Ain shams university hospitals
Cairo, 1181, Egypt
NCT Number: NCT05264584
This study will determine the renoprotective effect of febuxostat in prevention of contrast induced acute kidney injury in chronic kidney disease patients Stage 3 undergoing percutaneous coronary intervention.
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Interventional
Not applicable
Cairo, 1181, Egypt
In this randomised non blinded clinical trial, Investigators will study 120 CKD patients undergoing PCI to determine the renoprotective effect of febuxostat in prevention of contrast induced acute kidney injury . So, the patients will be divided into two arms based on block randomization. Each arm compromise 60 patients. The first arm will receive IV hydration and N-acetylcysteine (ctrl arm) . The second arm will receive IV hydration, N-acetylcysteine and Febuxostat (F arm).
Block randomization will be used in this clinical trial design to reduce bias and achieve balance in the allocation of participants to treatment arms.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Age ≥ 18 years old .
Patients under treatment of high dose statin(Atorvastatin (40-80 mg/day) .
Glomerular filtration rate=30-59ml/min.
Undergoing coronary PCI.
Exclusion criteria
Patients under treatment with febuxostat. Known allergy to febuxostat. High osmolar contrast media during the procedure .
All patients will receive a continuous intravenous infusion of isotonic saline at a rate of 0.5 mL/kg/h for at least 2 to 12 hours before the procedure and continued to receive it 6 to 24 hours afterward.
Other names: Saline
all the patients will receive 600 mg orally twice daily ,on the day before and the day of exposure to contrast or a single periprocedural dose (within 4 hours of contrast exposure) 1200 mg .
Other names: NAC
All patients will receive a continuous intravenous infusion of isotonic saline at a rate of 0.5 mL/kg/h for at least 2 to 12 hours before the procedure and continued to receive it 6 to 24 hours afterward.
Other names: Feburic 80
Time frame: 48-72 hours post contrast
incidence of CI-AKI after 48-72 hours after PCI
Ain Shams University
Other
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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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