusion Criteria

* 18-80 years old
* non-emergent CABG and planned cardiopulmonary bypass (CPB)
* eGFR\>15ml/min/1.73m2

Exclusion Criteria

* pregnancy or breast feeding
* malignancy
* severe liver dysfunction
* acute kidney injury before randomization
* uncontrolled hypertension
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Hospital

OTHER_GOV

Sponsor Role collaborator

Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yan Qin, Doctor

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Qi Miao, Doctor

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

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Beijing Hospital

Beijing, Beijing Municipality, China

Site Status

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

References

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Chertow GM, Burdick E, Honour M, Bonventre JV, Bates DW. Acute kidney injury, mortality, length of stay, and costs in hospitalized patients. J Am Soc Nephrol. 2005 Nov;16(11):3365-70. doi: 10.1681/ASN.2004090740. Epub 2005 Sep 21.

Reference Type BACKGROUND
PMID: 16177006 (View on PubMed)

Hill P, Shukla D, Tran MG, Aragones J, Cook HT, Carmeliet P, Maxwell PH. Inhibition of hypoxia inducible factor hydroxylases protects against renal ischemia-reperfusion injury. J Am Soc Nephrol. 2008 Jan;19(1):39-46. doi: 10.1681/ASN.2006090998.

Reference Type BACKGROUND
PMID: 18178798 (View on PubMed)

Shu S, Wang Y, Zheng M, Liu Z, Cai J, Tang C, Dong Z. Hypoxia and Hypoxia-Inducible Factors in Kidney Injury and Repair. Cells. 2019 Feb 28;8(3):207. doi: 10.3390/cells8030207.

Reference Type BACKGROUND
PMID: 30823476 (View on PubMed)

Kapitsinou PP, Jaffe J, Michael M, Swan CE, Duffy KJ, Erickson-Miller CL, Haase VH. Preischemic targeting of HIF prolyl hydroxylation inhibits fibrosis associated with acute kidney injury. Am J Physiol Renal Physiol. 2012 May 1;302(9):F1172-9. doi: 10.1152/ajprenal.00667.2011. Epub 2012 Jan 18.

Reference Type BACKGROUND
PMID: 22262480 (View on PubMed)

Chen N, Hao C, Peng X, Lin H, Yin A, Hao L, Tao Y, Liang X, Liu Z, Xing C, Chen J, Luo L, Zuo L, Liao Y, Liu BC, Leong R, Wang C, Liu C, Neff T, Szczech L, Yu KP. Roxadustat for Anemia in Patients with Kidney Disease Not Receiving Dialysis. N Engl J Med. 2019 Sep 12;381(11):1001-1010. doi: 10.1056/NEJMoa1813599. Epub 2019 Jul 24.

Reference Type BACKGROUND
PMID: 31340089 (View on PubMed)

Other Identifiers

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ROXAKI

Identifier Type: -

Identifier Source: org_study_id

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