A Phase 2 interventional study of Oral sodium chloride and Intravenous sodium chloride in Kidney Failure, Chronic, Kidney Failure, Acute and Heart Failure, sponsored by Hospital Universitario Ramon y Cajal. Completed at 1 site in Spain. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-03-20.
Sponsored by Hospital Universitario Ramon y Cajal · Phase 2, Interventional, and Prevention
This phase II, open, non-inferiority, randomized and controlled clinical trial is aimed to ascertain the incidence of contrast nephropathy in outpatients undergoing CT scan with contrast.
Patients will be randomized to receive oral prophylaxis with capsules of sodium chloride and free water ingestion or prophylaxis with sodium chloride 0.9% intravenous solution.
The total dose (mmol) of sodium chloride will be the same regardless administration via. The contrast will be iodixanol.
Patients >65 years, of both sexes, with at least one of the following criteria: diabetes, stable heart failure or chronic kidney disease (estimated glomerular filtration rate between 30 and 60 ml/min), undergoing CT scan with contrast, and who give written informed consent, will be included in the study. Patients with estimated glomerular filtration rate \<30 ml/min, serum potassium \<3.5 mEq/L, infusion of iodine contrast in the previous 15 days, administration of nephrotoxic drugs in the previous 72 hours or expected in the following hours after contrast infusion, decompensated chronic conditions (heart failure, chronic obstructive pulmonary disease, hypertension), allergy to iodine contrast, or the presence of hyperchloremia or hypernatremia, will be excluded from the study.
Contrast nephropathy will be defined as the increase of serum creatinine >0.3 mg/dL from baseline, or the reduction of estimated glomerular filtration rate (MDRD-4) >25% from baseline, in the first 48 hours after contrast administration.
This phase II, open, non-inferiority, randomized and controlled clinical trial is aimed to ascertain the incidence of contrast nephropathy in outpatients undergoing CT scan with contrast.
Patients will be randomized to receive oral prophylaxis with capsules of sodium chloride and free water ingestion or prophylaxis with sodium chloride 0.9% intravenous solution.
In those patients randomly allocated to oral prophylaxis (n=133), patients will receive capsules of sodium chloride and free water ingestion (for each capsule of sodium chloride, patients will take 250 ml of water, assuring a minimum ingestion of 750 ml of water) in the 48 hours prior contrast injection. Patients will take capsules of sodium chloride at a dose of 100 mg/kg during 48 hours previous the injection of contrast (48, 40, 32, 24, 16, and 8 hours), at the moment of contrast injection and 12 hours after the injection of contrast. In those patients randomly allocated to receive sodium chloride 0.9% intravenous solution (n=133), patients will receive at hospital 3 ml/Kg of sodium chloride 0.9%, one hour previous contrast injection and 2 ml/kg during the 4 hours after contrast injection. The total dose (mmol) of sodium chloride will be the same regardless administration via. The contrast will be iodixanol (320 mg of iodine/ml, in 100 ml, at an infusion rate of 2-5 ml/sec).
Patients >65 years, of both sexes, with at least one of the following criteria: diabetes, stable heart failure or chronic kidney disease (estimated glomerular filtration rate between 30 and 60 ml/min), undergoing CT scan with contrast, and who give written informed consent, will be included in the study. Patients with estimated glomerular filtration rate \<30 ml/min, serum potassium \<3.5 mEq/L, infusion of iodine contrast in the previous 15 days, administration of nephrotoxic drugs in the previous 72 hours or expected in the following hours after contrast infusion, decompensated chronic conditions (heart failure, chronic obstructive pulmonary disease, hypertension), allergy to iodine contrast, or the presence of hyperchloremia or hypernatremia, will be excluded from the study.
Contrast nephropathy will be defined as the increase of serum creatinine >0.3 mg/dL from baseline, or the reduction of estimated glomerular filtration rate (MDRD-4) >25% from baseline, in the first 48 hours after contrast administration.
2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.
This study's enrollment of 271 is above the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.
Browse Kidney Failure, Chronic studies →Hospital Universitario Ramon y Cajal is the lead sponsor of 30 studies on the registry; 3 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².
Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
GFR and eGFR (kidney filtering)
GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².
Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
COPD
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Patients will receive capsules of sodium chloride and free water ingestion (for each capsule of sodium chloride, patients will take 250 ml of water, assuring a minimum ingestion of 750 ml of water) in the 48 hours prior contrast injection. Patients will take capsules of sodium chloride at a dose of 100 mg/kg during 48 hours previous the injection of contrast (48, 40, 32, 24, 16, and 8 hours), at the moment of contrast injection and 12 hours after the injection of contrast.
Drug: Oral sodium chloride
Patients will receive at hospital 3 ml/Kg of sodium chloride 0.9%, one hour previous contrast injection and 2 ml/kg during the 4 hours after contrast injection.
Drug: Intravenous sodium chloride
Patients will receive capsules of sodium chloride and free water ingestion (for each capsule of sodium chloride, with 250 ml of water, assuring a minimum ingestion of 750 ml of water) in the 48 hours prior contrast injection. Patients will take capsules of sodium chloride at a dose of 100 mg/kg during 48 hours previous the injection of contrast (48, 40, 32, 24, 16, and 8 hours), at the moment of contrast injection and 12 hours after the injection of contrast.
Patients will receive at hospital 3 ml/Kg of sodium chloride 0.9%, one hour previous contrast injection and 2 ml/kg during the 4 hours after contrast injection.
Number of Participants With Acute Kidney Injury During the First 48 Hours After Contrast Administration
Contrast-Associated Acute Kidney Injury, defined as the increase of serum creatinine \>0.3 mg/dL from baseline, or the reduction of estimated glomerular filtration rate (MDRD-4) \>25%, within 48h after contrast administration
Time frame: Within 48h after contrast administration
Estimated Glomerular Filtration Rate (eGFR) at 24h From Baseline
Estimated glomerular filtration rate (eGFR) according to MDRD-4 at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 24 hours from contrast administration (baseline)
Estimated Glomerular Filtration Rate (eGFR) at 48h From Baseline
Estimated glomerular filtration rate (eGFR) according to MDRD-4 at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 48 hours from contrast administration (baseline)
Serum Creatinine at 24h From Baseline
Serum creatinine at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 24 hours from contrast administration (baseline)
Serum Creatinine at 48h From Baseline
Serum creatinine at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 48 hours from contrast administration (baseline)
Cystatin C at 24h From Baseline
Cystatin C at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 24 hours from contrast administration (baseline)
Cystatin C at 48h From Baseline
Cystatin C at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 48 hours from contrast administration (baseline)
Albumin-to-creatinine Ratio at 24h From Baseline
Albumin-to-creatinine ratio at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 24 hours from contrast administration (baseline)
Albumin-to-creatinine Ratio at 48h From Baseline
Albumin-to-creatinine ratio at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 48 hours from contrast administration (baseline)
Urea at 24h From Baseline
Urea at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 24 hours from contrast administration (baseline)
Urea at 48h From Baseline
Urea at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 48 hours from contrast administration (baseline)
Serum Sodium at 24h From Baseline
Serum sodium at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 24 hours from contrast administration (baseline)
Serum Sodium at 48h From Baseline
Serum sodium at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 48 hours from contrast administration (baseline)
Serum Potassium at 24h From Baseline
Serum potassium at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 24 hours from contrast administration (baseline)
Serum Potassium at 48h From Baseline
Serum potassium at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
Time frame: 48 hours from contrast administration (baseline)
Participants were recruited at Hospital Universitario Ramón y Cajal, Madrid, Spain, between April 2014 and November 2019.
| Milestone | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Started | 134 | 137 |
| Completed | 123 | 129 |
| Not completed | 11 | 8 |
| Withdrew: Withdrawal by subject | 3 | 2 |
| Withdrew: Non-compliance with treatment | 3 | 0 |
| Withdrew: Missing laboratory tests | 5 | 5 |
| Withdrew: Adverse event | 0 | 1 |
Contrast-Associated Acute Kidney Injury, defined as the increase of serum creatinine \>0.3 mg/dL from baseline, or the reduction of estimated glomerular filtration rate (MDRD-4) \>25%, within 48h after contrast administration
| Participants | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Number of Participants With Acute Kidney Injury During the First 48 Hours After Contrast Administration | 5 | 4 |
Estimated glomerular filtration rate (eGFR) according to MDRD-4 at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mL/min/1.73 m^2 | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Estimated Glomerular Filtration Rate (eGFR) at 24h From Baseline | 66.4 ± 18.9 | 68.8 ± 18.9 |
Estimated glomerular filtration rate (eGFR) according to MDRD-4 at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mL/min/1.73 m^2 | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Estimated Glomerular Filtration Rate (eGFR) at 48h From Baseline | 66.1 ± 19.7 | 67.9 ± 19.6 |
Serum creatinine at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Serum Creatinine at 24h From Baseline | 1.10 ± 0.33 | 1.02 ± 0.29 |
Serum creatinine at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Serum Creatinine at 48h From Baseline | 1.10 ± 0.36 | 1.04 ± 0.31 |
Cystatin C at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Cystatin C at 24h From Baseline | 1.38 ± 0.44 | 1.33 ± 0.46 |
Cystatin C at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Cystatin C at 48h From Baseline | 1.36 ± 0.43 | 1.36 ± 0.46 |
Albumin-to-creatinine ratio at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/g | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Albumin-to-creatinine Ratio at 24h From Baseline | 17.2 (8.3 to 72.0) | 17.0 (9.3 to 65.5) |
Albumin-to-creatinine ratio at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/g | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Albumin-to-creatinine Ratio at 48h From Baseline | 17.6 (9.0 to 69.2) | 18.2 (9.0 to 50.1) |
Urea at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Urea at 24h From Baseline | 43.7 ± 18.7 | 42.2 ± 18.2 |
Urea at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Urea at 48h From Baseline | 46.0 ± 19.5 | 43.5 ± 20.1 |
Serum sodium at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Serum Sodium at 24h From Baseline | 139.4 ± 2.6 | 139.3 ± 2.6 |
Serum sodium at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Serum Sodium at 48h From Baseline | 139.2 ± 2.7 | 139.4 ± 2.6 |
Serum potassium at 24 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Serum Potassium at 24h From Baseline | 4.4 ± 0.4 | 4.4 ± 0.5 |
Serum potassium at 48 hours from contrast administration (baseline), as an secondary efficacy laboratory assessment.
| mg/dL | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| Serum Potassium at 48h From Baseline | 4.4 ± 0.4 | 4.5 ± 0.5 |
Collected over Within 48 hours from contrast administration (baseline).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Oral Sodium Chloride | 0/134 (0%) | 0/134 (0%) | 31/134 (23.1%) |
| Intravenous Sodium Chloride | 0/137 (0%) | 0/137 (0%) | 6/137 (4.4%) |
| Event | Oral Sodium Chloride | Intravenous Sodium Chloride |
|---|---|---|
| NauseaGastrointestinal disorders | 13/134 | 0/137 |
| VomitingGastrointestinal disorders | 10/134 | 0/137 |
| Abdominal discomfortGastrointestinal disorders | 3/134 | 0/137 |
| DyspneaRespiratory, thoracic and mediastinal disorders | 0/134 | 2/137 |
| Malaise/astheniaGeneral disorders | 1/134 | 1/137 |
| HeadacheNervous system disorders | 1/134 | 0/137 |
| Leg crampsMusculoskeletal and connective tissue disorders | 1/134 | 0/137 |
| PruritusSkin and subcutaneous tissue disorders | 1/134 | 0/137 |
| Allergic reaction to contrastImmune system disorders | 1/134 | 0/137 |
| BronchospasmRespiratory, thoracic and mediastinal disorders | 0/134 | 1/137 |
| Age, Continuous(years) | Oral Sodium Chloride | Intravenous Sodium Chloride | Total |
|---|---|---|---|
| Mean | 74.1 ± 6.1 | 74.6 ± 6.8 | 74.4 ± 6.4 |
| Sex: Female, Male(Participants) | Oral Sodium Chloride | Intravenous Sodium Chloride | Total |
|---|---|---|---|
| Female | 34 | 50 | 84 |
| Male | 89 | 79 | 168 |
| Race and Ethnicity Not Collected(Participants) | Oral Sodium Chloride | Intravenous Sodium Chloride | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
| Region of Enrollment(participants) | Oral Sodium Chloride | Intravenous Sodium Chloride | Total |
|---|---|---|---|
| Spain | 123 | 129 | 252 |
| Hypertension(Participants) | Oral Sodium Chloride | Intravenous Sodium Chloride | Total |
|---|---|---|---|
| Count of participants | 94 | 98 | 192 |
| Diabetes(Participants) | Oral Sodium Chloride | Intravenous Sodium Chloride | Total |
|---|---|---|---|
| Count of participants | 87 | 97 | 184 |
| Current smoker(Participants) | Oral Sodium Chloride | Intravenous Sodium Chloride | Total |
|---|---|---|---|
| Count of participants | 5 | 9 | 14 |
| Cancer(Participants) | Oral Sodium Chloride | Intravenous Sodium Chloride | Total |
|---|---|---|---|
| Count of participants | 68 | 59 | 127 |
20 further baseline measures are reported on the registry.
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Yes — Data Availability Statement The data presented in this study are available on request from the corresponding author. The data are not publicly available due to participant confidentiality.
Supporting information: Study protocol, Informed consent form
Time frame: After revision and approval of the principal investigator.
Access criteria: Approval of the principal investigator.
Ran from Apr 2014 to primary completion in Nov 2019, 67 months.
Results were first posted in Mar 2025, 5 years 3 months after primary completion.
Of 41 non-industry phase 2 interventional studies under Kidney Failure, Chronic, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 52. This study's 67 months is above that.
Counting every sponsor, half of 67 studies reached it within 32 months; a quarter within 17 and three quarters within 55.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Sodium Chloride
Hospital Universitario Ramon y Cajal