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Acetylcysteine Against Acute Renal Insult During Cardiopulmonary Bypass.
This study is currently recruiting participants.
Verified by Far Eastern Memorial Hospital, March 2006
Sponsors and Collaborators: Far Eastern Memorial Hospital
SYNMOSA BIOPHARMA
Information provided by: Far Eastern Memorial Hospital
ClinicalTrials.gov Identifier: NCT00190034
  Purpose

The purpose of this study is to determine whether N-acetylcysteine is effective in the prophylaxis of post-cardiopulmonary bypass acute renal impairment.


Condition Intervention Phase
Cardiovascular Disease
Renal Insufficiency, Acute
Cardiopulmonary Bypass
Drug: N-Acetylcysteine 600mg/tab
Phase IV

Drug Information available for: Acetylcysteine
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Official Title: N-Acetylcysteine Protects Against Acute Renal Insult in Patients With Abnormal Renal Function Undergoing Cardiopulmonary Bypass.

Further study details as provided by Far Eastern Memorial Hospital:

Primary Outcome Measures:
  • Serum creatinine and blood urea nitrogen: before, 48 h and 5 days after the operation procedure.

Estimated Enrollment: 60
Study Start Date: January 2005
Estimated Study Completion Date: June 2006
Detailed Description:

BACKGROUND Reactive oxygen species have been shown to cause contrast-induced nephrotoxicity (CIN). According to previous studies, the N-acetylcysteine has been proved to be advantageous in the avoidance of CIN. We seek to evaluate the efficacy of the antioxidant N-acetylcysteine in limiting the nephrotoxicity after cardiovascular surgery with cardiopulmonary bypass.

METHODS We will prospectively study 60 patients who will receive a cardiovascular surgery with cardiopulmonary bypass. Patients will be randomly assigned to receive either N-acetylcysteine (600 mg orally twice daily for 4 doses) with 0.45% saline intravenously, before and after cardiopulmonary bypass, or placebo with 0.45% saline. Serum creatinine and blood urea nitrogen will be measured before, 48 h and 5 days after the operation procedure.

Expected results Prophylactic oral administration of the antioxidant N-acetylcysteine, along with hydration, will significantly reduce the acute renal damage induced by CPB in patients with chronic renal insufficiency that need cardiovascular procedures.

  Eligibility

Ages Eligible for Study:   16 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All patients who will received cardiac surgery with cardiopulmonary bypass

Exclusion Criteria:

  1. Dialyzed patients
  2. Acute renal failure
  3. Advanced left ventricular systolic dysfunction defined as left ventricular ejection fraction ≦ 35%.
  4. Acute chronic obstructive lung disease or asthma exacerbation
  5. Allergy to N-acetylcysteine
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00190034

Contacts
Contact: Shao-jung Li, M.D. 886-2-8966-7000 ext 1618 shaojung@ms24.hinet.net

Locations
Taiwan, Taipei
Far Eastern Memorial Hospital Recruiting
Pan-Chiao, Taipei, Taiwan, 220
Contact: Shu-Hsun Chu, M.D.     866-2-8966-7000        
Sponsors and Collaborators
Far Eastern Memorial Hospital
SYNMOSA BIOPHARMA
Investigators
Study Chair: Shao-jung Li, M.D. Far Eastern Memorial Hospital
Study Chair: Shao-jung Li, M.D. Far Eastern Memorial Hospital
  More Information

Study ID Numbers: FEMH-93010, FEMH-93-C-030
Study First Received: September 11, 2005
Last Updated: March 5, 2006
ClinicalTrials.gov Identifier: NCT00190034  
Health Authority: Taiwan: Department of Health

Keywords provided by Far Eastern Memorial Hospital:
Acetylcysteine
cardiac surgery
cardiopulmonary bypass
acute renal insufficiency

Study placed in the following topic categories:
Renal Insufficiency
Urologic Diseases
Acetylcysteine
Kidney Diseases
Renal Insufficiency, Acute
N-monoacetylcystine

Additional relevant MeSH terms:
Respiratory System Agents
Anti-Infective Agents
Antioxidants
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Antiviral Agents
Protective Agents
Pharmacologic Actions
Expectorants
Therapeutic Uses
Free Radical Scavengers
Cardiovascular Diseases
Antidotes

ClinicalTrials.gov processed this record on January 16, 2009