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Effect of Dexmedetomidine on Renal Function and Delayed Graft Function After Kidney Transplantation

Primary Purpose

Kidney Transplantation

Status
Unknown status
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Dexmedetomidine
placebo
Sponsored by
Yonsei University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Kidney Transplantation

Eligibility Criteria

20 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. adult (20-80 years old)
  2. patients undergoing elective kidney transplantation

Exclusion Criteria:

  1. emergency surgery
  2. severe sinus bradycardia (<50 beats per min [bpm])
  3. second-degree or third-degree heart block
  4. decreased heart function (EF <30%)
  5. acute myocardial ischemia
  6. serious hepatic dysfunction (Child-Pugh class C)
  7. patients with known or suspected severe adverse reactions to DEX (or clonidine)
  8. treatment with clonidine or dexmedetomidine in the past 30 days

Sites / Locations

  • Department of Anesthesiology and Pain Medicine, Yonsei University College of MedicineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Dexmedetomidine (Group D)

Control (Group C)

Arm Description

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

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

Outcomes

Primary Outcome Measures

Serum creatinine level

Secondary Outcome Measures

incidence of delayed graft function
level of serum creatinine
blood urea nitrogen (BUN)
cystatin C
Neutrophil gelatinase-associated lipocalin (NGAL)
urine output
fluid intake(intraoperative intake and output measured by the amount of fluid(crystalloid/colloid)(mL) and blood administered(mL))
kidney ultrasound
inflammatory mediator (IL-18, Il-1b) level

Full Information

First Posted
October 23, 2017
Last Updated
January 13, 2019
Sponsor
Yonsei University
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1. Study Identification

Unique Protocol Identification Number
NCT03327389
Brief Title
Effect of Dexmedetomidine on Renal Function and Delayed Graft Function After Kidney Transplantation
Official Title
Effect of Dexmedetomidine on Renal Function and Delayed Graft Function After Kidney Transplantation
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Unknown status
Study Start Date
November 1, 2017 (Actual)
Primary Completion Date
September 28, 2019 (Anticipated)
Study Completion Date
September 28, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yonsei University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to elucidate the effect of dexmedetomidine on renal function and delayed graft function after kidney transplantation

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Kidney Transplantation

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Dexmedetomidine group Control group
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
participants, investicator, outcome assessors will be blinded for group allocation.
Allocation
Randomized
Enrollment
104 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dexmedetomidine (Group D)
Arm Type
Experimental
Arm Description
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
Arm Title
Control (Group C)
Arm Type
Placebo Comparator
Arm Description
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
Intervention Type
Drug
Intervention Name(s)
Dexmedetomidine
Intervention Description
dexmedetomidine was infused at a rate of 0.4 μg/kg/h starting immediately after anesthetic induction and continued until skin closure.
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
0.9% NaCl was infused at a rate of 0.4 μg/kg/h starting immediately after anesthetic induction and continued until skin closure
Primary Outcome Measure Information:
Title
Serum creatinine level
Time Frame
postoperative 7 day
Secondary Outcome Measure Information:
Title
incidence of delayed graft function
Time Frame
7 days after surgery
Title
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
Title
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
Title
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
Title
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
Title
urine output
Time Frame
during surgery, 1 day, 2 day, 3 day, 4 day, 5 day, 6 day, 7 day after surgery
Title
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
Title
kidney ultrasound
Time Frame
1 week, 1 month after surgery, if possible
Title
inflammatory mediator (IL-18, Il-1b) level
Time Frame
immediately after induction, immediately after vessel clamp, immediately after reperfusion, 1hour after surgery

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jin Ha Park, MD
Phone
82-2-2228-2420
Ext
82-2-2227-7897
Email
realsummer@yuhs.ac
Facility Information:
Facility Name
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jin Ha Park, MD
Phone
82-2-2228-2420
Ext
82-2-2227-7897
Email
realsummer@yuhs.ac

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34931289
Citation
Park JH, Koo BN, Kim MS, Shin D, Kwak YL. Effects of intraoperative dexmedetomidine infusion on renal function in elective living donor kidney transplantation: a randomized controlled trial. Can J Anaesth. 2022 Apr;69(4):448-459. doi: 10.1007/s12630-021-02173-1. Epub 2021 Dec 20.
Results Reference
derived

Learn more about this trial

Effect of Dexmedetomidine on Renal Function and Delayed Graft Function After Kidney Transplantation

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