Measuring the Plasma Clearance of Iohexol to Estimate Glomerular Filtration Rate in Intensive Care Unit Patients: Preliminary Feasibility Study (IoxRea)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Orléans, France, 45000
- Hospital La SOURCE
-
Strasbourg, France, 67000
- University Hospital Strasbourg
-
Tours, France, 37044
- Service de Réanimation Polyvalente, CHRU de Tours
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years
- Patient admitted to intensive care for less than 12 hours
- Acute circulatory failure
- Patient carrying an arterial catheter
- Informed consent obtained
- Affiliated to social security system
Exclusion Criteria:
- Administration of iohexol the week before intensive care admission
- Administration of iohexol expected within 24 hours of study entry
- Known history of cutaneous immediate or delayed allergic reaction to the injection of the product
- Indication for albumin transfusion within 24 hours of potential inclusion in the study
- Pregnancy or breastfeeding in progress
- Patient under guardianship or judicial protection known at the time of inclusion
- Withdrawal of consent
- Administration of iohexol outside the study within 24 hours after administration of iohexol in the context of the study
- Administration of intravenous albumin in the 24 hours following administration of iohexol in the context of the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Iohexol
injection of 5 ml of iohexol
|
Iohexol, 300 mg/mL
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Plasma clearance of iohexol
Time Frame: 24 hours
|
24 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Plasma clearance of iohexol in patients developping or not acute kidney injury
Time Frame: 7 days
|
7 days
|
|
Link between plasma iohexol clearance and kindney injury markers
Time Frame: 24 hours
|
24 hours
|
|
Link between injury and/or functional kidney dammage and subsequent acute kidney injury
Time Frame: 7 days
|
7 days
|
|
Link between plasma iohexol clearance and urinary metabolomic markers
Time Frame: 24 hours
|
24 hours
|
|
Comparaison of plasma iohexol clearance measured with 3 and 6 vs. 9 kinetic points
Time Frame: 24 hours
|
24 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Stephan EHRMANN, MCU-PH, University Hospital, Tours
Publications and helpful links
General Publications
- Desgrouas M, Merdji H, Bretagnol A, Barin-Le Guellec C, Halimi JM, Ehrmann S, Salmon Gandonniere C. Kinetic Glomerular Filtration Rate Equations in Patients With Shock: Comparison With the Iohexol-Based Gold-Standard Method. Crit Care Med. 2021 Aug 1;49(8):e761-e770. doi: 10.1097/CCM.0000000000004946.
- Salmon-Gandonniere C, Benz-de Bretagne I, Mercier E, Joret A, Halimi JM, Ehrmann S, Barin-Le Guellec C. Iohexol clearance in unstable critically ill patients: a tool to assess glomerular filtration rate. Clin Chem Lab Med. 2016 Nov 1;54(11):1777-1786. doi: 10.1515/cclm-2015-1202.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PHAO13-SE / IoxRea
- 2013-003936-65 (EudraCT Number)
- 2013-R49 (Other Identifier: CPP)
- 131229A-11 (Other Identifier: ANSM)
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