Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06615102

Reducing Cardiac-surgery Associated Acute Kidney Injury Occurence by Administering Angiotensin II

Led by Universität Münster · Updated on 2025-07-18

1022

Participants Needed

4

Research Sites

104 weeks

Total Duration

On this page

Sponsors

U

Universität Münster

Lead Sponsor

G

German Research Foundation

Collaborating Sponsor

AI-Summary

What this Trial Is About

The study intervention focuses on exploring the use of angiotensin II as a primary vasopressor compared to norepinephrine in cardiac surgery patients to investigate whether angiotensin II can reduce the occurrence of moderate/severe acute kidney injury (AKI). Despite its potential, as suggested by trials involving surgical patients, there is currently no human data confirming its effectiveness in preventing moderate/severe AKI in this context. The intervention aims to address this gap by evaluating angiotensin II's impact compared to norepinephrine.

CONDITIONS

Official Title

Reducing Cardiac-surgery Associated Acute Kidney Injury Occurence by Administering Angiotensin II

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults 18 years or older
  • Undergoing cardiac surgery using cardiopulmonary bypass including coronary artery bypass grafting (CABG), valve surgery, or combined CABG/valve surgery
  • Elevated risk of acute kidney injury (AKI) predicted by a score of 1.5 or higher based on hemoglobin, creatinine, age, NYHA class, and BMI
  • Provided written informed consent
Not Eligible

You will not qualify if you...

  • Major aortic surgery, transplant surgery, pulmonary thrombendarterectomy, or ventricular assist device placement
  • Receiving inotropic or vasopressor support before surgery
  • Dialysis dependent
  • Pre-existing acute kidney injury within the last 30 days
  • Chronic kidney injury with estimated glomerular filtration rate (eGFR) below 20 ml/min/1.73m2
  • Significant hypertension with persistent systolic blood pressure over 180 mmHg
  • Significant pulmonary hypertension with right ventricular dysfunction worse than mild
  • Allergy to study drugs or their components
  • Pregnant or breastfeeding women
  • Dependency on the investigator or employment by the sponsor/investigator
  • Participation in another interventional trial affecting kidney function within the last three months

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

Deutsches Herzzentrum der Charité

Berlin, Germany, 13353

Actively Recruiting

2

University Hospital Bonn

Bonn, Germany, 53127

Actively Recruiting

3

University Medical Center Mainz

Mainz, Germany, 55131

Actively Recruiting

4

University Hospital Münster

Münster, Germany, 49149

Actively Recruiting

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Research Team

A

Alexander Zarbock, MD

CONTACT

M

Melanie Meersch-Dini, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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