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NCT Number: NCT06285162

Analgesia Nociception Index to Explore Autonomic Nervous System in Patients With Continuous Renal Replacement Therapy

The Analgesia Nociception Index (ANI) reflects the balance between sympathetic and parasympathetic tone. It is based on a specific interpretation of the R-R interval variation. During fluid removal by net ultrafiltration in patients with fluid overload and continuous renal replacement therapy, some data suggest that haemodynamic variation could be induced by the autonomic nervous system. The study aims to investigate ANI variations in this context and their association with the haemodynamic variations observed.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Département d'anesthésie-réanimation Hôpital cardiologique Louis Pradel

Bron, 69500, France

Location status: Recruiting

Location contact

Martin RUSTE, MD

CONTACT

[email protected]

+33472118956 ext. +33

Martin RUSTE, MD

PRINCIPAL_INVESTIGATOR

Matthias JACQUET-LAGREZE, MD

SUB_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Continuous renal replacement therapy in intensive care unit
  • Initiation of net ultrafiltration according to the protocol of the department or to EARLYDRY study (NCT 05817539) (3 criteria required):
  • Fluid overload > 5% or peripheral oedema
  • Noradrenaline equivalent <0.5μg/kg/min
  • No peripheral hypoperfusion
  • Invasive blood pressure monitoring
  • Central venous line in superior vena cava territory
  • Regular sinus rhythm
  • Patient awake or Richmond Agitation and Sedation Scale > -3

Exclusion criteria

  • Ongoing administration of inotropes
  • Ongoing administration of beta blockers
  • Current administration of alpha-2 agonists
  • History of dysautonomia
  • Pregnant or breast-feeding woman
  • Mechanical circulatory assistance
  • Opposition to participate
  • Adults under legal protection
  • Persons deprived of their liberty by judicial or administrative decision

Treatment and study plan

Primary outcomes

  1. Percentage of changes in ANI.

    Time frame: 6 hours after initiation of net ultrafiltration

    Relative changes in ANI (averaged over 4 minutes (percentage)) between Hour 0 and Hour 6 of initiation of net ultrafiltration.

Study contacts

Contact information is provided by the study sponsor or research team.

Martin RUSTE, MD

CONTACT

[email protected]

+33472118956 ext. +33

Sponsors and collaborators

Lead sponsor

Hospices Civils de Lyon

Other

Registry information

Official study title

Analgesia Nociception Index and Autonomic Nervous System Exploration During Continuous Renal Replacement Therapy in Intensive Care Patients.

Acronym: UFANI

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Feb 29, 2024
Registry last updated
Jan 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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