ClinicalTrials.gg
Not yet recruitingNCT07586059CIILOSUpdated Sep 18, 2026

Continuous Renal Replacement Therapy, Impact on Intensive Care Unit Length of Stay

An observational study in AKI - Acute Kidney Injury and Critical Illness, sponsored by Karolinska Institutet. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Karolinska Institutet · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500,000
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Acute Kidney Injury by Karolinska Institutet — 4 open to participants now, 5 under way, none of them phase 3. Acute Kidney Injury · Karolinska Institutet.

Started
2026
with 1 other
Observational
9 of 10
3 open now
Registered
9th of 10
by date

Among the 10 studies in Acute Kidney Injury by Karolinska Institutet, this one is one of 2 that started in 2026, is one of 9 observational ones, and was the 9th registered.

Acute Kidney Injury

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

Browse Acute Kidney Injury studies →

Open to participants now

4 of the 10 studies in Acute Kidney Injury by Karolinska Institutet are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

Where they have run

Who these studies take

Of the 230 Acute Kidney Injury studies recruiting now, 161 (70%) set no upper age limit and 36 (16%) stop at 75 or younger; 22 take children under 18; 25 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies in Acute Kidney Injury by Karolinska Institutet, or all of them as a file.
02

Study summary

This large national cohort study, including over 500,000 patients, where around 5% are treated with continuous renal replacement therapy (CRRT) , aims to evaluate the association between time to initiation of CRRT and intensive care unit (ICU) length of stay (LOS).

Read the detailed description

This large national cohort study, including over 500,000 patients, aims to evaluate the association between time to initiation of continuous renal replacement therapy (CRRT) and intensive care unit (ICU) length of stay (LOS).

The investigators hypothesize that earlier start of CRRT is associated with shorter length of stay among critically ill patients.

CRRT is seen as a costly intervention, and after studies failing to demonstrate a mortality benefit from earlier initiation, the trend is to push, or postpone the start of CRRT. In Sweden the additional cost of CRRT amounts to around 5000 SEK, approximately 500 dollars/euros per 24 hours. However, the 24-hour cost of staying in the ICU is around 58000 SEK or 5800 dollars/euros.

03

Conditions studied

  • AKI - Acute Kidney Injury
  • Critical Illness

Keywords

  • AKI
  • CRRT
  • CKRT
  • Critical Illness
  • Intensive care
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

All adult critically ill patients in Swedish ICUs from 2010-2023, with- and without the need of CRRT forms this cohort.

Within the cohort, a nested case-control type of study can be performed. Two groups:

Group 1: Patients with CRRT initiation time less than 30 hours (early CRRT) Group 2: Patients with CRRT initiation time 30 hours or more (late CRRT)

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

  • Patients with critical illness
  • Admitted to Swedish ICUs from 2010-2023
  • Adult (18 years or older)

Exclusion criteria

Exclusion Criteria:

*Patients under 18 years of age

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500,000 participants (estimated)
Patient registry
No

Interventions

  • Devicecontinuous renal replacement therapy

    We are evaluting early vs late initiation of CRRT

06

What researchers measure

Primary outcomes

  1. Intensive care unit (ICU) length of stay (LOS) measured in hours

    Hours from baseline, i.e. ICU admission (time=0) to ICU discharge (time=0+hours in ICU)

    Time frame: ICU LOS during the study period, from admission to discharge, average 168 hours (one week)

Secondary outcomes

  1. Mortality

    Days from baseline, i.e. ICU admission to 30, 90,180 and 365 day mortality

    Time frame: ONE-YEAR Mortality post admission

  2. Mechanical ventilation

    Hours from baseline, i.e. start of ventilation (time=0) until end of ventilation, hours

    Time frame: Time on mechanical ventilation during the study period, average one week, but up to ICU discharge

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 — Swedish law prohibits IPD sharing using extracted quality register data, when this has not been stated in the primary ethics application. However, other researchers can theoretically apply for data extraction from the Swedish Intensive Care Register.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

Of 349 non-industry observational studies under Acute Kidney Injury, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 42. This study's planned 13 months is below that.

Counting every sponsor, half of 364 studies reached it within 24 months; a quarter within 12 and three quarters within 42.

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

Registered
Dec 18, 2025
First posted
May 14, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2027
Last update
Sep 18, 2026
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 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07586059
Responsible party
Max Bell (MD, PhD, senior lecturer, associate professor, Karolinska Institutet) — Principal investigator
First posted
May 14, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Sep 18, 2026

Study contacts

Max Bell, MD, PhD
Contact
max.bell@regionstockholm.se
+46708278533
Max Bell, MD, PhD
principal investigator · Karolinska University Hospital

Oversight

Data monitoring committee
No
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 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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