Status:

COMPLETED

Reducing Acute Kidney Injury Occurence by Administering Angiotensin II

Lead Sponsor:

Universität Münster

Collaborating Sponsors:

German Research Foundation

Conditions:

Cardiac Surgery

Vasoplegia

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The aim of this study is to evaluate whether adding angiotensin II to the standard of care is superior compared to the standard of care alone with respect to kidney damage (personalized approach) afte...

Detailed Description

Vasoplegic syndrome is a form of distributive shock that is characterized by low arterial pressure with reduced systemic vascular resistance and normal or elevated cardiac output that occurs in 5 to 2...

Eligibility Criteria

Inclusion

  • Adult patients undergoing cardiac surgery with CPB
  • Cardiac index 2.1l/min per square meter
  • Written informed consent
  • D-renin (difference between post- and preoperative) ≥ 3.7 micro Unit/ml 4 h after CPB
  • Postoperative hypotension requiring vasopressors

Exclusion

  • Preexisting AKI (stage 1 and higher)
  • Patients with cardiac assist devices
  • Pregnant women, nursing women and women of childbearing potential
  • Known (Glomerulo-) Nephritis, interstitial nephritis or vasculitis
  • chronic kidney disease with estimated glomerular filtration rate (eGFR) \< 30 ml/min
  • Dialysis dependent chronic kidney disease
  • Prior kidney transplant within the last to 12 months
  • Emergency surgery in the context of an acute coronary syndrome
  • Hypersensitivity to the active substance, or to any of the excipients of the study medication
  • Bronchospasm
  • Liver failure
  • Mesenteric ischemia
  • Participation in another intervention trial in the past 3 months
  • Persons with any kind of dependency on the investigator or employed by the institution responsible or investigator
  • Persons held in an institution by legal or official order

Key Trial Info

Start Date :

December 27 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 19 2023

Estimated Enrollment :

64 Patients enrolled

Trial Details

Trial ID

NCT05199493

Start Date

December 27 2021

End Date

March 19 2023

Last Update

March 24 2023

Active Locations (1)

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Page 1 of 1 (1 locations)

1

University Hospital Muenster

Münster, Germany, 48149