Status:

COMPLETED

Drug Nephrotoxicity Amelioration by N-acetylcysteine

Lead Sponsor:

Helwan University

Conditions:

Drug-Induced Nephropathy

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

When treating individuals with febrile neutropenia, amphotericin B (AmB-d) is one of the most effective treatments against often fatal systemic fungal infections.Nephrotoxicity from amphotericin B can...

Detailed Description

Severe fungal infections continue to be a significant source of morbidity and mortality in haematology units despite recent therapeutic advancements. The first anti-fungal medication that was successf...

Eligibility Criteria

Inclusion

  • Age more than 18 years.
  • Patients who have indication for systemic (injection) for conventional amphotericin at least 7 days.

Exclusion

  • documented acute kidney injury defined by an increase in serum creatinine ‡ 0.3 mg/dl within 48 h, or an increase in serum creatinine by ‡ 1.5 times baseline within the prior 7 days, or urine volume \<0.5 ml/kg/h for 6 h
  • documented chronic kidney disease (clearance creatinine below 60 ml/min/1.73 m2 calculated by the abbreviated Modification of Diet in Renal Disease equation), history of peritoneal or hemodialysis for \> 3 months
  • sepsis
  • Severe hemorrhage(Blood loss \> 3 litres)
  • Patient with cardiac or chronic liver disease history of receiving AmB by any administration route within the recent 14 days known allergy to either amphotericin b or N-acetylcysteine.
  • receiving any formulation of NAC within the last week.
  • unable to tolerate oral intake.

Key Trial Info

Start Date :

August 25 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 10 2024

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06122311

Start Date

August 25 2023

End Date

June 10 2024

Last Update

July 5 2024

Active Locations (1)

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1

Helwan University

Cairo, Egypt