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By conducting this trial, it will be investigated if a short-term calorie restriction can protect the kidney from the negative influence of contrast agent.

Phase 1
Conditions
contrast-induced nephropathy, acute renal failure
Therapeutic area: Not possible to specify
Registration Number
EUCTR2012-003696-18-DE
Lead Sponsor
niversity of Cologne
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

1.men and women 18 years of age or older
2.caucasian origin
3.scheduled coronary angiography
4.indication for coronary angiography is determined by the referring physician
5.Patient and/or legal guardian must be willing and able to give written
informed consent
6.at least one of the following risk factors:
•serumkreatinine > 1,1 mg/dl in male patients or serumkreatinin > 0,9 mg/dl in
female patients
•Diabetes mellitus
•peripher arteriovascular disease
•heartfailure with NYHA 3-4 or ejection fraction = 50%
•age over 70 years
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 80
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 80

Exclusion Criteria

1.End-stage renal disease (patient on dialysis);
2.Indwelling kidney transplant;
3.Malnutrition (BMI < 18,5 kg/m2);
4.Body weight < 46 kg in male, < 51 kg in female;
5.BMI > 35 kg/m2 or body weight > 120 kg;
6. diet within the previous 4 weeks;
7.Inappetence ;
8.Weight loss > 1 kg within the previous 2 weeks, if not explained by use of
diuretics;
09.Consuming underlying disease;
10.Uncontrolled local or systemic infection;
11.Contraindication for enteral nutrition;
12.Known allergy against or incompatibility with ingredients of the employed
formula-diet;
13.Pregnancy or breast feeding;
14.Participation in other interventional clinical trials;
15.Missing safe method of contraception or missing occurence of menopause
(in female);
16.Professional or private relationship between subject and the investigators
or dependence on the investigators;
17.Placement in an institution based on official orders.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The intention of this trial is to investigate, if a short-term calorie restriction before contrast agent administration can prevent contrast induced nephropathy.;Primary end point(s): Analysis of the increase of serum creatinine 48h after the onset of coronary intervention (contrast agent exposition).;Timepoint(s) of evaluation of this end point: 48 hours after intervention;Secondary Objective: Analysis of the increase of serum creatinine 24h after the onset of coronary intervention (contrast agent exposition); Neutrophil gelatinase-associated lipocalin (NGAL in µg/l) in urine 24h after the onset of coronary intervention (contrast agent exposition); Cystatin C in plasma (mg/l) 24h after the onset of coronary intervention (contrast agent exposition)
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Analysis of the increase of serum creatinine 24h after the onset of coronary intervention (contrast agent exposition); Neutrophil gelatinase-associated lipocalin (NGAL in µg/l) in urine 24h after the onset of coronary intervention (contrast agent exposition); Cystatin C in plasma (mg/l) 24h after the onset of coronary intervention (contrast agent exposition);Timepoint(s) of evaluation of this end point: 24 hours after intervention
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