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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03754023
Registration number
NCT03754023
Ethics application status
Date submitted
12/11/2018
Date registered
27/11/2018
Titles & IDs
Public title
Biomarker Rule in/Out in Patients With Acute Diseases for Validation of AKI (BRAVA) Acute Kidney Injury
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Scientific title
The Potential Role of Biomarkers (Urine TIMP-IGFBP7) in Determining the Incidence of Acute Kidney Injury (AKI) in All-comers Patients Presenting to the Emergency Department With Acute Diseases
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Secondary ID [1]
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BRAVA Study
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Universal Trial Number (UTN)
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Trial acronym
BRAVA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Kidney Injury
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Condition category
Condition code
Renal and Urogenital
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Kidney disease
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Injuries and Accidents
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Other injuries and accidents
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Skin
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0
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Other skin conditions
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Diagnosis / Prognosis - Urine-TIMP-IGFBP7 biomarker for AKI
Diagnosis / Prognosis: Urine-TIMP-IGFBP7 biomarker for AKI
Urine-TIMP-IGFBP7 biomarker for AKI
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Diagnostic performance of urine TIMP-IGFBP7 as early biomarker in ruling in or ruling out acute kidney damage in patients presenting to ED with acute diseases.
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Assessment method [1]
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Timepoint [1]
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48 hours
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Secondary outcome [1]
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Overall length in days of hospital stay
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Assessment method [1]
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Timepoint [1]
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30 hours
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Secondary outcome [2]
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Incidence of chronic kidney disease (CKD)
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Assessment method [2]
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0
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Timepoint [2]
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30 days
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Secondary outcome [3]
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Overall mortality
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Assessment method [3]
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Timepoint [3]
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30 days
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Secondary outcome [4]
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Regional (different countries in Asia Pacific Region) incidence of AKI in a cohort of patients presenting to the ED with acute diseases
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Assessment method [4]
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Timepoint [4]
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48 hours
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Eligibility
Key inclusion criteria
Patient Inclusion Criteria
* Age = 21 years
* >30% risk of developing AKI based on treating physicians' clinical evaluation AND/OR Presence of ONE OF the following conditions:
* Suspected or confirmed sepsis.
* Acute decompensated heart failure.
* Prolonged gastrointestinal losses from vomiting or diarrhea
* Major trauma
* Major bleeding (e.g. gastrointestinal, pulmonary, genitourinary)
* Severe burns
* Diabetic crisis (DKA, HHS)
* Decompensated liver cirrhosis
* Acute coronary syndrome
* Emergent need for iodinated contrast studies
* Shock from any cause
Patient
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Minimum age
21
Years
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Maximum age
80
Years
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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
Exclusion Criteria
* Age < 21 years.
* Unable to give informed consent
* Undergoing hemodialysis or peritoneal dialysis
* Pregnancy
* Terminal illness with < 6 months prognosis
* Do-not-resuscitate status
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2018
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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
30/11/2019
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Sample size
Target
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Accrual to date
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Final
818
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Prince of Wales Hospital - Sidney
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Recruitment postcode(s) [1]
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NSW2031 - Sidney
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Recruitment outside Australia
Country [1]
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India
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State/province [1]
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Hyderabad
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Country [2]
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Korea, Republic of
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State/province [2]
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Seoul
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Country [3]
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Singapore
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State/province [3]
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Singapore
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Country [4]
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Thailand
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State/province [4]
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Bangkok
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Funding & Sponsors
Primary sponsor type
Other
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Name
GREAT Network Italy
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The presence or development of AKI impacts on outcomes in patients presenting with acute conditions to the ED. As a result, treating physicians are often concerned with the risk of AKI and take such risk in consideration when making subsequent therapeutic and diagnostic decisions which may result in delaying or withholding therapeutic measures in order to prevent further kidney damage (i.e. avoid imaging studies with contrast media). If clinicians could be informed early that a patient is at minimal risk for AKI, they could deploy timely and optimal diagnostic and treatment procedures for the underlying disease of the patient without major concerns for causing or exacerbating kidney damage
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Trial website
https://clinicaltrials.gov/study/NCT03754023
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Trial related presentations / publications
Ostermann M, Joannidis M. Acute kidney injury 2016: diagnosis and diagnostic workup. Crit Care. 2016 Sep 27;20(1):299. doi: 10.1186/s13054-016-1478-z. Hoste EA, Bagshaw SM, Bellomo R, Cely CM, Colman R, Cruz DN, Edipidis K, Forni LG, Gomersall CD, Govil D, Honore PM, Joannes-Boyau O, Joannidis M, Korhonen AM, Lavrentieva A, Mehta RL, Palevsky P, Roessler E, Ronco C, Uchino S, Vazquez JA, Vidal Andrade E, Webb S, Kellum JA. Epidemiology of acute kidney injury in critically ill patients: the multinational AKI-EPI study. Intensive Care Med. 2015 Aug;41(8):1411-23. doi: 10.1007/s00134-015-3934-7. Epub 2015 Jul 11. Wetz AJ, Richardt EM, Wand S, Kunze N, Schotola H, Quintel M, Brauer A, Moerer O. Quantification of urinary TIMP-2 and IGFBP-7: an adequate diagnostic test to predict acute kidney injury after cardiac surgery? Crit Care. 2015 Jan 6;19(1):3. doi: 10.1186/s13054-014-0717-4.
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Public notes
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Contacts
Principal investigator
Name
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Salvatore Di Somma
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Address
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GREAT Network Italy
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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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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 scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
There is no plan to make IPD available
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03754023