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Not yet recruitingNCT07888855Updated Oct 22, 2026

Impact of AI-Based Breath Ammonia Kidney Function Results on Clinical Pharmacist Medication Recommendations

An observational study in Diabetes Mellitus, Type 2 and Diabetic Nephropathies, sponsored by Shanghai Pudong Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Shanghai Pudong Hospital · Observational

Updated Oct 22, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
380
Ages
18 Years and older
Sex
All
01

Study summary

This retrospective study evaluates whether providing clinicians with artificial intelligence (AI)-based kidney function results from a breath ammonia test can improve the quality of medication recommendations made by clinical pharmacists. Using historical inpatient cases from Shanghai Pudong Hospital, each case was evaluated under two information conditions: one with standard clinical information only, and one with the additional AI-based breath test kidney function results. Independent experts blindly scored the medication recommendations. The study aims to determine whether the breath test AI information adds meaningful clinical value to pharmacist decision-making.

02

Conditions studied

  • Diabetes Mellitus, Type 2
  • Diabetic Nephropathies

Keywords

  • clinical pharmacist
  • kidney function assessment
  • breath ammonia
  • medication recommendation
03

In context

Diabetes Mellitus, Type 2

9,589 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,332 are open to participants now.

This study's planned enrollment of 380 is above the median of 300 across 1,622 observational studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Shanghai Pudong Hospital is the lead sponsor of 21 studies on the registry; 4 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
Sampling method
Non-probability sample

Study population

The study population consists of historical inpatient cases who previously underwent breath ammonia testing and received AI-based kidney function classification results at Shanghai Pudong Hospital. Eligible cases had complete standardized clinical records from the breath test hospitalization, with serum creatinine and eGFR results available within 7 days of the breath test serving as an independent reference standard. These de-identified cases represent patients with diabetes and/or kidney disease in real-world inpatient settings, used to evaluate the impact of AI-assisted breath ammonia information on clinical pharmacist medication recommendations.

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

  • Historical cases with completed breath test and AI kidney function classification results.
  • Complete standardized case records from the breath test hospitalization.
  • Serum creatinine and eGFR results available within 7 days before or after the breath test, serving as an independent reference standard.
  • Case data sufficient to support the pharmacist in making medication recommendations.

Exclusion criteria

Exclusion Criteria:

  • Missing standardized case data preventing independent medication evaluation.
  • Breath test and reference blood test interval exceeding 7 days.
  • Case in acute kidney injury (AKI) state.
  • Cases that cannot maintain information isolation between Condition A and Condition B.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
380 participants (estimated)
Patient registry
No

Groups and cohorts

  • Condition A - Standard Information

    De-identified standardized case summaries provided to clinical pharmacists without real serum creatinine and eGFR results and without breath test AI output. Approximately 380 cases.

  • Condition B - Breath Test AI-Assisted Information

    Identical standardized case summaries as Condition A, with the addition of breath test AI kidney function results (estimated renal function, CKD stage probability, and confidence), while real serum creatinine and eGFR remain blinded. Approximately 380 cases.

06

What researchers measure

Primary outcomes

  1. Decision Score Difference Between Information Conditions

    Adjusted mean difference in the composite medication recommendation score (0-40 scale) between Condition A and Condition B for the same cases, with 95% confidence interval.

    Time frame: up to 4 weeks

Secondary outcomes

  1. Proportion of Correct Decisions

    Proportion of cases where the medication recommendation is rated correct and reasonable, compared between Condition A and Condition B.

    Time frame: up to 4 weeks

  2. Recommendation Consistency Rate

    Proportion of pharmacist-recommended treatment plans consistent with gold standard and expert consensus.

    Time frame: up to 4 weeks

  3. Unreasonable Recommendation Rate

    Proportion of cases containing principle errors (e.g., recommending nephrotoxic drugs despite declined renal function, dosing errors).

    Time frame: up to 4 weeks

  4. Decision Confidence

    Difference in self-reported decision confidence scores (0-10 scale) between Condition A and Condition B.

    Time frame: up to 4 weeks

  5. Decision Time

    Difference in time taken to complete medication recommendations between Condition A and Condition B.

    Time frame: up to 4 weeks

07

Study locations

1 site
  • Shanghai Pudong Hospital
    Shanghai, China
08

References and documents

Study documents

  • Study protocol · Sep 1, 2026
  • Informed consent form · Sep 1, 2026
  • Informed consent form · Sep 1, 2026

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — De-identified standardized case summaries and AI-assisted decision outcome data will be made available for research purposes, consistent with the study's data protection and confidentiality requirements.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Beginning 12 months after the primary results publication, for a period as specified in the data sharing agreement.

Access criteria: Researchers who submit a methodologically sound proposal, subject to approval and a data use agreement; data must be used for research purposes only.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    First appeared on the registry

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
NCT07888855
Lead sponsor
Shanghai Pudong Hospital
Collaborators
Sichuan Jishengtang Pharmaceutical Co., Ltd.
Responsible party
Jingru Gong (Deputy Director, Department of Pharmacy, Shanghai Pudong Hospital) — Principal investigator
First posted
Oct 22, 2026
Start date
Oct 9, 2026 (estimated)
Primary completion
Oct 30, 2026 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Oct 22, 2026

Study contacts

Jingru Dr. Gong
Contact
50074@shpdhoa.org
800-18121329275

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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