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Not yet recruitingNCT07156786Updated Sep 19, 2025

N-Acetylcysteine Roles in Preserving Renal Function Measured by Urinary KIM-1 (Kidney Injury Molecule-1) and Serum Creatinine on Cancer Patients With Cisplatin Based Chemotherapy: A Randomized Placebo-Controlled Trial

A Phase 2/3 interventional study of N-acetylcysteine (NAC) and Placebo in Kidney Function Issue, Acute Kidney Injury and Cancer (Solid Tumors), sponsored by Fakultas Kedokteran Universitas Indonesia. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-19.

Sponsored by Fakultas Kedokteran Universitas Indonesia · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if N-Acetylcysteine drug works to protect kidney function in adults patient with cancer. Kidney function will be measured by laboratory parameter using urine sample (KIM-1 urine) and blood sample (serum creatinine). The main questions it aims to answer are:

  1. Does N-Acetylcysteine lower the level of KIM-1 (Kidney Injury Molecule) in patients urine indicating kidney function protection?
  2. Does N-Acetylcysteine lower the level of creatinine in patients blood indicating kidney function protection?

Participants will:

  1. Had their blood and urine sample taken before taking the drugs (N-Acetylcysteine or placebo)
  2. Underwent cisplatin based chemotherapy
  3. Taken placebo or N-Acetylcysteine for seven days (1 day before chemotherapy, on the chemotherapy day, and 5 days after chemotherapy)
  4. Had their blood and urine sample taken twice after taking the drugs (1 week and 3 weeks after chemotherapy)
  5. Had their symptoms monitor during and after taking the drugs. Every possible side effect, hospitalization, or death will be recorded.
02

Conditions studied

  • Kidney Function Issue
  • Acute Kidney Injury
  • Cancer (Solid Tumors)
  • Kidney Function Tests
  • Acetylcysteine Adverse Reaction

Keywords

  • kidney injury molecule 1
  • KIM-1
  • Creatinine
  • N-Acetylcysteine
03

In context

Acute Kidney Injury

1,691 studies on the registry are indexed under Acute Kidney Injury; 395 are open to participants now.

This study's planned enrollment of 72 is below the median of 100 across 817 interventional studies indexed under Acute Kidney Injury.

Browse Acute Kidney Injury studies →

Lead sponsor

Fakultas Kedokteran Universitas Indonesia is the lead sponsor of 36 studies on the registry; 6 are open to participants now.

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

04

Who can participate

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

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.

Inclusion criteria

  • Patient with cancer/ proven by histopathological examination
  • Patient with ≥60 ml/mins/1,73 m²
  • Patient with normal complete blood count and liver function test result
  • Patient with good performance status ( score ≥80)
  • Patients with cisplatin based chemotherapy

Exclusion criteria

Exclusion Criteria:

  • Patient that can not tolerate N-Acetylcysteine usage
  • Patient with history of to N-Acetylcysteine
  • Patient that given other potentially nephrotoxic drug, such as furosemide, non-steroidal anti-infammatory drugs, aminoglycosides, amphotericin B, cephalosporine
  • Patient that given other chemotherapy drug, such as permetrexed, ifosfamide, gemcitabin, bevacizumab, cetuxsimab
  • Patient with history of malignant or uncontrolled hypertension
  • patient with congestive heart failure, kidney structure abnormality, and acute infection
  • Pregnant or lactating women
  • Patient refusing to participate in the research
Terms in these criteria, in plain language(4)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
72 participants (estimated)

Study arms

  • Placebo comparator
    Placebo

    Patient receiving placebo and cisplatin chemotherapy

    Drug: Placebo

  • Experimental
    N-Acetylcysteine

    Patient receiving NAC + cisplatin based chemotherapy

    Drug: N-acetylcysteine (NAC)

Interventions

  • N-Acetylcysteine effercescent 1200 mg orally twice a day for 7 days. One day before cisplatin based chemotherapy, on the chemotherapy day, and five days after.

  • DrugPlacebo

    Patient will get placebo

06

What researchers measure

Primary outcomes

  1. Kidney injury molecule-1

    Detected from participants urine sample indicating kidney function, will be measured at baseline, and after the intervention

    Time frame: 1 week and 3 weeks after intervention

  2. Creatinine

    Creatinine will be measured from participants blood serum sample at baseline, and after intervention

    Time frame: 1 week and 3 weeks after intervention

07

Study locations

No study locations are listed for this record.

08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Due to privacy regulations and institutional policy, individual participant data will not be shared.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2025; primary completion for Apr 2027, 19 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 24, 2025
First posted
Sep 5, 2025
StartEst.
Sep 15, 2025
Primary completionEst.
Apr 30, 2027
CompletionEst.
Aug 31, 2027
Last update
Sep 19, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07156786
Lead sponsor
Fakultas Kedokteran Universitas Indonesia
Responsible party
Oryza Gryagus Prabu, MD (Medical Staff, Internist, Fakultas Kedokteran Universitas Indonesia) — Principal investigator
First posted
Sep 5, 2025
Start date
Sep 15, 2025 (estimated)
Primary completion
Apr 30, 2027 (estimated)
Completion
Aug 31, 2027 (estimated)
Last update
Sep 19, 2025

Study contacts

Oryza G Prabu, MD, Specialist
Contact
oryza.gyragus@gmail.com
+62 821 1113 3822
Pringgodigdo Nugroho, MD, Doctor
Contact
pringgo@gmail.com
+62 817 9822 504

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Acetylcysteine

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