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WithdrawnNCT04928092Zero-AKIUpdated Feb 4, 2022

A Zero Acute Kidney Injury Strategy for Percutaneous Coronary Intervention in Patients With ChronicKidney Disease

An observational study in Acute Kidney Injury, Coronary Artery Disease and Percutaneous Coronary Intervention, sponsored by Virginia Commonwealth University. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-02-04.

Sponsored by Virginia Commonwealth University · Observational

Why this study was withdrawn
The PI is leaving the institution
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
0
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to compare the outcomes of Percutaneous Coronary Intervention (PCI) in patients with chronic kidney disease (CKD) using smaller doses of contrast dye that are validated as being at low risk of causing injury to the kidneys, with the larger doses that are traditionally used contemporary practice.

Read the detailed description

This study will evaluate whether using lower doses of contrast dye leads to lower rates of kidney injury compared to current standard of care. In particular, effort will be taken to maintain the total amount of contrast dye below a scientifically-validated threshold calculated on the basis of each participant renal function. Participants will already be scheduled to undergo a PCI. Because a smaller amount of contrast dye will be used, an intravascular ultrasound (IVUS) will be used to help the doctors see and open the blockages in participant's coronary arteries. IVUS is already used to optimize PCI results, but will be used more extensively in this case. The amount of contrast dye received will be tailored on each participant kidney function. Prospectively enrolled patients will be matched with historical controls who underwent PCI with non-intravascular imaging based approach.

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Conditions studied

  • Acute Kidney Injury
  • Coronary Artery Disease
  • Percutaneous Coronary Intervention
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In context

Acute Kidney Injury

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

Browse Acute Kidney Injury studies →

Lead sponsor

Virginia Commonwealth University is the lead sponsor of 641 studies on the registry; 82 are open to participants now.

Of its 88 completed or terminated interventional studies of FDA-regulated products, 62 (70%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients scheduled to undergo a PCI.

Inclusion criteria

  • Consecutive patients undergoing elective and urgent (i.e., non-emergent) PCI
  • Age >18 years
  • eGFR \<60 ml/min/1.73 m2
  • Angina or equivalent and/or documentation of inducible myocardial ischemia
  • Presence of =1 coronary stenosis, evaluated >70% by visual estimation (on a previously performed coronary angiography) or with an FFR =0.80
  • ability to provide written informed consent

Exclusion criteria

Exclusion Criteria:

  • Emergent PCI due to either hemodynamic instability, ST-elevation myocardial infarction or sudden cardiac death
  • PCI on chronic total occlusion
  • Prior PCI within 3 weeks
  • Age >90 years
  • Left ventricular ejection fraction \<20%
  • Need for mechanical circulatory support
  • Pregnancy
  • Prisoners
  • Non-English speaking patients
  • Inability to provide written informed consent
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
0 participants (actual)
Patient registry
No

Groups and cohorts

  • Active research group

    Patients undergoing intravascular imaging guided, low contrast PCI procedure as part of standard care

    Procedure: Standard of care Ultra Low Contrast PCI

Interventions

  • ProcedureStandard of care Ultra Low Contrast PCI

    PCI using low amounts of contrast media which is standard of care at VCU Medical Center

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What researchers measure

Primary outcomes

  1. Acute Kidney Injury (AKI)

    Standard laboratory assays related to renal function will be used to identify which, if any, patients develop AKI

    Time frame: Up to 72 hours after the procedure

Other outcomes

  1. Cardiac death

    Number of cardiac deaths

    Time frame: Up to 30 days after PCI procedure

  2. Myocardial infarction

    Number of myocardial infarctions

    Time frame: Up to 30 days after PCI procedure

  3. Target lesion revascularization

    Number of target-lesion revascularizations

    Time frame: Up to 30 days after PCI procedure

  4. All-cause mortality

    Number of deaths due to any cause

    Time frame: Up to 30 days after PCI procedure

  5. Pericardial effusion

    Number of pericardial effusion

    Time frame: Up to 30 days after PCI procedure

  6. new need for dialysis

    Number of new patients needing dialysis

    Time frame: Up to 30 days after PCI procedure

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Study locations

1 site
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2022, 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
NCT04928092
Lead sponsor
Virginia Commonwealth University
Collaborators
Guerbet
Responsible party
Sponsor
First posted
Jun 16, 2021
Start date
Jan 2022 (estimated)
Primary completion
Mar 2023 (estimated)
Completion
Mar 2023 (estimated)
Last update
Feb 4, 2022

Study contacts

Lorenzo Azzalini, MD
principal investigator · Virginia Commonwealth University

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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