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Personalized Hydration Strategy for Acute Kidney Injury (NEPTUNE Trial)

N/A
Recruiting
Led By Guillaume Marquis-Gravel, MD, MSc
Research Sponsored by Guillaume Marquis-Gravel
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Planned coronary angiogram and/or PCI
Age ≥18 years
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 months
Awards & highlights

NEPTUNE Trial Summary

This trial is testing whether a new way of giving fluids intravenously can prevent a kidney injury that can be caused by the contrast used in some medical procedures.

Who is the study for?
This trial is for adults over 18 who are about to have a heart procedure like coronary angiogram or PCI and can attend follow-up visits. They should expect to live at least 6 more months. It's not for those in shock, having emergency procedures, recent contrast media exposure, severe heart valve disease, very weak hearts (LVEF <30%), or current kidney issues.Check my eligibility
What is being tested?
NEPTUNE is testing a new IV hydration method against the usual care to prevent kidney damage after heart imaging tests or treatments. The new method considers heart pressure readings, contrast amount used, and initial kidney function. Patients are randomly assigned to either group without knowing which one they're in.See study design
What are the potential side effects?
Potential side effects may include discomfort from IV placement and possible fluid overload due to personalized hydration strategy leading to symptoms like swelling or shortness of breath.

NEPTUNE Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am scheduled for a heart artery examination and/or treatment.
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I am 18 years old or older.

NEPTUNE Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 6 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Contrast-induced acute kidney injury
Secondary outcome measures
All-cause death
Chronic kidney disease
Hospital length-of-stay
+6 more

NEPTUNE Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Personnalized hydration strategyExperimental Treatment1 Intervention
In the experimental group, NS infusion rate will be adjusted based on LVEDP for the whole duration of the procedure (<13 mmHg: 5 ml/kg/h; 13-18 mmHg: 3 ml/kg/h; >18 mmHg: 1.5 ml/kg/h), or for one hour, whichever is the longest. After the procedure, and for a duration of 4 hours, the hydration rate will be adjusted based on the (contrast volume:estimated glomerular filtration rate (eGFR)) ratio, according to the following scheme: 1.5 ml/kg/h if contrast volume/eGFR ratio <2.0; 3 ml/kg/h for contrast volume/eGFR ratio 2.0-2.9; 5 ml/kg/h for contrast volume/eGFR ratio ≥3.0.
Group II: Standard of careActive Control1 Intervention
In the control group, infusion rate will be of 1.5 ml/kg/h during the procedure, and for the 4 following hours.

Find a Location

Who is running the clinical trial?

Guillaume Marquis-GravelLead Sponsor
Montreal Heart InstituteLead Sponsor
120 Previous Clinical Trials
67,661 Total Patients Enrolled
3 Trials studying Acute Kidney Injury
391 Patients Enrolled for Acute Kidney Injury
Université de MontréalOTHER
214 Previous Clinical Trials
101,613 Total Patients Enrolled

Media Library

Personalized hydration strategy Clinical Trial Eligibility Overview. Trial Name: NCT04936607 — N/A
Acute Kidney Injury Research Study Groups: Personnalized hydration strategy, Standard of care
Acute Kidney Injury Clinical Trial 2023: Personalized hydration strategy Highlights & Side Effects. Trial Name: NCT04936607 — N/A
Personalized hydration strategy 2023 Treatment Timeline for Medical Study. Trial Name: NCT04936607 — N/A

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many participants are being accepted into this medical research project?

"Affirmative. According to clinicaltrials.gov, this research is actively recruiting participants since June 28th 2021; the most recent update was on January 19th 2022. 1158 individuals are required across one medical facility for successful completion of the trial."

Answered by AI

Are there any open enrollment opportunities for this clinical trial?

"Indeed, the clinicaltrials.gov website reveals that this medical research project is in active recruitment mode. This study was first posted on June 28th 2021 and has been recently updated on January 19th 2022 with a goal of enrolling 1158 patients from one site."

Answered by AI
~570 spots leftby Jan 2027