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Brain-dead Organ Donors clinical trials

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NCT ID: NCT04714710 Recruiting - Clinical trials for Brain-dead Organ Donors

Potassium Canrenoate in Brain-dead Organ Donors: Randomized Controlled Clinical Trial

CANREO-PMO
Start date: August 26, 2021
Phase: Phase 2
Study type: Interventional

Given the current organ shortage, improving the quality/efficacy of harvested grafts from expanded criteria donors is essential to substantially increase the number of potential donors. Preclinical studies have shown that blocking the vascular mineralocorticoid receptor (MR) mitigates ischemia-reperfusion injury (I/R) and prevents renal dysfunction following acute kidney injury. Potassium canrenoate is an intravenous MR antagonist. Blocking the MR upstream from aortic cross clamping is likely the most effective strategy to limit I/R injury. Yet, brain-dead donors are prone to severe hemodynamic instability and polyuria. Consequently, this study seeks to assess the hemodynamic tolerance of the use of potassium canrenoate in this context, as a first step to a large-scale clinical trial testing the impact of this therapeutic intervention on the survival of kidney grafts.