Mechanisms of Acute Kidney Injury in Severe Infections

NCT ID: NCT06372444

Last Updated: 2024-12-06

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

RECRUITING

Total Enrollment

15 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-05-01

Study Completion Date

2026-06-30

Brief Summary

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Renal perfusion and neutrophil-mediated inflammation will be assessed in the kidney in sepsis patients with acute kidney injury using positron emission tomography. For marked water will be used for renal perfusion and a newly developed PET tracer molecule (11C-GW457427) with specific binding to neutrophil elastase which provides a measure of the amount of infiltrating neutrophils in the renal parenchyma for inflammation. The study is performed in a PET-CT camera where anatomical imaging takes place at the same time as the PET examinations.

Detailed Description

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To study renal perfusion and neutrophil-mediated inflammation 10 critically ill patients with sepsis and acute kidney injury (AKI) and 5 healthy volunteers as controls will be recruited and examined at one time with marked water followed by neutrophil elastase tracer. At the same time, a CT scan is performed for anatomy. Plasma levels of inflammatory mediators will be measured. Clinical data will be collected. The endpoints are changes in renal perfusion and increased presence of neutrophil elastase in the renal parenchyma.

Conditions

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Sepsis AKI - Acute Kidney Injury Positron Emission Tomography (PET)

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with sepsis and AKI

Positron emission tomography (PET)

Intervention Type RADIATION

Assessment of blood flow with marked water and assessment of neutrophil presence with neutrophil elastase tracer + CT

Healthy controls

Positron emission tomography (PET)

Intervention Type RADIATION

Assessment of blood flow with marked water and assessment of neutrophil presence with neutrophil elastase tracer + CT

Interventions

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Positron emission tomography (PET)

Assessment of blood flow with marked water and assessment of neutrophil presence with neutrophil elastase tracer + CT

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

Patients with sepsis and AKI

* \> 30 years
* At least AKI stage 1 according to KDIGO where the last plasma creatinine is measured within 24 hours of the examination

Healthy volunteers

* \> 30 years
* No previously known kidney disease
* Normal plasma creatinine value

Exclusion Criteria

* Chronic renal failure (CKD stage \>3a) or dialysis
* Instability in vital functions that makes PET-CT examination unsuitable
* Claustrophobia or other reasons that make the patient unable to lie still during the examination.
* Pregnancy and breastfeeding
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Uppsala University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Miklos Lipcsey

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Uppsala university hospital

Uppsala, , Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Miklos Lipcsey, MD, PhD

Role: CONTACT

Phone: +46186110000

Email: [email protected]

Facility Contacts

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Miklos Lipcsey, MD

Role: primary

Other Identifiers

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995725

Identifier Type: -

Identifier Source: org_study_id