ClinicalTrials.gg
Enrolling by invitationNCT07751913ALPACAUpdated Oct 29, 2026

ProNephro NGAL Test for Early Detection of Acute Kidney Injury in Adult ICU Patients (ALPACA)

An observational study in Acute Kidney Injury, sponsored by BioPorto Diagnostics. Enrolling by invitation at 4 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by BioPorto Diagnostics · Observational

Updated Oct 29, 2026Now Enrolling by invitationFirst site in United States+2 moreGo to Updates ↓

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
800
Ages
22 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 370 studies in Acute Kidney Injury with a site in United States — 72 open to participants now, 88 under way, 9 of them phase 3. Acute Kidney Injury · United States.

Planned enrollment
30th of 131
800 · median 124
Started
2026
with 28 others
Observational
132 of 370
21 open now
Primary completion
2027-11
later than 51 of 87 live
Registered
364th of 370
by date

Among the 370 studies in Acute Kidney Injury with a site in United States, this one is the 30th largest by planned enrollment of the 131 observational ones that give a count, is one of 29 that started in 2026, is one of 132 observational ones, reaches primary completion later than 51 of the 87 other live ones, and was the 364th registered.

Acute Kidney Injury

1,691 studies on the registry are indexed under Acute Kidney Injury; 393 are open to participants now.

Browse Acute Kidney Injury studies →

Open to participants now

72 of the 370 studies in Acute Kidney Injury with a site in United States are open now. Recruiting first, the newest first:

67 more — sign in →

All 72 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 230 Acute Kidney Injury studies recruiting now, 162 (70%) set no upper age limit and 35 (15%) stop at 75 or younger; 22 take children under 18; 25 take healthy volunteers.

This study: 22 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 370 studies in Acute Kidney Injury with a site in United States, or all of them as a file.
02

Study summary

The purpose of this study is to evaluate the performance of the ProNephro AKI™ (NGAL) test for identifying critically ill adults at risk of developing moderate to severe acute kidney injury (KDIGO Stage 2/3) within 48 to 72 hours of ICU admission.

The study will assess how accurately the test predicts acute kidney injury by evaluating its sensitivity, specificity, positive predictive value, and negative predictive value. Participants will provide blood and urine samples for testing.

03

Conditions studied

  • Acute Kidney Injury

Browse trials for

04

Who can participate

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

Study population

Patients admitted to the ICU 22 years of age and older

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

Males and females ≥ 22 years of age. Subjects must be admitted or admission pending to an Intensive Care Unit and must have a urine sample collected within 24 hours of ICU admission.

Subjects must have at least one of the following, leading to admission to the ICU, or occurring within 24 hours of admission to the ICU (unless otherwise specified):

Vasoactive medication administration Mechanical ventilation Hypoxemia requiring oxygen support therapy including Bilevel positive airway pressure (BIPAP) and high flow nasal canula Serum Lactate greater than 2.5 mmol/L, within 6 hours prior to enrollment History (any) of solid organ transplantation, renal transplantation included only if more than 3 months prior History (any) of bone marrow transplantation Ability to provide written

Exclusion criteria

Exclusion Criteria:

Special populations including pregnant and lactating women, prisoners, or institutionalized individuals.

Subjects receiving Kidney Replacement Therapy in the first 24 hours of ICU admission.

Subjects diagnosed with active Urinary Tract Infection per institute standard of care at the time of NGAL sampling.

Subjects with a known history of chronic kidney disease stages 4 or 5 as evidenced by a pre-enrollment estimated of less than 30 mL/min/1.73m2.

Subjects with any known urothelial, urological or kidney .

Subjects that have had any of the following urologic procedure or urologic surgery within 30 days prior to ICU admission:

Nephrostomy or nephroureteral stent placement Ureteral stent placement or exchange Ureteroscopy Lithotripsy Transurethral resection of the prostate Transurethral resection of bladder tumor Renal Subjects that have had surgical nephrectomy less than 3 months prior to admission.

Subjects that have been previously enrolled in this study. Subjects enrolled in an interventional pharmaceutical or device clinical trial ICU admission.

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.

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.

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.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
800 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • Diagnostic testProNephro AKI™ (NGAL)

    ProNephro AKI™ (NGAL) is an immunoassay for the in vitro quantitative determination of neutrophil gelatinase-associated lipocalin (NGAL) in human urine.

06

What researchers measure

Primary outcomes

  1. Sensitivity of the ProNephro AKI™ Urinary NGAL Test at the 172 ng/mL Cut-off

    Percentage of evaluable participants with independently adjudicated KDIGO Stage 2 or Stage 3 acute kidney injury at 48 to 72 hours who have a T0 urinary NGAL concentration of 172 ng/mL or greater, as measured using the ProNephro AKI™ assay.

    Time frame: T0 urine specimen collected within 24 hours of ICU admission; AKI status assessed at 48 to 72 hours after ICU admission

  2. Specificity of the ProNephro AKI™ Urinary NGAL Test at the 172 ng/mL Cut-off

    Percentage of evaluable participants without independently adjudicated KDIGO Stage 2 or Stage 3 acute kidney injury at 48 to 72 hours who have a T0 urinary NGAL concentration below 172 ng/mL, as measured using the ProNephro AKI™ assay.

    Time frame: T0 urine specimen collected within 24 hours of ICU admission; AKI status assessed at 48 to 72 hours after ICU admission

  3. Positive Predictive Value of the ProNephro AKI™ Urinary NGAL Test at the 172 ng/mL Cut-off

    Percentage of evaluable participants with a T0 urinary NGAL concentration of 172 ng/mL or greater who have independently adjudicated KDIGO Stage 2 or Stage 3 acute kidney injury at 48 to 72 hours, as measured using the ProNephro AKI™ assay.

    Time frame: T0 urine specimen collected within 24 hours of ICU admission; AKI status assessed at 48 to 72 hours after ICU admission

  4. Negative Predictive Value of the ProNephro AKI™ Urinary NGAL Test at the 172 ng/mL Cut-off

    Percentage of evaluable participants with a T0 urinary NGAL concentration below 172 ng/mL who do not have independently adjudicated KDIGO Stage 2 or Stage 3 acute kidney injury at 48 to 72 hours, as measured using the ProNephro AKI™ assay.

    Time frame: T0 urine specimen collected within 24 hours of ICU admission; AKI status assessed at 48 to 72 hours after ICU admission

Secondary outcomes

  1. Correlation Between Urinary and Plasma NGAL Concentrations Measured Using the ProNephro AKI™ Assay

    Pearson's r correlation coefficient for paired urinary and plasma NGAL concentrations measured in ng/mL at the same protocol-defined collection time points.

    Time frame: Across protocol-defined collection time points through 72 hours after ICU admission

  2. Agreement Between Urinary and Plasma NGAL Concentrations Measured Using the ProNephro AKI™ Assay

    Agreement between paired urinary and plasma NGAL concentrations measured in ng/mL at the same protocol-defined collection time points will be assessed using Passing-Bablok regression.

    Time frame: Across protocol-defined collection time points through 72 hours after ICU admission

  3. Change in Urinary NGAL Concentration Over Time by KDIGO Stage 2/3 Acute Kidney Injury Status

    Change in urinary NGAL concentration, measured in ng/mL using the ProNephro AKI™ assay, will be evaluated over the protocol-defined collection time points and summarized separately for participants with and without independently adjudicated KDIGO Stage 2 or Stage 3 acute kidney injury.

    Time frame: From T0 specimen collection through 72 hours after ICU admission

  4. Percentage of Participants Developing KDIGO Stage 2/3 Acute Kidney Injury by Sequential Urinary NGAL Pattern

    Percentage of participants who develop independently adjudicated KDIGO Stage 2 or Stage 3 acute kidney injury, summarized according to sequential urinary NGAL patterns at T0 and T1: negative to negative, negative to positive, positive to positive, and positive to negative. Positive or negative NGAL status will be determined using the 172 ng/mL cut-off.

    Time frame: From T0 specimen collection through assessment of acute kidney injury status at 72 hours after ICU admission

07

Study locations

4 sites
08

References and documents

Related links

Individual participant data

Plan to share: Undecided — The sponsor has not yet determined whether individual participant data will be made available. The data-sharing plan is under evaluation and may be updated as the study progresses.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Started Jul 2026 (actual). Primary completion is estimated for Nov 2027, 16 months after the start.

Of 365 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 16 months is below that.

Start moved once since we started tracking on Sep 25, 2026: Aug 2026 → Jul 2026, on Oct 29, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jul 2, 2026
First posted
Aug 7, 2026
StartActual
Jul 21, 2026was Aug 2026
Primary completionEst.
Nov 2027
CompletionEst.
May 2028
Last update
Oct 29, 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.
Status
Not yet recruiting→Enrolling by invitation
changed Oct 29, 2026
Sites
4 sites added — first site in United States
Show 4 added (4 United States)
  • The University of Alabama · Birmingham, United States
  • Yale University · New Haven, United States
  • Massachusetts General Hospital · Boston, United States
  • University of New Mexico · Albuquerque, United States
Oct 29, 2026
Start date
Aug 2026→Jul 21, 2026 (actual)
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    Not yet recruiting→Enrolling by invitation
    4 sites added — first site in United States
    Show 4 added (4 United States)
    • The University of Alabama · Birmingham, United States
    • Yale University · New Haven, United States
    • Massachusetts General Hospital · Boston, United States
    • University of New Mexico · Albuquerque, United States
    Start date Aug 2026→Jul 21, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07751913
Lead sponsor
BioPorto Diagnostics
Responsible party
Sponsor
First posted
Aug 7, 2026
Start date
Jul 21, 2026
Primary completion
Nov 2027 (estimated)
Completion
May 2028 (estimated)
Last update
Oct 29, 2026

Study contacts

Rosa Canler
study director · BioPorto Diagnostics A/S

Oversight

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

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