UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004503
Receipt number R000005383
Scientific Title Evaluation of biomarkers of acute kidney injury (AKI) in the ICU population.
Date of disclosure of the study information 2010/11/08
Last modified on 2018/02/01 11:31:35

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Basic information

Public title

Evaluation of biomarkers of acute kidney injury (AKI) in the ICU population.

Acronym

Evaluation of biomarkers of acute kidney injury (AKI) in the ICU population.

Scientific Title

Evaluation of biomarkers of acute kidney injury (AKI) in the ICU population.

Scientific Title:Acronym

Evaluation of biomarkers of acute kidney injury (AKI) in the ICU population.

Region

Japan


Condition

Condition

acute kidney injury

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The biomarkers including serum/ urinary creatinine, cystatine C, Albumin, NGAL, KIM-1, IL-18, Angiopoietin-1/-2, VEGF, sFlt-1, Vasohibin-1, SVBP, GDF-15, and urinary NAG and L-FABP are measured in an adult ICU population. We examine whether these biomarkers are related to the prediction of the development and the severity of AKI.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The relationship between the development of AKI and serum/ urinary biomarkers.

Key secondary outcomes

1)maximum RIFLE/AKIN class, 2) necessity of renal replacement therapy,3)renal function discharging the ICU, 4)ICU stay, 5)mortality, of AKI patients.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

An adult ICU population at the Okayama University Hospital entered by surgical operation, hemorrhage, infection, shock, respiratory failure, brain disorder, renal disorder, collagen disease, endocrinal disease, neural disorder, allergic disorder, blood disorder, metabolic disorder, trauma, burn injury, et. al.

Key exclusion criteria

The patients already performing renal replacement therapy by end-stage renal disease.
The patients that informed consent was obtained.
Minority (under 20 years old)
The patients that was discharged ICU after entering ICU for 24 hours.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yohei Maeshima

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Division name

Department of Medicine and Clinical Science

Zip code


Address

2-5-1 Shikata-cho, Kitaku, Okayama-city, 700-8558, Japan

TEL

086-235-7235

Email



Public contact

Name of contact person

1st name
Middle name
Last name Yohei Maeshima

Organization

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Division name

Department of Medicine and Clinical Science

Zip code


Address

2-5-1 Shikata-cho, Kitaku, Okayama-city, 700-8558, Japan

TEL

086-235-7235

Homepage URL


Email



Sponsor or person

Institute

Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Medicine and Clinical Science

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

None


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

岡山大学病院(岡山県)


Other administrative information

Date of disclosure of the study information

2010 Year 11 Month 08 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

The urinary levels of prostaglandin E2 (PGE2), PGI2 metabolite (2,3-dinor-6-OXO-PGF1 alfa), thromboxane A2 (TXA2) metabolite (11-dehydro-TXB2) were determined.
Of the 93 patients, 24 developed AKI (AKIN criteria). Overall, the ratio of the level of serum Cr on Day 1 after ICU admission to that observed at baseline positively correlated with the urinary 2,3-dinor-6-OXO-PGF1alfa /Cr (r = 0.57, p < 0.0001) and 11-dehydro-TXB2/Cr (r = 0.47, p < 0.0001) ratios. In 16 cases of de novo AKI, the urinary 2,3-dinor-6-OXO-PGF1 alfa /Cr and 11-dehydro-TXB2/Cr values were significantly elevated compared with that observed in the non-AKI group. The urinary 2,3-dinor-6-OXO-PGF1 alfa /Cr ratio exhibited the best diagnostic and predictive performance among the prostanoid metabolites according to the receiver operating characteristic (ROC) analysis [ROC-area under the curve (AUC): 0.75

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 08 Month 31 Day

Date of IRB


Anticipated trial start date

2010 Year 11 Month 01 Day

Last follow-up date

2013 Year 07 Month 01 Day

Date of closure to data entry

2013 Year 07 Month 01 Day

Date trial data considered complete

2013 Year 07 Month 01 Day

Date analysis concluded

2015 Year 12 Month 01 Day


Other

Other related information

The biomarkers including serum/ urinary creatinine, cystatine C, Albumin, NGAL, KIM-1, IL-18, Angiopoietin-1/-2, VEGF, sFlt-1, Vasohibin-1, SVBP, GDF-15, and urinary NAG and L-FABP are measured in an adult ICU population. We examine whether these biomarkers are related to the prediction of the development and the severity of AKI.


Management information

Registered date

2010 Year 11 Month 04 Day

Last modified on

2018 Year 02 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005383


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name