Usefulness of Atorvastatin (80 mg) in Prevention of Contrast-Induced Nephropathy in Patients With Chronic Renal Disease
Overview
- Phase
- Phase 4
- Intervention
- Placebo
- Conditions
- Contrast Induced Nephropathy
- Sponsor
- Ospedale Misericordia e Dolce
- Enrollment
- 304
- Primary Endpoint
- Contrast-induced nephropathy was defined as an absolute increase of at least 0.5 mg/dl from the baseline value in serum creatinine concentration within the first 24 hours after contrast exposure and peaking up to 5 days afterwards
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
In this randomized study the investigators wish to explore the role of pre-procedural statin therapy for the prevention of contrast induced nephropathy in patients with moderate-to-severe renal dysfunction, submitted to elective coronary or angioplasty.
Investigators
Mauro Maioli
MD
Ospedale Misericordia e Dolce
Eligibility Criteria
Inclusion Criteria
- •patients with pre-angiographic estimated creatinine clearance \< 60 ml/min
Exclusion Criteria
- •contrast medium administration within the previous 10 days
- •end-stage renal failure requiring dialysis
- •refusal to give informed consent
- •previous therapy with statin
Arms & Interventions
Placebo
placebo
Intervention: Placebo
Atorvastatin
80 mg die of Atorvastatin given at least two days before elective angiography or angioplasty and continued for two days after.
Intervention: Atorvastatin
Outcomes
Primary Outcomes
Contrast-induced nephropathy was defined as an absolute increase of at least 0.5 mg/dl from the baseline value in serum creatinine concentration within the first 24 hours after contrast exposure and peaking up to 5 days afterwards
Time Frame: within 5 days after contrast exposure
Secondary Outcomes
- Relative increase ≥ 25% over baseline serum creatinine within 5 days after contrast agent administration(within 5 days after contrast agent administration)
- Adverse clinical events within 1 month, including in-hospital death and need for dialysis or hemofiltration(1 month)