Status:

COMPLETED

Prevention of Contrast Nephropathy by Sodium Bicarbonate Versus Sodium Chloride and N-acetylcysteine

Lead Sponsor:

Shaare Zedek Medical Center

Conditions:

Acute Renal Failure Contrast Nephropathy

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The objective of this study is to assess the efficacy of sodium bicarbonate compared with sodium chloride and oral N-acetylcysteine (NAC ) pretreatment for prevention of contrast nephropathy in patien...

Detailed Description

PROTOCOL Prevention of Contrast Nephropathy by Sodium Bicarbonate Versus Sodium Chloride and N-Acetylcysteine Nephrology and Cardiology Services, Shaare Zedek Medical Center, Jerusalem 1. Backgroun...

Eligibility Criteria

Inclusion

  • Eligible patients include individuals aged 18 year or older with GFR 15-60ml/min calculated by MDRD formula, who were scheduled to undergo cardiac catheterization. During the randomized study, consecutive eligible patients scheduled for exposure to the nonionic radiographic contrast agent iopamidol (796 mOsm/kg H2O, 755 mg of iopamidol per milliliter, and 370 mg iodine per milliliter) will be considered for enrollment.

Exclusion

  • i. Serum creatinine levels more than 8mg/dl or GFR less than 15ml/min
  • ii. Change in serum creatinine levels of ³0.5mg/dl during the previous 24 hours.
  • iii. Preexisting dialysis
  • iv. Multiple myeloma.
  • v. Pulmonary edema.
  • vi. Uncontrolled hypertension (treated systolic blood pressure more than 160 mmHg, or diastolic blood pressure more than 100mmHg.)
  • vii. Emergency catheterization.
  • viii. Recent exposure to radiographic contrast (within two days of the study).
  • ix. Allergy to radiocontrast.
  • x. Pregnancy.
  • xi. Administration of dopamine, mannitol or NAC before the study.
  • \-

Key Trial Info

Start Date :

January 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2009

Estimated Enrollment :

250 Patients enrolled

Trial Details

Trial ID

NCT00353340

Start Date

January 1 2005

End Date

May 1 2009

Last Update

February 25 2010

Active Locations (1)

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1

Shaare Zmc

Jerusalem, Israel, 91031