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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04303455
Registration number
NCT04303455
Ethics application status
Date submitted
8/03/2020
Date registered
11/03/2020
Titles & IDs
Public title
Renin as a Biomarker of Haemodynamic Normalisation
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Scientific title
Renin as a Biomarker of Haemodynamic Normalisation: Associations With Outcomes After Cardiac Surgery
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Secondary ID [1]
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2019/PID15341
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Shock
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Cardiovascular
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Other cardiovascular diseases
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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 - blood sampling
Study group - The study will evaluate a cohort of participants meeting the following inclusion criteria:
1. Admission to ICU after elective and emergency cardiac surgery following cardiopulmonary bypass
2. Age 18 years and above
3. Arterial, central venous and pulmonary arterial catheters have been inserted as part of routine care
Data collection, serum renin among routine blood collection on admission, 6 and 24 hours after admission to ICU
Diagnosis / Prognosis: blood sampling
sampling serum renin
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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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Patterns of changes in serum renin concentrations are associated with composite morbidity at 30 days in participants who have undergone cardiac surgery.
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Assessment method [1]
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Timepoint [1]
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30 days
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Secondary outcome [1]
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Patterns of changes in serum renin concentrations correlate with current markers of resuscitation in participants who have undergone cardiac surgery ( C.I, SvO2, MAP, urine output, serum lactate, based deficit, venoarterial CO2 gradients)
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Assessment method [1]
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Timepoint [1]
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24 hours
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Secondary outcome [2]
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Serum renin concentrations correlate with Pmsa in postoperative cardiac surgical patients
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Assessment method [2]
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Timepoint [2]
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24 hours
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Secondary outcome [3]
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Patterns of changes in serum renin concentrations are associated with AKI or the need for CRRT in participants who have undergone cardiac surgery
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Assessment method [3]
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Timepoint [3]
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30 days
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Eligibility
Key inclusion criteria
1. Admission to ICU after elective and emergency cardiac surgery following cardiopulmonary bypass
2. Age 18 years and above
3. Arterial, central venous catheters and pulmonary arterial catheters are inserted preoperatively
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Minimum age
18
Years
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Maximum age
No limit
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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. Age under 18 years
2. Known pregnancy
3. Arterial, central venous catheters and pulmonary arterial catheters that are not indicated as part of routine care
4. End stage renal disease requiring renal replacement therapy
5. Participants with known Child Pugh A cirrhosis or greater
6. Treatment with any steroids
7. Participant is not expected to live beyond the day after the day of admission
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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
24/03/2020
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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
12/03/2021
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Sample size
Target
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Accrual to date
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Final
104
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Dr Wajid Khan - Sydney
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Recruitment postcode(s) [1]
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2170 - Sydney
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Funding & Sponsors
Primary sponsor type
Other
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Name
South West Sydney Local Health District
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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
Study design Observational, single centre, prospective cohort study Planned sample size 100 participants Inclusion criteria The study will evaluate a cohort of participants meeting the following inclusion criteria: 1. admission to the Intensive Care Unit (ICU) after elective and emergency cardiac surgery using cardiopulmonary bypass 2. age 18 years and above 3. arterial, central venous and pulmonary arterial catheters have been inserted as part of routine care Study procedures In addition to routine clinical postoperative data and blood collection, serum renin levels will be analysed on admission, 6 and 24 hours after admission to ICU Study duration 6 months
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Trial website
https://clinicaltrials.gov/study/NCT04303455
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Trial related presentations / publications
Nguyen M, Denimal D, Dargent A, Guinot PG, Duvillard L, Quenot JP, Bouhemad B. Plasma Renin Concentration is Associated With Hemodynamic Deficiency and Adverse Renal Outcome in Septic Shock. Shock. 2019 Oct;52(4):e22-e30. doi: 10.1097/SHK.0000000000001285. Myles PS. Meaningful outcome measures in cardiac surgery. J Extra Corpor Technol. 2014 Mar;46(1):23-7. Hall A, Busse LW, Ostermann M. Angiotensin in Critical Care. Crit Care. 2018 Mar 20;22(1):69. doi: 10.1186/s13054-018-1995-z. Khanna AK. Tissue Perfusion and Prognosis in the Critically Ill-Is Renin the New Lactate? Crit Care Med. 2019 Feb;47(2):288-290. doi: 10.1097/CCM.0000000000003582. No abstract available.
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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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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
Results of the study will be shared
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Hall A, Busse LW, Ostermann M. Angiotensin in Crit...
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Journal
Khanna AK. Tissue Perfusion and Prognosis in the C...
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Results not provided in
https://clinicaltrials.gov/study/NCT04303455