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Trial registered on ANZCTR
Registration number
ACTRN12609000550202
Ethics application status
Approved
Date submitted
29/06/2009
Date registered
7/07/2009
Date last updated
2/01/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
A pilot study to determine the effects of sodium bicarbonate on urinary pH in patients at risk of contrast induced nephropathy.
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Scientific title
A pilot study to determine the effects of sodium bicarbonate on urinary pH in patients at risk of contrast induced nephropathy.
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Secondary ID [1]
907
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Nil
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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:
Patients at risk of contrast induced nephropathy.
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Condition category
Condition code
Renal and Urogenital
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Sodium bicarbonate (840 mg, 10 mmols) oral capsules - 4 capsules initially followed by 3 capsules 1 hour later then 3 capsules every 2 hourly for a total of 6 hours. (Total 16 capsules)
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Intervention code [1]
236836
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Prevention
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Intervention code [2]
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Treatment: Drugs
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Comparator / control treatment
Sodium bicarbonate intravenous - 150 mmol/L (in 5% glucose 1 L bag) at 3 mL/kg/hrfor 1 hr prior, then 1 mL/kg/hr during and for 6 hrs after contrast procedure. Approximate duration of contrast procedure is 30 minutes to 1.5 hours depending on procedure performed.
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Control group
Active
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Outcomes
Primary outcome [1]
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Urine pH (measured using a pH meter pen, Digitech)
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Assessment method [1]
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Timepoint [1]
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After commencement of therapy (at next bladder void)
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Secondary outcome [1]
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Serum creatinine (via blood analysis)
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Assessment method [1]
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Timepoint [1]
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Within 48 hours of contrast administration
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Eligibility
Key inclusion criteria
Patients at risk of contrast induced nephropathy
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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
Inability to provide written consent.
Patient requires an urgent coronary angiogram.
Pregnancy.
Breastfeeding.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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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
27/07/2009
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Actual
3/09/2009
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Date of last participant enrolment
Anticipated
1/12/2010
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Actual
1/12/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Austin Health
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Address [1]
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Studley Road, Heidelberg, Victoria 3084
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
Studley Road, Heidelberg, Victoria, 3084
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
236717
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Country [1]
236717
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Ethics Committee
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
The hypothesis for this study is that orally administered sodium bicarbonate has a similar effect on urine pH and serum bicarbonate as intravenously administered sodium bicarbonate. Contrast-induced nephropathy is a condition in which kidney damage can occur as a result of the use of contrast (dyes) given to patients during some radiology scans of the body. A drug called sodium bicarbonate is currently given intravenously (through the vein) to prevent contrast-induced nephropathy in those at high-risk. There are some disadvantages associated with the intravenous administration of the drug. For example, patients require insertion of an intravenous line specifically for the drug administration and need to be admitted to the hospital early in order for the line to be inserted and for drug administration to begin. Most importantly, patients will have to wait for at least 6 hours after they receive contrast for the sodium bicarbonate administration to be completed. The use of an oral form of the drug will overcome these issues. Sodium bicarbonate is available in an oral/capsule form; however, there is currently no information available to indicate that it is as effective as the intravenous form for the prevention of contrast-induced nephropathy. Sodium bicarbonate works to prevent contrast induced nephropathy by making the urine alkaline. The intravenous version of the drug is approved for urinary alkalinisation in Australia but the oral form is not even though it works the same way and is used world-wide for alkalinisation of the urine. The Australian approved indication for oral sodium bicarbonate is for a condition called metabolic alkalosis. For this condition the oral sodium bicarbonate works by alkalinising the urine. The purpose of this study is to see whether the effects of intravenous sodium bicarbonate on patients who are given this drug as part of their routine care is similar to that in patients who are given the oral version of the drug. In particular, patients’ blood test results and urine acidity/alkalinity (pH) will be studied. The results obtained will be used to decide whether it might be possible to do a larger study directly comparing the effectiveness of oral sodium bicarbonate with intravenous sodium bicarbonate to prevent contrast induced nephropathy in patients at risk. There are 2 parts to the study. In part 1, participants will attend Austin Health for their coronary angiogram or stent procedure as normal. The only requirements beyond routine care are two extra urine samples and an extra blood test. In the second part of the study participants (from part 1) will be asked to return to hospital 2 to 3 weeks after their procedure, take some sodium bicarbonate capsules, and provide two urine samples and two blood samples for testing. The urine samples and blood samples will be compared.
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Trial website
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Trial related presentations / publications
To TP, Chahadi F, Freeman M, Pan M, Farouque O, Mount P. Urinary alkalinisation with oral sodium bicarbonate for patients at risk of contrast-induced nephropathy. J Pharm Prac Res 2012; 42: 118-20.
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Public notes
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Contacts
Principal investigator
Name
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Ms Phung To
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Address
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Pharmacy Department, Austin Health, Studley Road, Heidelberg, Victoria 3084
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Country
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Australia
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Phone
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+61 3 9496 5000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Ms Phung To
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Address
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C/-Pharmacy Department
Austin Health
Studley Road, Heidelberg, Victoria, 3084
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Country
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Australia
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Phone
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+61 3 9496 5291
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Fax
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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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Dr Peter Mount
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Address
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C/- Nephrology Department
Austin Health
Studley Road, Heidelberg, Victoria, 3084
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Country
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Australia
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Phone
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+61 3 9496 5000
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Fax
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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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