rhBNP for Prevention of Cardiac Surgery-Associated Acute Kidney Injury (CSA-AKI) (PROTECT-CS)
perjantai 29. toukokuuta 2026 päivittänyt: China National Center for Cardiovascular Diseases
Perioperative Recombinant Human Brain Natriuretic Peptide for Renal Protection in Cardiac Surgery: the PROTECT-CS Randomized Clinical Trial
Cardiac surgery-associated acute kidney injury (CSA-AKI) is a common and serious perioperative complication, independently associated with prolonged hospitalization, increased mortality, and progression to chronic kidney disease. Despite advances in surgical techniques and postoperative care, no widely accepted pharmacological prevention strategy exists.
Recombinant human brain natriuretic peptide (rhBNP) exerts vasodilatory, diuretic, and natriuretic effects, reduces cardiac preload and afterload, and has demonstrated safety and efficacy in treating congestive heart failure. Preliminary studies suggest rhBNP may reduce postoperative serum creatinine, increase urine output, and improve renal outcomes; however, large-scale randomized controlled evidence is lacking.
The PROTECT-CS trial is a multicenter, prospective, randomized, double-blind, placebo-controlled trial evaluating the efficacy and safety of perioperative continuous intravenous rhBNP infusion (0.01 μg/kg/min for 48 ± 2 hours) for prevention of AKI in high-risk patients undergoing cardiac surgery with cardiopulmonary bypass. A total of 694 participants will be enrolled across 7 centers in China.
Tutkimuksen yleiskatsaus
Tila
Ei vielä rekrytointia
Yksityiskohtainen kuvaus
Acute kidney injury (AKI) is one of the most common and serious complications following cardiac surgery. CSA-AKI is independently associated with short-term adverse outcomes including prolonged ICU stay, increased need for renal replacement therapy, and in-hospital mortality, as well as long-term consequences including progression to chronic kidney disease and elevated cardiovascular mortality. Despite extensive research efforts, current clinical management of CSA-AKI remains largely supportive, and no pharmacological intervention has been established as a standard preventive strategy in international guidelines.
Recombinant human brain natriuretic peptide (rhBNP, generic name: nesiritide) shares structural and biological activity highly similar to endogenous BNP. Its pharmacological properties include arterial and venous vasodilation, promotion of natriuresis and diuresis, reduction of cardiac preload and afterload, and direct improvement of glomerular filtration rate without adversely affecting serum potassium or creatinine. rhBNP has been widely used in Chinese cardiac surgery and critical care centers for perioperative hemodynamic optimization. Published small-sample randomized trials and a recent meta-analysis have suggested potential renal protective benefits of perioperative rhBNP in cardiac surgery patients; however, these studies were limited by small sample sizes, heterogeneous populations, and the use of renal endpoints as exploratory rather than primary outcomes.
The PROTECT-CS trial aims to address this evidence gap. Eligible participants are adults aged ≥18 years scheduled for elective cardiac surgery under cardiopulmonary bypass who have at least one AKI risk factor (age ≥70 years, preoperative renal impairment, type 2 diabetes mellitus, or heart failure). Participants will be randomized 1:1 using a central IWRS system, stratified by study center with a block size of 6, to receive either continuous intravenous rhBNP at 0.01 μg/kg/min or an equivalent volume of normal saline (placebo), initiated from anesthetic induction to the onset of cardiopulmonary bypass and continued for 48 ± 2 hours total. All participants receive standard perioperative care throughout.
The primary endpoint is the incidence of AKI diagnosed per KDIGO criteria within 7 days postoperatively. Secondary endpoints include AKI incidence within 72 hours, AKI duration and severity, need for renal replacement therapy during hospitalization, changes in renal function biomarkers, hemodynamic parameters, diuretic and vasoactive drug use, major adverse kidney events at 30 and 90 days (MAKE-30 and MAKE-90), 30-day all-cause mortality, ICU and hospital length of stay, and total hospitalization costs.
An independent Data Monitoring Committee (DMC) will conduct periodic safety reviews and a pre-planned interim analysis. Adverse drug reactions are graded per NCI-CTCAE Version 5.0. All study data are collected via an electronic data capture (EDC) system and managed in accordance with GCP standards.
Opintotyyppi
Interventio
Ilmoittautuminen (Arvioitu)
694
Vaihe
- Vaihe 4
Yhteystiedot ja paikat
Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.
Opiskeluyhteys
- Nimi: Sheng Liu, MD
- Puhelinnumero: +86-10-88392313
- Sähköposti: liusheng@fuwai.com
Tutki yhteystietojen varmuuskopiointi
- Nimi: Heng Zhang, MD
- Puhelinnumero: +86-10-88322315
Opiskelupaikat
-
-
-
Beijing, Kiina
- Fuwai Hospital, Chinese Academy of Medical Sciences
-
Ottaa yhteyttä:
- Sheng Liu, MD
- Puhelinnumero: +86-10-88392313
-
-
Osallistumiskriteerit
Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Ei
Kuvaus
Inclusion Criteria:
- Age ≥ 18 years
- Scheduled (elective) cardiac surgery requiring cardiopulmonary bypass
- Presence of at least one of the following AKI risk factors:
- Age ≥ 70 years
- Preoperative renal impairment (eGFR ≤ 60 mL/min/1.73 m² or urine protein ≥ +2 at screening)
- Type 2 diabetes mellitus
- Heart failure, defined as NYHA Class II-IV with NT-proBNP ≥ 125 pg/mL at screening; for participants with atrial fibrillation, NT-proBNP ≥ 365 pg/mL is required
- Able to understand and provide written informed consent, and willing and able to comply with all study protocol requirements
Exclusion Criteria:
- Cardiogenic shock
- Severe hypotension (systolic blood pressure ≤ 90 mmHg) at screening
- Restrictive or obstructive cardiomyopathy, pericarditis, or cardiac tamponade
- Preoperative chronic kidney disease stage 4 or higher (eGFR < 30 mL/min/1.73 m²), or renal instability as judged by the investigator
- Known AKI diagnosed per KDIGO criteria within 48 hours prior to surgery
- Receipt of any form of renal replacement therapy within 30 days prior to surgery
- Use of ventricular assist device, intra-aortic balloon pump, or any other mechanical cardiac support device within 7 days prior to surgery
- Chronic hepatic insufficiency (Child-Pugh Class B or C) or hepatic dysfunction (ALT or AST > 2× upper limit of normal [ULN], or total bilirubin > 1.5× ULN)
- Active hepatitis B (HBsAg positive with HBV-DNA indicating active viral replication), active hepatitis C (HCV antibody positive with HCV-RNA indicating active viral replication), positive syphilis screen, known HIV infection, or positive HIV test
- Confirmed or treated endocarditis, sepsis, or active infection requiring antibiotic treatment within 30 days prior to surgery
- Requirement for aortic dissection repair, complex congenital heart surgery, emergency surgery, or life-saving surgery
- History of malignant tumor, solid tumor, metastatic tumor, or hematological malignancy within the past 5 years
- Prior organ transplantation or current use of immunosuppressive agents
- Any condition that may conflict with or contraindicate the use of intravenous vasodilator therapy
- Prior adverse reaction to nesiritide (recombinant BNP)
- Participation in any other clinical trial within 30 days prior to surgery
- Pregnant or breastfeeding women
- Any other condition that, in the judgment of the investigator, renders the participant unsuitable for study participation
Opintosuunnitelma
Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Ennaltaehkäisy
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Nelinkertaistaa
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: rhBNP Treatment Group
Participants receive continuous intravenous infusion of recombinant human brain natriuretic peptide (rhBNP) at 0.01 μg/kg/min, initiated from anesthetic induction to the onset of cardiopulmonary bypass, administered continuously for 48 ± 2 hours.
All participants receive standard perioperative cardiac surgical care.
|
Continuous intravenous infusion of rhBNP at 0.01 μg/kg/min, initiated at anesthetic induction and continued for 48 ± 2 hours.
The infusion rate is consistent with the approved dosage range in the drug prescribing information.
|
|
Placebo Comparator: Placebo Control Group
Participants receive continuous intravenous infusion of normal saline at an equivalent rate and volume, initiated from anesthetic induction to the onset of cardiopulmonary bypass, administered continuously for 48 ± 2 hours.
All participants receive standard perioperative cardiac surgical care.
|
Continuous intravenous infusion of normal saline at an equivalent volume and rate to the rhBNP arm, initiated at anesthetic induction and continued for 48 ± 2 hours.
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Incidence of acute kidney injury (AKI) within 7 days postoperatively, diagnosed per KDIGO criteria
Aikaikkuna: Within 7 days after surgery, or until hospital discharge if earlier
|
AKI defined per KDIGO 2012 criteria as any of: (1) serum creatinine increase ≥ 0.3 mg/dL (≥ 26.5 μmol/L) within 48 hours; (2) serum creatinine increase to ≥ 1.5 times baseline within 7 days; or (3) urine output < 0.5 mL/kg/h for ≥ 6 consecutive hours.
If a participant is discharged earlier than postoperative day 7, AKI events occurring in-hospital are recorded.
|
Within 7 days after surgery, or until hospital discharge if earlier
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Incidence of AKI within 72 hours postoperatively, diagnosed according to KDIGO criteria
Aikaikkuna: Within 72 hours after surgery
|
Within 72 hours after surgery
|
|
|
Duration of AKI by KDIGO criteria
Aikaikkuna: Within 7 days after surgery, or until hospital discharge if earlier
|
Duration of AKI among participants who develop AKI within 7 days postoperatively, recorded in hours from onset to resolution per KDIGO criteria.
If a participant is discharged earlier than postoperative day 7, in-hospital AKI events are recorded.
|
Within 7 days after surgery, or until hospital discharge if earlier
|
|
Severity of AKI by KDIGO stage
Aikaikkuna: Within 7 days after surgery, or until hospital discharge if earlier
|
Distribution of participants across KDIGO Stage 1, Stage 2, and Stage 3, based on the maximum stage reached.
If a participant is discharged earlier than postoperative day 7, in-hospital AKI events are recorded.
|
Within 7 days after surgery, or until hospital discharge if earlier
|
|
Incidence of any form of renal replacement therapy (RRT) during the index hospitalization
Aikaikkuna: During the index hospitalization
|
Number of participants receiving any form of RRT (intermittent hemodialysis, continuous renal replacement therapy, or peritoneal dialysis) during the surgical hospitalization.
|
During the index hospitalization
|
|
Change in serum creatinine from preoperative baseline
Aikaikkuna: 6, 24, 48, and 120 hours and 7 days after surgery
|
Baseline defined as the last preoperative laboratory result.
|
6, 24, 48, and 120 hours and 7 days after surgery
|
|
Change in urinary creatinine from preoperative baseline
Aikaikkuna: 6, 24, 48, and 120 hours and 7 days after surgery
|
Baseline defined as the last preoperative laboratory result.
|
6, 24, 48, and 120 hours and 7 days after surgery
|
|
Change in estimated glomerular filtration rate (eGFR) from preoperative baseline
Aikaikkuna: 6, 24, 48, and 120 hours and 7 days after surgery
|
Baseline defined as the last preoperative laboratory result.
|
6, 24, 48, and 120 hours and 7 days after surgery
|
|
Change in pulmonary capillary wedge pressure (PCWP) from post-surgical baseline
Aikaikkuna: 6, 12, 24, and 48 hours after surgery
|
Baseline defined as the first measurement obtained after completion of surgery.
|
6, 12, 24, and 48 hours after surgery
|
|
Change in central venous pressure (CVP) from post-surgical baseline
Aikaikkuna: 6, 12, 24, and 48 hours after surgery
|
Baseline defined as the first measurement obtained after completion of surgery.
|
6, 12, 24, and 48 hours after surgery
|
|
Change in cardiac output (CO) from post-surgical baseline
Aikaikkuna: 6, 12, 24, and 48 hours after surgery
|
Baseline defined as the first measurement obtained after completion of surgery.
|
6, 12, 24, and 48 hours after surgery
|
|
Change in cardiac index (CI) from post-surgical baseline
Aikaikkuna: 6, 12, 24, and 48 hours after surgery
|
Baseline defined as the first measurement obtained after completion of surgery.
|
6, 12, 24, and 48 hours after surgery
|
|
Total intraoperative and postoperative diuretic dose
Aikaikkuna: From anesthetic induction until hospital discharge
|
Cumulative dose of diuretic agents administered intraoperatively and postoperatively, reported by drug.
|
From anesthetic induction until hospital discharge
|
|
Total intraoperative and postoperative inotrope dose
Aikaikkuna: From anesthetic induction until hospital discharge
|
Cumulative dose of inotropic agents administered intraoperatively and postoperatively, reported by drug.
|
From anesthetic induction until hospital discharge
|
|
Total intraoperative and postoperative vasopressor dose
Aikaikkuna: From anesthetic induction until hospital discharge
|
Cumulative dose of vasopressor agents administered intraoperatively and postoperatively, reported by drug.
|
From anesthetic induction until hospital discharge
|
|
Total intraoperative and postoperative vasodilator dose
Aikaikkuna: From anesthetic induction until hospital discharge
|
Cumulative dose of vasodilator agents administered intraoperatively and postoperatively, reported by drug.
|
From anesthetic induction until hospital discharge
|
|
Major Adverse Kidney Events at 30 days (MAKE-30)
Aikaikkuna: 30 days after surgery
|
Composite endpoint defined as the occurrence of any of the following: death from any cause, receipt of renal replacement therapy, or ≥25% decline in eGFR from baseline.
|
30 days after surgery
|
|
Major Adverse Kidney Events at 90 days (MAKE-90)
Aikaikkuna: 90 days after surgery
|
Composite endpoint defined as the occurrence of any of the following: death from any cause, receipt of renal replacement therapy, or ≥25% decline in eGFR from baseline.
|
90 days after surgery
|
|
All-cause mortality at 30 days
Aikaikkuna: 30 days after surgery
|
30 days after surgery
|
|
|
Total ICU length of stay
Aikaikkuna: Postoperative (From ICU admission until ICU discharge, an average of 3 days)
|
Total ICU length of stay during the index hospitalization, calculated as the difference between ICU exit time and ICU admission time.
For participants with multiple ICU admissions, total ICU length of stay is the sum of all individual ICU stays.
|
Postoperative (From ICU admission until ICU discharge, an average of 3 days)
|
|
Postoperative hospital length of stay during the index hospitalization
Aikaikkuna: Postoperative (From the day of surgery until hospital discharge, an average of 7 days)
|
Postoperative hospital length of stay during the index hospitalization, calculated as the number of days from the date of surgery to the date of hospital discharge.
Days of hospitalization before surgery are not included.
|
Postoperative (From the day of surgery until hospital discharge, an average of 7 days)
|
|
Total postoperative medical costs during the index hospitalization
Aikaikkuna: Postoperative (From the day of surgery until hospital discharge, an average of 7 days)
|
Total postoperative medical costs during the index hospitalization, calculated as the sum of all itemized hospital charges incurred from the date of surgery to the date of hospital discharge (including but not limited to surgical fees, ICU fees, medications, laboratory tests, imaging, nursing care, and bed fees), extracted from the hospital information system (HIS) billing records.
Charges incurred before surgery are not included.
|
Postoperative (From the day of surgery until hospital discharge, an average of 7 days)
|
Yhteistyökumppanit ja tutkijat
Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.
Yhteistyökumppanit
Tutkijat
- Päätutkija: Sheng Liu, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
Julkaisuja ja hyödyllisiä linkkejä
Tutkimusta koskevien tietojen syöttämisestä vastaava henkilö toimittaa nämä julkaisut vapaaehtoisesti. Nämä voivat koskea mitä tahansa tutkimukseen liittyvää.
Yleiset julkaisut
- Hoste EAJ, Kellum JA, Selby NM, Zarbock A, Palevsky PM, Bagshaw SM, Goldstein SL, Cerda J, Chawla LS. Global epidemiology and outcomes of acute kidney injury. Nat Rev Nephrol. 2018 Oct;14(10):607-625. doi: 10.1038/s41581-018-0052-0.
- Chen HH, Anstrom KJ, Givertz MM, Stevenson LW, Semigran MJ, Goldsmith SR, Bart BA, Bull DA, Stehlik J, LeWinter MM, Konstam MA, Huggins GS, Rouleau JL, O'Meara E, Tang WH, Starling RC, Butler J, Deswal A, Felker GM, O'Connor CM, Bonita RE, Margulies KB, Cappola TP, Ofili EO, Mann DL, Davila-Roman VG, McNulty SE, Borlaug BA, Velazquez EJ, Lee KL, Shah MR, Hernandez AF, Braunwald E, Redfield MM; NHLBI Heart Failure Clinical Research Network. Low-dose dopamine or low-dose nesiritide in acute heart failure with renal dysfunction: the ROSE acute heart failure randomized trial. JAMA. 2013 Dec 18;310(23):2533-43. doi: 10.1001/jama.2013.282190.
- Kellum JA, Romagnani P, Ashuntantang G, Ronco C, Zarbock A, Anders HJ. Acute kidney injury. Nat Rev Dis Primers. 2021 Jul 15;7(1):52. doi: 10.1038/s41572-021-00284-z.
- Jia P, Ji Q, Zou Z, Zeng Q, Ren T, Chen W, Yan Z, Shen D, Li Y, Peng F, Su Y, Xu J, Shen B, Luo Z, Wang C, Ding X. Effect of Delayed Remote Ischemic Preconditioning on Acute Kidney Injury and Outcomes in Patients Undergoing Cardiac Surgery: A Randomized Clinical Trial. Circulation. 2024 Oct 22;150(17):1366-1376. doi: 10.1161/CIRCULATIONAHA.124.071408. Epub 2024 Sep 25.
- Perez-Fernandez X, Ulsamer A, Camara-Rosell M, Sbraga F, Boza-Hernandez E, Moret-Ruiz E, Plata-Menchaca E, Santiago-Bautista D, Boronat-Garcia P, Gumucio-Sanguino V, Penafiel-Munoz J, Camacho-Perez M, Betbese-Roig A, Forni L, Campos-Gomez A, Sabater-Riera J; SIRAKI02 Study Group. Extracorporeal Blood Purification and Acute Kidney Injury in Cardiac Surgery: The SIRAKI02 Randomized Clinical Trial. JAMA. 2024 Nov 5;332(17):1446-1454. doi: 10.1001/jama.2024.20630.
- Landoni G, Monaco F, Ti LK, Baiardo Redaelli M, Bradic N, Comis M, Kotani Y, Brambillasca C, Garofalo E, Scandroglio AM, Viscido C, Paternoster G, Franco A, Porta S, Ferrod F, Calabro MG, Pisano A, Vendramin I, Barucco G, Federici F, Severi L, Belletti A, Cortegiani A, Bruni A, Galbiati C, Covino A, Baryshnikova E, Giardina G, Venditto M, Kroeller D, Nakhnoukh C, Mantovani L, Silvetti S, Licheri M, Guarracino F, Lobreglio R, Di Prima AL, Fresilli S, Labanca R, Mucchetti M, Lembo R, Losiggio R, Bove T, Ranucci M, Fominskiy E, Longhini F, Zangrillo A, Bellomo R; PROTECTION Study Group. A Randomized Trial of Intravenous Amino Acids for Kidney Protection. N Engl J Med. 2024 Aug 22;391(8):687-698. doi: 10.1056/NEJMoa2403769. Epub 2024 Jun 12.
- Shao J, Wang L, Shao C, Wang Y, Li J, Luo J, Du Z, Hou X. Effects of Perioperative Recombinant Human Brain Natriuretic Peptide in Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis. Rev Cardiovasc Med. 2025 Sep 18;26(9):36423. doi: 10.31083/RCM36423. eCollection 2025 Sep.
- Shehabi Y, Balachandran M, Al-Bassam W, Bailey M, Bellomo R, Bihari S, Brown A, Brown A, Collins D, Darlison PR, Li MA, Mandarano R, Sarode V, Pakavakis A; ALBICS AKI Study Investigators. Postoperative 20% Albumin Infusion and Acute Kidney Injury in High-Risk Cardiac Surgery Patients: The ALBICS AKI Randomized Clinical Trial. JAMA Surg. 2025 Aug 1;160(8):835-844. doi: 10.1001/jamasurg.2025.1683.
- Thielmann M, Corteville D, Szabo G, Swaminathan M, Lamy A, Lehner LJ, Brown CD, Noiseux N, Atta MG, Squiers EC, Erlich S, Rothenstein D, Molitoris B, Mazer CD. Teprasiran, a Small Interfering RNA, for the Prevention of Acute Kidney Injury in High-Risk Patients Undergoing Cardiac Surgery: A Randomized Clinical Study. Circulation. 2021 Oct 5;144(14):1133-1144. doi: 10.1161/CIRCULATIONAHA.120.053029. Epub 2021 Sep 3.
- Chen HH, Sundt TM, Cook DJ, Heublein DM, Burnett JC Jr. Low dose nesiritide and the preservation of renal function in patients with renal dysfunction undergoing cardiopulmonary-bypass surgery: a double-blind placebo-controlled pilot study. Circulation. 2007 Sep 11;116(11 Suppl):I134-8. doi: 10.1161/CIRCULATIONAHA.106.697250.
- Mentzer RM Jr, Oz MC, Sladen RN, Graeve AH, Hebeler RF Jr, Luber JM Jr, Smedira NG; NAPA Investigators. Effects of perioperative nesiritide in patients with left ventricular dysfunction undergoing cardiac surgery:the NAPA Trial. J Am Coll Cardiol. 2007 Feb 13;49(6):716-26. doi: 10.1016/j.jacc.2006.10.048. Epub 2006 Dec 11.
- Ejaz AA, Martin TD, Johnson RJ, Winterstein AG, Klodell CT, Hess PJ Jr, Ali AK, Whidden EM, Staples NL, Alexander JA, House-Fancher MA, Beaver TM. Prophylactic nesiritide does not prevent dialysis or all-cause mortality in patients undergoing high-risk cardiac surgery. J Thorac Cardiovasc Surg. 2009 Oct;138(4):959-64. doi: 10.1016/j.jtcvs.2009.05.014. Epub 2009 Jul 3.
- O'Connor CM, Starling RC, Hernandez AF, Armstrong PW, Dickstein K, Hasselblad V, Heizer GM, Komajda M, Massie BM, McMurray JJ, Nieminen MS, Reist CJ, Rouleau JL, Swedberg K, Adams KF Jr, Anker SD, Atar D, Battler A, Botero R, Bohidar NR, Butler J, Clausell N, Corbalan R, Costanzo MR, Dahlstrom U, Deckelbaum LI, Diaz R, Dunlap ME, Ezekowitz JA, Feldman D, Felker GM, Fonarow GC, Gennevois D, Gottlieb SS, Hill JA, Hollander JE, Howlett JG, Hudson MP, Kociol RD, Krum H, Laucevicius A, Levy WC, Mendez GF, Metra M, Mittal S, Oh BH, Pereira NL, Ponikowski P, Tang WH, Tanomsup S, Teerlink JR, Triposkiadis F, Troughton RW, Voors AA, Whellan DJ, Zannad F, Califf RM. Effect of nesiritide in patients with acute decompensated heart failure. N Engl J Med. 2011 Jul 7;365(1):32-43. doi: 10.1056/NEJMoa1100171.
- Zarbock A, Forni L, Koyner JL, Gomez H, Pannu N, Ostermann M, Bellomo R, Kellum JA, von Groote T. Preventing acute kidney injury and its longer-term impact in the critically ill. Intensive Care Med. 2025 Jul;51(7):1331-1347. doi: 10.1007/s00134-025-08015-8. Epub 2025 Jul 15.
- Zarbock A, Weiss R, Albert F, Rutledge K, Kellum JA, Bellomo R, Grigoryev E, Candela-Toha AM, Demir ZA, Legros V, Rosenberger P, Galan Menendez P, Garcia Alvarez M, Peng K, Leger M, Khalel W, Orhan-Sungur M, Meersch M; EPIS-AKI Investigators. Epidemiology of surgery associated acute kidney injury (EPIS-AKI): a prospective international observational multi-center clinical study. Intensive Care Med. 2023 Dec;49(12):1441-1455. doi: 10.1007/s00134-023-07169-7. Epub 2023 Jul 28.
Hyödyllisiä linkkejä
Opintojen ennätyspäivät
Nämä päivämäärät seuraavat ClinicalTrials.gov-sivustolle lähetettyjen tutkimustietueiden ja yhteenvetojen edistymistä. National Library of Medicine (NLM) tarkistaa tutkimustiedot ja raportoidut tulokset varmistaakseen, että ne täyttävät tietyt laadunvalvontastandardit, ennen kuin ne julkaistaan julkisella verkkosivustolla.
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Perjantai 1. toukokuuta 2026
Ensisijainen valmistuminen (Arvioitu)
Maanantai 31. tammikuuta 2028
Opintojen valmistuminen (Arvioitu)
Tiistai 31. heinäkuuta 2029
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Torstai 14. toukokuuta 2026
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Perjantai 29. toukokuuta 2026
Ensimmäinen Lähetetty (Todellinen)
Maanantai 1. kesäkuuta 2026
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Maanantai 1. kesäkuuta 2026
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Perjantai 29. toukokuuta 2026
Viimeksi vahvistettu
Keskiviikko 1. huhtikuuta 2026
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Urogenitaaliset sairaudet
- Miesten urogenitaaliset sairaudet
- Munuaissairaudet
- Urologiset sairaudet
- Naisten virtsa- ja sukupuolielinten sairaudet
- Naisten virtsa- ja sukupuolielinten sairaudet ja raskauden komplikaatiot
- Munuaisten vajaatoiminta
- Akuutti munuaisvaurio
- Lääkevalmisteet
- Kristalloidiliuokset
- Isotoniset ratkaisut
- Ratkaisut
- Suolaliuos
Muut tutkimustunnusnumerot
- 2026-3155
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
JOO
IPD-suunnitelman kuvaus
De-identified individual participant data (IPD) underlying the results reported in the primary publication will be made available upon reasonable request, after approval by the principal investigator and data access committee, beginning 12 months after publication of the primary results and available for 36 months thereafter.
Data will be shared via a secure data transfer platform.
Requests should include a methodologically sound proposal and be directed to the principal investigator.
IPD-jakamista tukeva tietotyyppi
- STUDY_PROTOCOL
- MAHLA
- ICF
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Ei
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
Ei
Yhdysvalloissa valmistettu ja sieltä viety tuote
Ei
Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .