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BNP (Nesiritide) Vs. Placebo to Protect Kidney Function in Patients Undergoing Heart Bypass Surgery.
This study is ongoing, but not recruiting participants.
Sponsors and Collaborators: Mayo Clinic
Scios, Inc.
Information provided by: Mayo Clinic
ClinicalTrials.gov Identifier: NCT00252200
  Purpose

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


Condition Intervention Phase
Acute Kidney Failure
Drug: BNP (Nesiritide)
Phase I
Phase II

MedlinePlus related topics: Coronary Artery Bypass Surgery Kidney Failure
Drug Information available for: Nesiritide
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Low Dose Continuous Infusion of BNP (Nesiritide) in the Prevention of Renal Insufficiency Post Cardiopulmonary Bypass Cardiac Surgery.

Further study details as provided by Mayo Clinic:

Primary Outcome Measures:
  • Creatinine Clearance at 72 hours determined by the Cockroft-Gault formula

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

Estimated Enrollment: 40
Study Start Date: March 2003
Estimated Study Completion Date: March 2005
Detailed Description:

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.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Patients with greater than mild renal insufficiency preoperatively as defined by having a creatinine clearance of less than 60 ml/min determined by the Cockroft-Gault formula, undergoing cardiopulmonary bypass surgery.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00252200

Locations
United States, Minnesota
Mayo Clinic
Rochester, Minnesota, United States, 55905
Sponsors and Collaborators
Mayo Clinic
Scios, Inc.
Investigators
Principal Investigator: Horng H. Chen, M.D. Mayo Clinic
  More Information

Study ID Numbers: 621-03
Study First Received: November 10, 2005
Last Updated: November 10, 2005
ClinicalTrials.gov Identifier: NCT00252200  
Health Authority: United States: Institutional Review Board

Study placed in the following topic categories:
Natriuretic Peptide, Brain
Renal Insufficiency
Urologic Diseases
Renal Insufficiency, Acute
Kidney Diseases
Kidney Failure, Acute
Kidney Failure

Additional relevant MeSH terms:
Natriuretic Agents
Therapeutic Uses
Physiological Effects of Drugs
Cardiovascular Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009