Hôpital Privé de l'Ouest Parisien
Trappes, 78190, France
Location status: Recruiting
NCT Number: NCT07203131
Among all patients admitted to intensive care, it is estimated that more than half of them are exposed during their stay to acute renal failure (ARF). Impacting the vital prognosis to short term, the occurrence of renal failure is not without consequences in intensive care survivors, presenting an increased risk of death mainly mediated by an excess risk with regard to chronic kidney disease and/or certain cardiovascular pathologies.
Malnutrition, particularly vitamin deficiency, has already been reported as a risk factor for AKI. Studies on two models (animal and human) have recently highlighted the importance of NAD+ production failure in the onset of renal failure.
NAD+ synthesis can be done from tryptophan or via a salvage pathway from vitamin PP.
In a phase 2 study in patients undergoing cardiac surgery, vitamin B3 supplementation was accompanied by a reduction in the occurrence of AKI and a limitation of the duration / intensity of renal dysfunction.
This innovative research aims to identify an alteration in the metabolic pathway of NAD+ production as a risk factor for AKI in intensive care patients. This would be the first study to address this issue in this specific population.
The main objective of this research is to describe the association between the urinary Quinolinate/Tryptophan ratio on admission and the occurrence of acute renal failure in patients admitted to intensive care unit.
Interested in participating?
Request Info18 year and older
All sexes
Interventional
Not applicable
Trappes, 78190, France
Location status: Recruiting
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
5 mL of urine when the patient is admitted in intensive care To look for possible acute renal failure in the patient
It will allow the following information to be collected:
Time frame: 2 days
Time frame: 12 hours
Time frame: between 1 day and 28 days
Duration in days of ARI
Time frame: between day 1 and day 7
Time frame: 28 days
Mortality within 28 days of admission to intensive care, NI-AKI
Contact information is provided by the study sponsor or research team.
GCS Ramsay Santé pour l'Enseignement et la Recherche
Other
Evaluation of the Impact of an Alteration of NAD+ Metabolism on the Renal Prognosis of Patients Admitted to Intensive Care
Acronym: NI-AKI
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