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Trial registered on ANZCTR
Registration number
ACTRN12606000058572
Ethics application status
Approved
Date submitted
19/01/2006
Date registered
9/02/2006
Date last updated
14/10/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Early Intervention in Acute Renal Failure
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Scientific title
A multi-site randomised phase IV study to evaluate the effectiveness of intravenous erythropoietin in preventing intensive care unit patients with acute kidney injury from developing acute renal failure.
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Universal Trial Number (UTN)
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Trial acronym
EARLY ARF 2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Renal Failure
1022
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Condition category
Condition code
Renal and Urogenital
1099
1099
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intravenous Erythropoietin in 2 doses at 0 and 24 hours after the detection of a raised urinary acute kidney injury index
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Intervention code [1]
848
0
Treatment: Drugs
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Comparator / control treatment
placebo in 2 doses at 0 and 24 hours after the detection of a raised urinary acute kidney injury index
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The achieved plasma creatinine levels
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Assessment method [1]
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Timepoint [1]
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7 days after randomisation. Plasma creatinine will be monitored for up to 12 months after the intervention.
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Secondary outcome [1]
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Dialysis free survival
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Assessment method [1]
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Timepoint [1]
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Patients will be followed up for 12 months after enrollment.
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Secondary outcome [2]
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Dialysis free interval
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Assessment method [2]
2627
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Timepoint [2]
2627
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Patients will be followed up for 12 months after enrollment.
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Secondary outcome [3]
2628
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Duration of ICU stay
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Assessment method [3]
2628
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Timepoint [3]
2628
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Patients will be followed up for 12 months after enrollment.
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Secondary outcome [4]
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Mortality rate
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Assessment method [4]
2629
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Timepoint [4]
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Patients will be followed up for 12 months after enrollment.
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Secondary outcome [5]
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eGFR (estimated Glomerular Filtration Rate)
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Assessment method [5]
2630
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Timepoint [5]
2630
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Patients will be followed up for 12 months after enrollment.
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Secondary outcome [6]
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Creatinine at 30 days.
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Assessment method [6]
2631
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Timepoint [6]
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Patients will be followed up for 12 months after enrollment.
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Eligibility
Key inclusion criteria
1. Gamma Glutamyl Transpeptidase X Alkaline Phosphatase index of >46.3 u/mmol. 2. Likely survival >72 hours. 3. Consent obtained.
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Minimum age
16
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Active cytotoxic chemotherapy in progress2. Pre existing renal disease (serum creatinine >0.345 mmol/L)3. presence of rhabdomyolysis and/or myoglobinuria4. Already enrolled in another interventional study or previously enrolled in this study5. Increase of plasma creatinine of > 43 µmol/L over the previous 24 hours.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The pharmacy department will allocate blinded drug/placebo containing syringes according to a stratified randomisation process.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A random number generator has been used and stratified for location. The generator of random number is in-house software developed specifically for randomisation in clinical trials wriiten in visual basic.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
23/01/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
130
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
261
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New Zealand
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State/province [1]
261
0
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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The Health Research Council of New Zealand
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Address [1]
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PO Box 5541, Wellesley Street, Auckland, New Zealand
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Country [1]
1202
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New Zealand
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Primary sponsor type
Government body
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Name
The Health Research Council of New Zealand
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Address
PO Box 5541, Wellesley Street, Auckland, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Nil
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Address [1]
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Country [1]
1061
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Multi-regional ethics-the Intensive Care Units in Christchurch Hospital
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Ethics committee address [1]
2540
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
2540
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Approval date [1]
2540
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Ethics approval number [1]
2540
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Ethics committee name [2]
2541
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Multi-regional ethics-the Intensive Care Units in Dunedin Hospital
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Ethics committee address [2]
2541
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Ethics committee country [2]
2541
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New Zealand
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Date submitted for ethics approval [2]
2541
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Approval date [2]
2541
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Ethics approval number [2]
2541
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Summary
Brief summary
Patients admitted to a general intensive care unit and high risk post cardiothoracic surgery patients will be screened for renal injury using urinary biomarkers and randomised within 6 hours of admission to two doses of placebo or erythropoietin at 24 hour intervals. Subjects, investigators and treating clinicians will be blinded to treatment throughout the study.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr John Pickering
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Address
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Research Manager/Research Fellow
Christchurch Kidney Research Group Department of Medicine Christchurch School of Medicine and Health Sciences PO Box 4345 Christchurch
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Country
10037
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New Zealand
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Phone
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+64 0 33641112
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Fax
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+64 0 33640935
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Zoltan Endre
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Address
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Head of Department
Department of Medicine
Christchurch School of Medicine and Health Sciences
PO Box 4345
Christchurch
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Country
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New Zealand
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Phone
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+64 0 33641847
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Fax
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+64 0 33640935
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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