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Prophylactic Effect of Nifedipine on Further Decline in Renal Function in Patients Undergoing Open-Heart Surgery

Primary Purpose

Kidney Failure, Chronic, Coronary Artery Disease

Status
Completed
Phase
Phase 4
Locations
Norway
Study Type
Interventional
Intervention
Nifedipine
Sponsored by
University of Oslo School of Pharmacy
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Kidney Failure, Chronic focused on measuring Preventive Therapy, Calcium Channel Blockers, Kidney Failure, Chronic, Coronary Artery Bypass, Heart Valve Prosthesis Implantation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients of either gender above 18 years of age. Patients with significant coronary stenosi(e)s (≥ 75% coronary artery lumen surface stenosi(e)s and / or aortic- or mitral valve vitriuim that are accepted for coronary artery bypass surgery and/or valve replacement surgery. Patients with impaired renal function, defined as increased serum- creatinine. Men: ≥ 150 µmol/l and Women: ≥130 µmol/l. Exclusion Criteria: Patients on maintenance hemodialysis Renal transplant patients Patients with ejection fraction ≤ 35% Patients with unstable angina pectoris

Sites / Locations

  • Rikshospitalet University Hospital

Outcomes

Primary Outcome Measures

Primary efficacy endpoint is change in renal function, evaluated by 51Cr-EDTA clearance between 24 hours pre open-heart surgery and 48 hours post open-heart surgery. Sample size is 20, ten in each group.

Secondary Outcome Measures

Change in renal function after open-heart surgery, as measured by cimetidine refined serum creatinine clearance with measurements preoperatively and 2-6 hours, 20-24 hours and 44-48 hours postoperatively. Need for dialysis post-operatively.

Full Information

First Posted
October 25, 2005
Last Updated
December 20, 2006
Sponsor
University of Oslo School of Pharmacy
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1. Study Identification

Unique Protocol Identification Number
NCT00244530
Brief Title
Prophylactic Effect of Nifedipine on Further Decline in Renal Function in Patients Undergoing Open-Heart Surgery
Official Title
Postoperative Renal Function After Open-Heart Surgery in Patients With Impaired Renal Function Preoperatively. A Study of the Calcium Channel Blocker Nifedipine's Prophylactic Effect on Further Decline in Renal Function.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2006
Overall Recruitment Status
Completed
Study Start Date
June 2001 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
October 2005 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
University of Oslo School of Pharmacy

4. Oversight

5. Study Description

Brief Summary
To compare renal function (51Cr-EDTA clearance) 48 hours post open-heart surgery (coronary bypass or valve surgery) in patients with impaired renal function after randomization to either nifedipine infusion at start of surgery and the following 24 hours or placebo (0.9% saline infusion). Study hypothesis is that nifedipine has a prophylactic effect on decline in renal function.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Kidney Failure, Chronic, Coronary Artery Disease
Keywords
Preventive Therapy, Calcium Channel Blockers, Kidney Failure, Chronic, Coronary Artery Bypass, Heart Valve Prosthesis Implantation

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Nifedipine
Primary Outcome Measure Information:
Title
Primary efficacy endpoint is change in renal function, evaluated by 51Cr-EDTA clearance between 24 hours pre open-heart surgery and 48 hours post open-heart surgery. Sample size is 20, ten in each group.
Secondary Outcome Measure Information:
Title
Change in renal function after open-heart surgery, as measured by cimetidine refined serum creatinine clearance with measurements preoperatively and 2-6 hours, 20-24 hours and 44-48 hours postoperatively. Need for dialysis post-operatively.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients of either gender above 18 years of age. Patients with significant coronary stenosi(e)s (≥ 75% coronary artery lumen surface stenosi(e)s and / or aortic- or mitral valve vitriuim that are accepted for coronary artery bypass surgery and/or valve replacement surgery. Patients with impaired renal function, defined as increased serum- creatinine. Men: ≥ 150 µmol/l and Women: ≥130 µmol/l. Exclusion Criteria: Patients on maintenance hemodialysis Renal transplant patients Patients with ejection fraction ≤ 35% Patients with unstable angina pectoris
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jan F Bugge, MD, PhD
Organizational Affiliation
Rikshospitalet University Hospital, Oslo, Norway
Official's Role
Study Chair
Facility Information:
Facility Name
Rikshospitalet University Hospital
City
Oslo
ZIP/Postal Code
0027
Country
Norway

12. IPD Sharing Statement

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Prophylactic Effect of Nifedipine on Further Decline in Renal Function in Patients Undergoing Open-Heart Surgery

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