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临床试验/NCT00252200
NCT00252200已完成1 期

Low Dose Continuous Infusion of BNP (Nesiritide) in the Prevention of Renal Insufficiency Post Cardiopulmonary Bypass Cardiac Surgery.

Mayo Clinic2 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2003年3月1日最近更新:
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试验速览

阶段
1 期
状态
已完成
发起方
Mayo Clinic
入组人数
40
试验地点
2
主要终点
Creatinine Clearance at 72 hours determined by the Cockroft-Gault formula

研究概览

简要总结

Use of BNP (nesiritide) vs placebo to help protect kidney function in patients undergoing heart bypass surgery.

详细描述

This is a randomized, double-blind, placebo controlled study of low dose nesiritide to prevent renal insufficiency after cardiopulmonary bypass surgery. Patients included are those with greater than mild renal insufficiency preoperatively as defined by having a creatinine clearance of less than 50 mL/minute determined by the Cockroft-Gault formula. The infusion of nesiritide (BNP) 0.005 mcg/Kg/minute or placebo begins 1 hour before surgery and runs for 24 hours started after the induction of anesthesia prior to cardiopulmonary bypass.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Care Provider, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients > 18 years old, undergoing cardiac surgery requiring cardiopulmonary bypass with baseline creatinine clearance < 50 ml/min and who are not dialysis dependent.

排除标准

  • Cardiogenic shock or hypotension with systolic BP < 90 mmHg.
  • Patients with acute or chronic aortic dissection.
  • Patients who are enrolled in other studies that have an effect the renal function.

结局指标

主要结局

Creatinine Clearance at 72 hours determined by the Cockroft-Gault formula

时间窗: 72 hours post op

次要结局

  • Need or absence of need for inotropic support in the 72 hour perioperative period(72 hours perioperative)
  • Number of patients requiring dialysis during the hospitalization(before hospital discharge)
  • Plasma aldosterone levels at 12 hours and 24 hours(12 hours and 24 hours postoperatively)
  • Total time on ventilator, ICU length of stay, total length of stay in hospital(total length of hospital stay)
  • pre and postoperative diuretic dose used(pre operative and postoperate)

研究者

发起方
Mayo Clinic
申办方类型
Other

研究点 (2)

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