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出境医 / 临床实验 / CI-AKI in Patients With Stable CAD and Comorbidities. Are we Doing Better?

CI-AKI in Patients With Stable CAD and Comorbidities. Are we Doing Better?

Study Description
Brief Summary:

Patients aged 18-89 with stable CAD and comorbidities receiving optimal medical treatment requiring PCI with iodinated contrast media.

The aim of the study is to assess the prevalence of contrast-induced AKI in 2012-2013 and 2017 cohorts and to evaluate the potential risk factors of CI-AKI to better guide the prevention in patients of higher risk.


Condition or disease Intervention/treatment
Stable Angina Acute Kidney Injury Contrast-induced Nephropathy Procedure: Iodinated contrast media

Study Design
Layout table for study information
Study Type : Observational
Actual Enrollment : 1023 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: The Impact of Comorbidity as a Risk Factor of Acute Kidney Injury (AKI) in Patients With Stable Coronary Artery Disease (CAD)
Actual Study Start Date : May 16, 2012
Actual Primary Completion Date : October 19, 2017
Actual Study Completion Date : December 12, 2018
Arms and Interventions
Group/Cohort Intervention/treatment
Group 1 (5-year prognosis) Procedure: Iodinated contrast media
Percutaneous coronary intervention with iodinated contest media

Group 2 (1-year prognosis) Procedure: Iodinated contrast media
Percutaneous coronary intervention with iodinated contest media

Outcome Measures
Primary Outcome Measures :
  1. Overall mortality [ Time Frame: 5 years ]
  2. Cardiovascular mortality [ Time Frame: 5 years ]
  3. Myocardial infarction [ Time Frame: 5 years ]
  4. Stroke [ Time Frame: 5 years ]
  5. GI bleeding [ Time Frame: 5 years ]
  6. CABG [ Time Frame: 5 years ]
    CABG after PCI at enrolment

  7. PCI [ Time Frame: 5 years ]
    Repeat PCI after the enrolment


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years to 89 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Sampling Method:   Probability Sample
Study Population
Both genders suffering from stable coronary artery disease, requiring percutaneous coronary intervention with intra-arterial iodinated contrast injection
Criteria

Inclusion Criteria:

  • Informed consent
  • Male and female patients 18 y. o. and older
  • Verified stable coronary artery disease (CAD)
  • Receiving optimal medical treatment and requiring percutaneous coronary intervention (PCI) with iodinated contrast media

Exclusion Criteria:

  • Pregnancy, lactation
  • Conditions affecting the prognosis (kidney failure, liver failure, oncology)
  • Acute coronary syndrome (ACS)
  • Stroke
  • Contraindications to PCI
  • Therapy with nephrotoxic drugs during the enrolment which cannot be stopped
  • Refusal to sign the informed consent
Contacts and Locations

No Contacts or Locations Provided

Tracking Information
First Submitted Date July 7, 2019
First Posted Date July 10, 2019
Last Update Posted Date October 29, 2019
Actual Study Start Date May 16, 2012
Actual Primary Completion Date October 19, 2017   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 7, 2019)
  • Overall mortality [ Time Frame: 5 years ]
  • Cardiovascular mortality [ Time Frame: 5 years ]
  • Myocardial infarction [ Time Frame: 5 years ]
  • Stroke [ Time Frame: 5 years ]
  • GI bleeding [ Time Frame: 5 years ]
  • CABG [ Time Frame: 5 years ]
    CABG after PCI at enrolment
  • PCI [ Time Frame: 5 years ]
    Repeat PCI after the enrolment
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title CI-AKI in Patients With Stable CAD and Comorbidities. Are we Doing Better?
Official Title The Impact of Comorbidity as a Risk Factor of Acute Kidney Injury (AKI) in Patients With Stable Coronary Artery Disease (CAD)
Brief Summary

Patients aged 18-89 with stable CAD and comorbidities receiving optimal medical treatment requiring PCI with iodinated contrast media.

The aim of the study is to assess the prevalence of contrast-induced AKI in 2012-2013 and 2017 cohorts and to evaluate the potential risk factors of CI-AKI to better guide the prevention in patients of higher risk.

Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Probability Sample
Study Population Both genders suffering from stable coronary artery disease, requiring percutaneous coronary intervention with intra-arterial iodinated contrast injection
Condition
  • Stable Angina
  • Acute Kidney Injury
  • Contrast-induced Nephropathy
Intervention Procedure: Iodinated contrast media
Percutaneous coronary intervention with iodinated contest media
Study Groups/Cohorts
  • Group 1 (5-year prognosis)
    Intervention: Procedure: Iodinated contrast media
  • Group 2 (1-year prognosis)
    Intervention: Procedure: Iodinated contrast media
Publications *
  • Mironova OIu. [Contrast substances-induced nephropathy]. Ter Arkh. 2013;85(6):90-5. Review. Russian.
  • Mironova OI, Deev AD, Lakotka PG, Fomin VV. [Anemia as a risk factor of contrast-associated acute kidney injury]. Ter Arkh. 2020 Dec 15;92(12):48-52. doi: 10.26442/00403660.2020.12.200450. Russian.
  • Mironova OI, Staroverov II, Sivakova OA, Deev AD, Fomin VV. [Contrast-induced acute kidney injury in chronic coronary artery disease patients with diabetes mellitus and obesity]. Ter Arkh. 2020 Nov 24;92(10):29-33. doi: 10.26442/00403660.2020.10.000753. Russian.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: July 7, 2019)
1023
Original Actual Enrollment Same as current
Actual Study Completion Date December 12, 2018
Actual Primary Completion Date October 19, 2017   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Informed consent
  • Male and female patients 18 y. o. and older
  • Verified stable coronary artery disease (CAD)
  • Receiving optimal medical treatment and requiring percutaneous coronary intervention (PCI) with iodinated contrast media

Exclusion Criteria:

  • Pregnancy, lactation
  • Conditions affecting the prognosis (kidney failure, liver failure, oncology)
  • Acute coronary syndrome (ACS)
  • Stroke
  • Contraindications to PCI
  • Therapy with nephrotoxic drugs during the enrolment which cannot be stopped
  • Refusal to sign the informed consent
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years to 89 Years   (Adult, Older Adult)
Accepts Healthy Volunteers Not Provided
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries Not Provided
Removed Location Countries  
 
Administrative Information
NCT Number NCT04014153
Other Study ID Numbers 1/13
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Responsible Party Olga Mironova, I.M. Sechenov First Moscow State Medical University
Study Sponsor I.M. Sechenov First Moscow State Medical University
Collaborators Not Provided
Investigators Not Provided
PRS Account I.M. Sechenov First Moscow State Medical University
Verification Date October 2019