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CompletedNCT01103336Updated Feb 6, 2012

Preventive Effect of the PRetreatment With Intravenous Nicorandil on Contrast-Induced Nephropathy in Patients With RenaL Dysfunction UndEergoing Coronary Angiography (PRINCIPLE Study)

A Phase 4 interventional study of pretreatment with intravenous nicorandil vs. placebo before coronary angiography in Chronic Renal Failure, sponsored by Yonsei University. Completed at 1 site in Korea, Republic of. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2012-02-06.

Sponsored by Yonsei University · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
173
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

Renal hypoxia plays an important role in the development of contrast-induced nephropathy. The purpose of the PRINCIPLE study is to investigate the effect of pretreatment with intravenous nicorandil on the incidence of contrast-induced nephropathy in patients with renal insufficiency undergoing coronary angiography.

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Conditions studied

  • Chronic Renal Failure

Keywords

  • Patients with chronic renal failure undergoing coronary angiography
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In context

Renal Insufficiency

1,995 studies on the registry are indexed under Renal Insufficiency; 172 are open to participants now.

This study's enrollment of 173 is above the median of 43 across 1,504 interventional studies indexed under Renal Insufficiency.

Browse Renal Insufficiency studies →

Lead sponsor

Yonsei University is the lead sponsor of 1,387 studies on the registry; 231 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Patients aged ≥ 20 years
  • Patients undergoing elective coronary angiogram due to documented myocardial ischemia or symptoms of angina
  • Estimated Cr clearance ≤60 mL/min by Cockcroft-Gault formula or serum Cr ≥1.1 mg/dL
  • Signed written informed consent to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Acute myocardial infarction requiring primary or rescue coronary intervention
  • Allergic reaction to contrast dye or nicorandil
  • Cardiogenic shock or significant hypotension
  • Previous use of nicorandil within the preceding 7 days
  • Exposure to contrast medium within the preceding 7 days
  • Pregnancy or women at age of childbearing potential
  • Heart failure (NYHA class III or IV; LV ejection fraction \<40% by echocardiogram)
  • Acute renal failure or chronic dialysis
  • Mechanical ventilation
  • History of kidney transplantation
  • Life expectation less than 6 months
  • Previous renal artery angioplasty within the last 6 months
  • Use of nonsteroidal anti-inflammatory drugs, intravenous use of diuretics, dopamine, mannitol, N-acetylcysteine, ascorbic acid or sodium bicarbonate within 48 hrs before the procedure
  • Severe liver disease
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
173 participants (actual)

Study arms

  • Experimental
    Nicorandil in saline

    Drug: pretreatment with intravenous nicorandil vs. placebo before coronary angiography

  • Placebo comparator
    saline

    Drug: pretreatment with intravenous nicorandil vs. placebo before coronary angiography

Interventions

  • Drugpretreatment with intravenous nicorandil vs. placebo before coronary angiography

    * Nicorandil group: Pretreatment with intravenous Nicorandil (Sigmart for injection, Choongwae Pharma, Seoul) 12 mg in 0.9% saline 100 ml over 2 hours starting from 1 hour prior to coronary angiography * Control group: Pretreatment with intravenous 0.9% saline 100 ml over 2 hours starting from 1 hour prior to coronary angiography

    Also known as: Nicorandil group versus Control group

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What researchers measure

Primary outcomes

  1. Incidence of contrast-induced nephropathy defined as an increase in serum creatinine ≥25% or ≥0.5 mg/dl

    Time frame: at 24 hours

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Study locations

1 site
  • Severance Hospital
    Seoul, 120-752, Korea, Republic of
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2012, 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
NCT01103336
Lead sponsor
Yonsei University
Collaborators
GE Healthcare
Responsible party
Sponsor
First posted
Apr 14, 2010
Start date
Mar 2010
Primary completion
Jun 2011
Completion
Jun 2011
Last update
Feb 6, 2012

Study contacts

Young-Guk Ko, MD
principal investigator · Severance Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2012. You cannot join it, but the record below documents what was studied.

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