- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02808845
Microalbuminuria Predicting CIAKI After CAG (MPCC)
June 21, 2016 updated by: The First Affiliated Hospital with Nanjing Medical University
Pre-existing Microalbuminuria Predicting Contrast-induced Acute Kidney Injury (CIAKI) Following Coronary Angiography (CAG)
The purpose of this study is to investigate the association between pre-existing microalbuminuria and contrast-induced acute kidney injury (CIAKI) following coronary angiography (CAG).
Study Overview
Status
Unknown
Intervention / Treatment
Study Type
Observational
Enrollment (Anticipated)
800
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Jiangsu
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Nanjing, Jiangsu, China, 210029
- First Affiliated Hospital of Nanjing Medical University
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
Patients with eGFR ≥ 30 ml/min and without macroalbuminuria (defined as urine albumin to creatinine ratio (ACR) >300 mg/g) on admission are prepared to accept scheduled invasive coronary angiography during hospitalization.
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
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
microalbuminuria with eGFR≥60ml/min
microalbuminuria group with estimated glomerular filtration rate (eGFR) ≥60ml/min.
|
|
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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.
|
|
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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
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
|
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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
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
This is where you will find people and organizations involved with this study.
Investigators
- Study Chair: Zhijian Yang, Doctor, First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 1, 2016
Primary Completion (Anticipated)
December 1, 2020
Study Registration Dates
First Submitted
June 13, 2016
First Submitted That Met QC Criteria
June 21, 2016
First Posted (Estimate)
June 22, 2016
Study Record Updates
Last Update Posted (Estimate)
June 22, 2016
Last Update Submitted That Met QC Criteria
June 21, 2016
Last Verified
June 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CIAKI-1
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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