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CompletedNCT00259441Updated Jul 12, 2007

PROMISS: Simvastatin Prevents the Contrast Induced Acute Renal Failure in Patients With Renal Insufficiency Undergoing Coronary Angiography

A Phase 4 interventional study of Simvastatin in Kidney Failure, sponsored by Seoul National University Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2007-07-12.

Sponsored by Seoul National University Hospital · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
320
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

The contrast induced kidney toxicity has been known to affect the mortality and morbidity in the patients undergoing coronary angiography. But the mechanism and therapeutic strategy for it is not well known. Nowadays, it is reported that the N-acetylcysteine may have preventive effects for contrast induced kidney toxicity with its antioxidant effects.The statins have been reported to have many other effects other than the lipid lowering effect-including antioxidant effect, so we hypothesized that the antioxidant effect of simvastatin may prevent the contrast induced kidney toxicity.

Read the detailed description

The simvastatin may prevent the contrast agent induced acute renal failure in the patients with underlying renal insufficiency who is undergoing the coronary angiography. The effect may derive from the antioxidant function of simvastatin.

02

Conditions studied

  • Kidney Failure

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Keywords

  • Kidney failure
  • Contrast media
  • Prevention
  • Simvastatin
03

In context

Renal Insufficiency

1,995 studies on the registry are indexed under Renal Insufficiency; 173 are open to participants now.

This study's enrollment of 320 is above the median of 43 across 1,503 interventional studies indexed under Renal Insufficiency.

Browse Renal Insufficiency studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,860 studies on the registry; 275 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Angina patients
  • Patients who is required the coronary catheterization
  • creatinine clearance rates ≤60 mL/min using the Cockcroft-Gault formula Patients who undergo coronary catheterization
  • Age of 19 or over 19

Exclusion criteria

Exclusion Criteria:

  • pregnancy
  • lactation
  • having received contrast media within 7 days of study entry
  • emergent coronary angiography
  • acute renal failure
  • end-stage renal disease requiring dialysis
  • history of hypersensitivity reaction to contrast media
  • cardiogenic shock
  • pulmonary edema
  • multiple myeloma
  • mechanical ventilation
  • parenteral use of diuretics
  • use of N-acetylcysteine
  • use of metformin or nonsteroidal anti-inflammatory drugs within 48 hours of the procedure.
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
320 participants

Interventions

  • DrugSimvastatin
06

What researchers measure

Primary outcomes

  1. The mean peak increase of serum creatinine concentration during day1 and day2.

Secondary outcomes

  1. Incidence of contrast induced nephropathy, defined as either a relative increase in serum creatinine from baseline of >=25% or an absolute increase of >=0.5mg/dL(44.2µmol/L) during days 1 and 2.

  2. Proportion of patients exhibiting an increase in serum creatinine of >=0.5mg/dL(44.2µmol/L), the proportion with a >=1.0 mg/dL(88.4µmol/L) increase in serum creatinine, and the mean peak increase in serum creatinine.

07

Study locations

1 site
  • Seoul National University Hospital , Cardiovascular Center
    Seoul, Korea, Republic of
08

References and documents

Publications

  • Jo SH, Koo BK, Park JS, Kang HJ, Cho YS, Kim YJ, Youn TJ, Chung WY, Chae IH, Choi DJ, Sohn DW, Oh BH, Park YB, Choi YS, Kim HS. Prevention of radiocontrast medium-induced nephropathy using short-term high-dose simvastatin in patients with renal insufficiency undergoing coronary angiography (PROMISS) trial--a randomized controlled study. Am Heart J. 2008 Mar;155(3):499.e1-8. doi: 10.1016/j.ahj.2007.11.042. Epub 2008 Jan 30. PubMed 18294484 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 12, 2007, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00259441
Lead sponsor
Seoul National University Hospital
First posted
Nov 29, 2005
Start date
Feb 2005
Completion
Mar 2006
Last update
Jul 12, 2007

Study contacts

Byung-Hee Oh, M.D., Ph.D.
study chair · Seoul National University Hospital, Department of Internal Medicine/ Cardiovascular Center
Hyo-Soo Kim, M.D.,Ph.D.
study director · Seoul National University Hospital, Department of Internal Medicine/ Cardiovascular Center
Sang-Ho Jo, M.D.
principal investigator · Seoul National University Hospital, Department of Internal Medicine/ Cardiovascular Center
Bon-Kwon Koo, M.D.,Ph.D.
principal investigator · Seoul National University Hospital, Department of Internal Medicine/ Cardiovascular Center
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2007. You cannot join it, but the record below documents what was studied.

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