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Status unknownNCT03963284Updated May 24, 2019

Evaluation of AKI by Measuring the NephroCheck Test After Pediatric Cardiac Surgery

An observational study in Acute Kidney Injury, Cardiac Disease and Surgery, sponsored by Shanghai Children's Medical Center. Status unknown. Open to participants aged 28 Days to 3 Years. Per ClinicalTrials.gov, last updated 2019-05-24.

Sponsored by Shanghai Children's Medical Center · Observational

The sponsor has not verified this record recently (last verified May 2019), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
350
Ages
28 Days to 3 Years
Sex
All
01

Study summary

Blood and urine samples of over 200 pediatric subjects (over 28 days to 3 years) undergoing complex cardiac surgery with cardiopulmonary bypass (CPB) will be collected at several time points to measure corresponding biomarkers such as serum creatinine, serum urea concentration, or NephroCheck test ([TIMP-2]*[IGFBP7) to evaluate the diagnostic performance of AKI by NephroCheck test .

Read the detailed description

At least 200 subjects having undergone pediatric cardiac surgery with cardiopulmonary bypass (CPB). Enrollment will continue with a maximum of 350 subjects until 30 cases of AKI (stage 2 and 3) are reached.

Blood and urines samples will be collected at several time points to measure biomarkers and set up a biobank.

The samples used within the scope of this protocol will be fresh urine samples (1 to 2 ml) and blood samples.

Urine samples for [TIMP-2]*[IGFBP7] measurements will be taken from each subject included in the study during the first 48 hours following cardiopulmonary bypass initiation according to the following schedule:

  • baseline before initiation of cardiopulmonary bypass (CPB, 0h).
    • 2h, 4h, 6h, 8h, 12h, 24h, 48h after initiation of CPB

Blood samples for serum creatinine and urea concentration measurement will be taken from each subject included in the study during the first 48 hours following cardiopulmonary bypass initiation according to the following schedule:

  • baseline before initiation of cardiopulmonary bypass (CPB, 0h).
  • 12h, 24h, 48h, 60h after initiation of CPB

Primary objective:

To evaluate the proportion of subjects predicted to be at risk of AKI (stage 2 and 3) using at least one measurement of NephroCheck in subjects having undergone pediatric cardiac surgery.

Secondary objectives:

  • To evaluate the incidence of AKI (stage 2 and 3) according to the KDIGO guideline
  • To study the kinetic profile of cell cycle arrest biomarkers (TIMP-2*IGFBP-7) during the first 48 hours in subjects having undergone pediatric cardiac surgery
  • To determine the baseline values of [TIMP-2]*[IGFBP7] in the targeted population before surgery
  • To determine profile differences of [TIMP-2]*[IGFBP7] between AKI (stage 2 and 3) and non-AKI groups
  • To evaluate the diagnostic performances of [TIMP-2]*[IGFBP7] to predict AKI after pediatric cardiac surgery using a cut-off value of 0.3
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Conditions studied

  • Acute Kidney Injury
  • Cardiac Disease
  • Surgery
03

In context

Acute Kidney Injury

1,595 studies on the registry are indexed under Acute Kidney Injury; 371 are open to participants now.

This study's planned enrollment of 350 is above the median of 150 across 773 observational studies indexed under Acute Kidney Injury.

Browse Acute Kidney Injury studies →

Lead sponsor

Shanghai Children's Medical Center is the lead sponsor of 37 studies on the registry; 14 are open to participants now.

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

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Who can participate

Ages eligible
28 Days to 3 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

At least 200 subjects having undergone pediatric cardiac surgery with cardiopulmonary bypass (CPB). Enrollment will continue with a maximum of 350 subjects until 30 cases of AKI (stage 2 and 3) are reached.

Inclusion criteria

  • Must sign the consent form
  • Clinical diagnosis of complex congenital heart surgery (Risk Adjusted classification for Congenital Heart Surgery [RACHS] score >=2)
  • Must undergo elective cardiac surgery with CPB

Exclusion criteria

Exclusion Criteria:

  • Clinical diagnosis of severe pre-existing renal insufficiency (SCr >2 times age-adjusted normal range)
  • Significant abnormalities of the kidneys or genitourinary tract
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
350 participants (estimated)
Patient registry
No

Interventions

  • Procedurecardiac surgery

    pediatric cardiac surgery with cardiopulmonary bypass

  • DeviceNephroCheck test

    Urine of the subjects undergoing cardiac surgery with CPB will be tested by NephroCheck test

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What researchers measure

Primary outcomes

  1. Test fresh urine samples by NephroCheck

    Urine samples for \[TIMP-2\]\*\[IGFBP7\] measurements will be taken from each subject included in the study during the first 48 hours following cardiopulmonary bypass initiation according to the following schedule: * baseline before initiation of cardiopulmonary bypass (CPB, 0h). * - 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 24 hours, 48 hours after initiation of CPB

    Time frame: up to one year

Secondary outcomes

  1. Test serum creatinine and urea concentration to report AKI according KDIGO guideline

    Blood samples for serum creatinine and urea concentration measurement will be taken from each subject included in the study during the first 48 hours following cardiopulmonary bypass initiation according to the following schedule: * baseline before initiation of cardiopulmonary bypass (CPB, 0 hours). * 12 hours, 24 hours, 48 hours, 60 hours after initiation of CPB

    Time frame: up to one year

07

Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Jefferies JL, Devarajan P. Early detection of acute kidney injury after pediatric cardiac surgery. Prog Pediatr Cardiol. 2016 Jun;41:9-16. doi: 10.1016/j.ppedcard.2016.01.011. PubMed 27429538 ↗
  • Li S, Krawczeski CD, Zappitelli M, Devarajan P, Thiessen-Philbrook H, Coca SG, Kim RW, Parikh CR; TRIBE-AKI Consortium. Incidence, risk factors, and outcomes of acute kidney injury after pediatric cardiac surgery: a prospective multicenter study. Crit Care Med. 2011 Jun;39(6):1493-9. doi: 10.1097/CCM.0b013e31821201d3. PubMed 21336114 ↗
  • Morgan CJ, Zappitelli M, Robertson CM, Alton GY, Sauve RS, Joffe AR, Ross DB, Rebeyka IM; Western Canadian Complex Pediatric Therapies Follow-Up Group. Risk factors for and outcomes of acute kidney injury in neonates undergoing complex cardiac surgery. J Pediatr. 2013 Jan;162(1):120-7.e1. doi: 10.1016/j.jpeds.2012.06.054. Epub 2012 Aug 9. PubMed 22878115 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 24, 2019, 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
NCT03963284
Lead sponsor
Shanghai Children's Medical Center
Collaborators
BioMérieux
Responsible party
Sponsor
First posted
May 24, 2019
Start date
Jun 2019 (estimated)
Primary completion
Dec 2019 (estimated)
Completion
Jun 2020 (estimated)
Last update
May 24, 2019

Study contacts

Xi Mo, Doctor
Contact
moxi@scmc.com.cn
8618930830620

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in May 2019. You cannot join it, but the record below documents what was studied.

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