Acute Kidney Injury Clinical Trial
Official title:
Branch Director, Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital.
Acute kidney injury (AKI) has a frequency of 7.0 % in hospital inpatients and is especially
common in critically ill patients, in whom the prevalence of acute kidney injury is greater
than 40% at admission to the intensive care unit if sepsis is present. Therefore,
alternative strategies are required to confer better or more complete renoprotection for
those who suffered from AKI.
There had been many studies demonstrated that the phosphodiesterase inhibitor pentoxifylline
(PTX) is a potent anti-inflammatory, anti-proliferative, and anti-fibrotic agent capable of
attenuating experimental renal disease such as drugs, ischemic and sepsis induced AKI. We
thereby design this controlled, non-randomized clinical trial, aiming at investigating the
potential renoprotective efficacy of PTX, as compared to placebo, in 200 patients with AKI.
Acute kidney injury (AKI) refers to a clinical syndrome characterized by a rapid (hours to
days) decrease in renal function, which is a common and important diagnostic and therapeutic
challenge for clinicians. The disorder has a frequency of 7.0 % in hospital inpatients and
is especially common in critically ill patients, in whom the prevalence of acute kidney
injury is greater than 40% at admission to the intensive care unit if sepsis is present. AKI
is independently associated with important morbidity and mortality although many efforts
have been used in past years. Therefore, alternative strategies are required to confer
better or more complete renoprotection for those who suffered from AKI.
There had been many studies demonstrated that the phosphodiesterase inhibitor pentoxifylline
(PTX) is a potent anti-inflammatory, anti-proliferative, and anti-fibrotic agent capable of
attenuating experimental renal disease such as drugs, ischemic and sepsis induced AKI. We
thus hypothesized that PTX may have therapeutic value for AKI in human. We thereby design
this controlled, non-randomized clinical trial, aiming at investigating the potential
renoprotective efficacy of PTX, as compared to placebo, in 200 patients with AKI.
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