Effect of Dexmedetomidine on Renal Function and Delayed Graft Function After Kidney Transplantation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jin Ha Park, MD
- Phone Number: 82-2-2227-7897 82-2-2228-2420
- Email: realsummer@yuhs.ac
Study Locations
-
-
-
Seoul, Korea, Republic of, 03722
- Recruiting
- Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine
-
Contact:
- Jin Ha Park, MD
- Phone Number: 82-2-2227-7897 82-2-2228-2420
- Email: realsummer@yuhs.ac
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- adult (20-80 years old)
- patients undergoing elective kidney transplantation
Exclusion Criteria:
- emergency surgery
- severe sinus bradycardia (<50 beats per min [bpm])
- second-degree or third-degree heart block
- decreased heart function (EF <30%)
- acute myocardial ischemia
- serious hepatic dysfunction (Child-Pugh class C)
- patients with known or suspected severe adverse reactions to DEX (or clonidine)
- treatment with clonidine or dexmedetomidine in the past 30 days
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dexmedetomidine (Group D)
Dexmedetomidine infusion during surgery Dexmedetomidine was infused at a rate of 0.4 μg/kg/h starting immediately after anesthetic induction and continued until skin closure
|
dexmedetomidine was infused at a rate of 0.4 μg/kg/h starting immediately after anesthetic induction and continued until skin closure.
|
|
Placebo Comparator: Control (Group C)
0.9% NaCl infusion during surgery 0.9% NaCl was infused at a rate of 0.4 μg/kg/h starting immediately after anesthetic induction and continued until skin closure
|
0.9% NaCl was infused at a rate of 0.4 μg/kg/h starting immediately after anesthetic induction and continued until skin closure
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Serum creatinine level
Time Frame: postoperative 7 day
|
postoperative 7 day
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
incidence of delayed graft function
Time Frame: 7 days after surgery
|
7 days after surgery
|
|
level of serum creatinine
Time Frame: maximum 30 days before surgery, 1 hour after surgery, 1 day, 2 day, 3 day, 5 day, 7 day after surgery
|
maximum 30 days before surgery, 1 hour after surgery, 1 day, 2 day, 3 day, 5 day, 7 day after surgery
|
|
blood urea nitrogen (BUN)
Time Frame: maximum 30 days before surgery, 1 hour after surgery, 1 day, 2 day, 3 day, 5 day, 7 day after surgery
|
maximum 30 days before surgery, 1 hour after surgery, 1 day, 2 day, 3 day, 5 day, 7 day after surgery
|
|
cystatin C
Time Frame: maximum 30 days before surgery, 1 hour after surgery, 1 day, 2 day, 3 day, 5 day, 7 day after surgery
|
maximum 30 days before surgery, 1 hour after surgery, 1 day, 2 day, 3 day, 5 day, 7 day after surgery
|
|
Neutrophil gelatinase-associated lipocalin (NGAL)
Time Frame: maximum 30 days before surgery, 1 hour after surgery, 1 day, 2 day, 3 day, 5 day, 7 day after surgery
|
maximum 30 days before surgery, 1 hour after surgery, 1 day, 2 day, 3 day, 5 day, 7 day after surgery
|
|
urine output
Time Frame: during surgery, 1 day, 2 day, 3 day, 4 day, 5 day, 6 day, 7 day after surgery
|
during surgery, 1 day, 2 day, 3 day, 4 day, 5 day, 6 day, 7 day after surgery
|
|
fluid intake(intraoperative intake and output measured by the amount of fluid(crystalloid/colloid)(mL) and blood administered(mL))
Time Frame: during surgery, 1 day, 2 day, 3 day, 4 day, 5 day, 6 day, 7 day after surgery
|
during surgery, 1 day, 2 day, 3 day, 4 day, 5 day, 6 day, 7 day after surgery
|
|
kidney ultrasound
Time Frame: 1 week, 1 month after surgery, if possible
|
1 week, 1 month after surgery, if possible
|
|
inflammatory mediator (IL-18, Il-1b) level
Time Frame: immediately after induction, immediately after vessel clamp, immediately after reperfusion, 1hour after surgery
|
immediately after induction, immediately after vessel clamp, immediately after reperfusion, 1hour after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- Pathologic Processes
- Delayed Graft Function
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Analgesics, Non-Narcotic
- Adrenergic alpha-2 Receptor Agonists
- Adrenergic alpha-Agonists
- Adrenergic Agonists
- Hypnotics and Sedatives
- Dexmedetomidine
Other Study ID Numbers
Other Study ID Numbers
- 4-2017-0767
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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