Short-Term Alpha Lipoic Acid Therapy for Prevention of Contrast-induced Acute Kidney Injury and Endothelial Dysfunction in Type 2 Diabetes
Overview
- Phase
- Phase 4
- Intervention
- Alpha lipoic acid
- Conditions
- Acute Kidney Injury
- Sponsor
- Xiang Guang-da
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- The changes of endothelium-dependent arterial dilation before and after contrast administrated
- Last Updated
- 12 years ago
Overview
Brief Summary
Contrast-induced acute kidney injury (CIAKI) is a major complication with adverse outcomes after contrast media injection. Although the risk of developing CIAKI is low in patients with normal renal function, it is dramatically higher in patients with conditions such as diabetes mellitus (DM) or chronic kidney disease (CKD). More recently, our data showed that contrast agents can induce endothelial dysfunction partially via free radicals in diabetes. Therefore, strategies to prevent CIAKI and endothelial dysfunction in DM patients with CKD are urgently needed. Alpha-lipoic acid and its reduced form, dihydrolipoate, are potent antioxidants. We hypothesized that alpha lipoic acid can prevent the contrast-induced acute kidney injury and endothelial dysfunction in type 2 diabetes.
Investigators
Xiang Guang-da
Director of Endocrinol Dept.
Wuhan General Hospital of Guangzhou Military Command
Eligibility Criteria
Inclusion Criteria
- •type 2 diabetes
- •nephropathy (stage 3 and 4)
Exclusion Criteria
- •recive alpha lipoic acid
- •type 1 diabetes
- •nephropathy (stagte 1, 2 and 5)
- •hypersensitivity to contrast media
- •IV heart failure
- •lactic acidosis
Arms & Interventions
Placebo intervention group
Only 0.9% sodium chloride 250 ml was given for this group.
Intervention: Alpha lipoic acid
alpha-lipoic acid group
Alpha lipoic acid 600 mg in 0.9% sodium chloride 250 ml was given before and after contrast agent was administrated.
Intervention: Alpha lipoic acid
Outcomes
Primary Outcomes
The changes of endothelium-dependent arterial dilation before and after contrast administrated
Time Frame: 6 months
Contrast induced acte kidney injury
Time Frame: 6 months