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Completed

NCT Number: NCT04042350

Retrospective Analysis Assessing Clinical Risk Factors for Cardiovascular Events and Mortality and Development of a Risk Calculator in Chronic Kidney Disease Stage 5 on Dialysis

The purpose of this study is to evaluate which clinical and laboratory factors are associated with major adverse cardiovascular event (MACE) in chronic kidney disease (CKD) patients on dialysis.

The study will also establish a cardiovascular (CV) risk equation appropriate for this dialysis population.

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Key information

About this study

This study is a retrospective analysis of dialysis dependent CKD patients participating in AURORA. The retrospective analysis will be performed using the AURORA study database.

AURORA was a prospective clinical trial in which dialysis patients were randomly assigned to rosuvastatin or placebo, sponsored by AstraZeneca. Patients included in the AURORA study who had end stage renal disease (ESRD) and had been treated with regular hemodialysis or hemofiltration for at least 3 months. Patients were recruited from approximately 300 centers in 25 countries.

The clinical study data is held by AstraZeneca AB, Sweden.

No formal sample size calculation was performed. The sample size is based on the available data from the AURORA study.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients who participated in the AURORA study. In brief, men and women who had ESRD and had been treated with regular hemodialysis or hemofiltration for at least 3 months (patients were recruited from 280 centers in 25 countries).

Exclusion criteria

  • The major exclusion criteria in AURORA were statin therapy within the previous 6 months, expected kidney transplantation within 1 year, and serious hematologic, neoplastic, gastrointestinal, infectious, or metabolic disease (excluding diabetes) that was predicted to limit life expectancy to less than 1 year.
  • Other exclusion criteria were a history of a malignant condition, active liver disease (indicated by an alanine aminotransferase level that was more than three times the upper limit of the normal range), uncontrolled hypothyroidism, and an unexplained elevation in the creatine kinase level to more than three times the upper limit of the normal range.

Treatment and study plan

Non-Interventional

Other

Exploring clinical risk factors associated with the risk for cardiovascular events and mortality, rather than to evaluate specific drugs.

Primary outcomes

  1. Time to first major adverse cardiovascular event (MACE)

    Time frame: Up to a maximum of 5.6 years

    A MACE is defined as a non-fatal myocardial infarction (MI), non-fatal stroke, and CV mortality.

Secondary outcomes

  1. Time to a composite of any CV events

    Time frame: Up to a maximum of 5.6 years

    CV events include non-fatal MI, unstable angina, coronary revascularization therapy, new onset heart failure, non-fatal stroke or all-cause mortality.

  2. Time to CV event: MI

    Time frame: Up to a maximum of 5.6 years

    Time to individual CV event.

  3. Time to CV event: stroke (ischemic or hemorrhagic)

    Time frame: Up to a maximum of 5.6 years

    Time to individual CV event.

  4. Time to CV event: unstable angina

    Time frame: Up to a maximum of 5.6 years

    Time to individual CV event.

  5. Time to CV event: coronary revascularization therapy

    Time frame: Up to a maximum of 5.6 years

    Time to individual CV event.

  6. Time to CV event: new onset heart failure

    Time frame: Up to a maximum of 5.6 years

    Time to individual CV event.

  7. Time to CV mortality

    Time frame: Up to a maximum of 5.6 years

    Time to death caused by a CV event.

  8. Time to all-cause mortality

    Time frame: Up to a maximum of 5.6 years

    Time to death from any cause.

Sponsors and collaborators

Lead sponsor

Astellas Pharma Europe Ltd.

Industry

Registry information

Official study title

A Retrospective Analysis Assessing Clinical Risk Factors for Cardiovascular Events and Mortality and Development of a Risk Calculator in Chronic Kidney Disease Stage 5 on Dialysis Treatment Using Data From the AURORA Study

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Aug 1, 2019
Registry last updated
Oct 31, 2024

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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