Microalbuminuria Predicting CIAKI After CAG (MPCC)
Pre-existing Microalbuminuria Predicting Contrast-induced Acute Kidney Injury (CIAKI) Following Coronary Angiography (CAG)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Haoyu Meng, Master
- Phone Number: +86 15805167259
- Email: 15805167259@163.com
Study Contact Backup
- Name: Zhijian Yang, Doctor
- Phone Number: +86 13809030208
- Email: zhijianyangnj@njmu.edu.cn
Study Locations
-
-
Jiangsu
-
Nanjing, Jiangsu, China, 210029
- First Affiliated Hospital of Nanjing Medical University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients with eGFR≥30ml/min and without macroalbuminuria undergoing CAG.
Exclusion Criteria:
- Pregnancy
- Lactation
- Allergic history of contrast media
- Having been received contrast media within 7 days
- Use of nephrotoxic medications within 7 days
- eGFR <30 ml/min, macroalbuminuria (ACR >300 mg/g)
- Renal transplantation, emergent coronary angiography
- Cardiogenic shock, pulmonary edema
- Use of intra-aortic balloon pump (IABP) or mechanical ventilation
- Multiple myeloma and other malignant tumor
- Life expectancy less than 12 months
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
microalbuminuria with eGFR≥60ml/min
microalbuminuria group with estimated glomerular filtration rate (eGFR) ≥60ml/min.
|
|
|
normal-albuminuria group with eGFR≥60ml/min
normal-albuminuria group with estimated glomerular filtration rate (eGFR) ≥60ml/min.
|
|
|
microalbuminuria group with eGFR<60ml/min
microalbuminuria group with estimated glomerular filtration rate (eGFR) <60ml/min.
|
|
|
normal-albuminuria group with eGFR<60ml/min
normal-albuminuria group with estimated glomerular filtration rate (eGFR) <60ml/min.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
changes of serum creatinine (SCr, umol/L)
Time Frame: 24-48 hours after CAG
|
the difference of SCr before and after CAG.
|
24-48 hours after CAG
|
|
number of participants with increase in SCr of at least 44.2 umol/L higher than before
Time Frame: 24-48 hours after CAG
|
number of participants with the difference of SCr before and after CAG over 44.2 umol/L.
|
24-48 hours after CAG
|
|
number of participants with increase of SCr over 25% higher than before
Time Frame: 24-48 hours after CAG
|
number of participants with an increase of SCr over 25% higher than before.
|
24-48 hours after CAG
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
changes of urine albumin to creatinine ratio (ACR, mg/g)
Time Frame: 24-48 hours after CAG
|
the difference of ACR before and after CAG
|
24-48 hours after CAG
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Zhijian Yang, Doctor, First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital
Publications and helpful links
General Publications
- National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002 Feb;39(2 Suppl 1):S1-266. No abstract available.
- Rihal CS, Textor SC, Grill DE, Berger PB, Ting HH, Best PJ, Singh M, Bell MR, Barsness GW, Mathew V, Garratt KN, Holmes DR Jr. Incidence and prognostic importance of acute renal failure after percutaneous coronary intervention. Circulation. 2002 May 14;105(19):2259-64. doi: 10.1161/01.cir.0000016043.87291.33.
- Pucelikova T, Dangas G, Mehran R. Contrast-induced nephropathy. Catheter Cardiovasc Interv. 2008 Jan 1;71(1):62-72. doi: 10.1002/ccd.21207.
- Jo SH, Youn TJ, Koo BK, Park JS, Kang HJ, Cho YS, Chung WY, Joo GW, Chae IH, Choi DJ, Oh BH, Lee MM, Park YB, Kim HS. Renal toxicity evaluation and comparison between visipaque (iodixanol) and hexabrix (ioxaglate) in patients with renal insufficiency undergoing coronary angiography: the RECOVER study: a randomized controlled trial. J Am Coll Cardiol. 2006 Sep 5;48(5):924-30. doi: 10.1016/j.jacc.2006.06.047. Epub 2006 Aug 17.
- Marenzi G, Assanelli E, Campodonico J, Lauri G, Marana I, De Metrio M, Moltrasio M, Grazi M, Rubino M, Veglia F, Fabbiocchi F, Bartorelli AL. Contrast volume during primary percutaneous coronary intervention and subsequent contrast-induced nephropathy and mortality. Ann Intern Med. 2009 Feb 3;150(3):170-7. doi: 10.7326/0003-4819-150-3-200902030-00006.
- Cronin RE. Contrast-induced nephropathy: pathogenesis and prevention. Pediatr Nephrol. 2010 Feb;25(2):191-204. doi: 10.1007/s00467-009-1204-z. Epub 2009 May 15.
- Lambers Heerspink HJ, Brinkman JW, Bakker SJ, Gansevoort RT, de Zeeuw D. Update on microalbuminuria as a biomarker in renal and cardiovascular disease. Curr Opin Nephrol Hypertens. 2006 Nov;15(6):631-6. doi: 10.1097/01.mnh.0000247496.54882.3f.
- Stehouwer CD, Smulders YM. Microalbuminuria and risk for cardiovascular disease: Analysis of potential mechanisms. J Am Soc Nephrol. 2006 Aug;17(8):2106-11. doi: 10.1681/ASN.2005121288. Epub 2006 Jul 6.
- Baber U, Mann D, Shimbo D, Woodward M, Olin JW, Muntner P. Combined role of reduced estimated glomerular filtration rate and microalbuminuria on the prevalence of peripheral arterial disease. Am J Cardiol. 2009 Nov 15;104(10):1446-51. doi: 10.1016/j.amjcard.2009.06.068.
- Bakris GL, Ruilope L, Locatelli F, Ptaszynska A, Pieske B, de Champlain J, Weber MA, Raz I. Treatment of microalbuminuria in hypertensive subjects with elevated cardiovascular risk: results of the IMPROVE trial. Kidney Int. 2007 Oct;72(7):879-85. doi: 10.1038/sj.ki.5002455. Epub 2007 Aug 1.
- Sany D, Refaat H, Elshahawy Y, Mohab A, Ezzat H. Frequency and risk factors of contrast-induced nephropathy after cardiac catheterization in type II diabetic patients: a study among Egyptian patients. Ren Fail. 2014 Mar;36(2):191-7. doi: 10.3109/0886022X.2013.843400. Epub 2013 Oct 21.
- Meng H, Wu P, Zhao Y, Xu Z, Wang ZM, Li C, Wang L, Yang Z. Microalbuminuria in patients with preserved renal function as a risk factor for contrast-Induced acute kidney injury following invasive coronary angiography. Eur J Radiol. 2016 Jun;85(6):1063-7. doi: 10.1016/j.ejrad.2016.03.010. Epub 2016 Mar 16.
Helpful Links
- Click here for more information about this study: Microalbuminuria Predicting CIAKI After CAG
- Click here for more information about this study: Microalbuminuria Predicting CIAKI After CAG
- Click here for more information about this study: Microalbuminuria Predicting CIAKI After CAG
- Click here for more information about this study: Microalbuminuria Predicting CIAKI After CAG
- Click here for more information about this study: Microalbuminuria Predicting CIAKI After CAG
- Click here for more information about this study: Microalbuminuria Predicting CIAKI After CAG
- Click here for more information about this study: Microalbuminuria Predicting CIAKI After CAG
- Click here for more information about this study: Microalbuminuria Predicting CIAKI After CAG
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
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
- CIAKI-1
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