The Effect of Curcumin Against Colistin-induced Nephrotoxicity

NCT ID: NCT05613361

Last Updated: 2023-10-31

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

PHASE3

Total Enrollment

214 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-01

Study Completion Date

2024-10-30

Brief Summary

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The goal of this study is to investigate the possible nephroprotective effect of curcumin in critically ill patients receiving colistin.

Detailed Description

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The study will investigate the possible nephroprotective effect of curcumin when added to patients infected by MDR Gram-negative bacteria and require intravenous colistin therapy, curcumin will be given concurrently with colistin and discontinued at the same time as Colistin.

Conditions

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Acute Kidney Injury Drug-Induced Nephropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Group 1

patients in this group will receive loading dose of colistin intravenously of 9 MIU followed by maintenance doses of 4.5 MIU given every 12 hours.

Group Type EXPERIMENTAL

Colistin

Intervention Type DRUG

added for infection with multi drug resistant bacteria

Group 2

patients in this group will receive loading dose of colistin intravenously of 9 MIU followed by maintenance doses of 4.5 MIU given every 12 hours and curcumin will be administered as orally or through nasogastric tube at a dose of 2 capsules every 6 hours (1 gm/6 hour)

Group Type ACTIVE_COMPARATOR

Colistin

Intervention Type DRUG

added for infection with multi drug resistant bacteria

Curcumin

Intervention Type DRUG

added for the possible nephroprotective effect

Interventions

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Colistin

added for infection with multi drug resistant bacteria

Intervention Type DRUG

Curcumin

added for the possible nephroprotective effect

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* All critically ill adult patients (18-65 years old) who are infected by MDR Gram-negative bacteria and require intravenous colistin therapy

Exclusion Criteria

* Patients receiving intravenous colistin therapy for \< 72 hours.
* Patients receiving renal replacement therapy (RRT).
* Patients with diseases that may contribute to renal impairment such as systemic lupus erythematosus, acute myocardial infarction, cancer, HIV infection, glucose-6-phosphate-dehydrogenase deficiency, or urinary tract stone.
* Pregnancy or breastfeeding.
* Known allergy to the study medications.
* Patients with chronic kidney diseases (creatinine clearance \< 60 mg/dL).
* Elevated total liver enzymes (AST, and ALT) three times above the upper limit of normal.
* Patients with acute decompensated heart failure signs and symptoms requiring intravenous loop diuretics and/or intravenous inotropes and/or ACE inhibitors.
* Uncontrolled diabetes (Glycosylated hemoglobin (Hb A1C) \>8%).
* Hypotensive patients defined as decrease in blood pressure less than 90/60 mm Hg.
* Recent use of vitamins with antioxidant properties such as beta carotene, vitamin E, vitamin C, selenium, or N-acetylcysteine or any other medications known to have nephroprotective activities.
* Patients receiving other nephrotoxic drugs at enrollment (e.g., aminoglycosides, vancomycin, or amphotericin B) or administration of contrast medium within 7 days.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role collaborator

October 6 University

OTHER

Sponsor Role lead

Responsible Party

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Alaa Mohammed Hammad

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nirmeen A. Sabry

Role: PRINCIPAL_INVESTIGATOR

Professor of Clinical Pharmacy Faculty of Pharmacy Cairo University

Maggie M. Abbassi

Role: PRINCIPAL_INVESTIGATOR

Professor of Clinical Pharmacy Faculty of Pharmacy Cairo University

Rania El-Husseiny

Role: PRINCIPAL_INVESTIGATOR

Professor of Critical Care Medicine, Faculty of Medicine Cairo University

Locations

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Cairo University Hospitals

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Alaa M. Hammad

Role: CONTACT

01000675555

Facility Contacts

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Alaa M Hammad

Role: primary

01000675555

Other Identifiers

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curcumin in nephrotoxicity

Identifier Type: -

Identifier Source: org_study_id

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