Chronic Kidney Diseases Clinical Trial
Official title:
Clinical Study of Domestic Polysaccharide Superparamagnetic Iron Oxide Nanoparticle Injection for Renal Contrast-enhanced Magnetic Resonance Imaging
Conventional contrast-enhanced magnetic resonance imaging is typically performed with extracellular gadolinium chelates, which is often limited in patients with CKD owing to the risk of nephrogenic systemic fibrosis. Ferumoxytol, a novel contrast medium, can be used as an "off-label" contrast agent for magnetic resonance imaging. During the last decade, ferumoxytol has gained appeal as an MRI contrast agent in patients with estimated glomerular filtration rates <30mL/min and there are reports in the literature for its safe use and utility in both adult and pediatric patients with CKD. The study is designed to evaluate the diagnostic performance of ferumoxytol-enhanced magnetic resonance imaging in patients suspected of renal artery stenosis, investigate the correlation between renal cortical T2*(T2*=1/R2*) and renal function, and develop an automatic algorithms for renal vessel segmentation.
Status | Recruiting |
Enrollment | 40 |
Est. completion date | June 30, 2024 |
Est. primary completion date | May 30, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility | Inclusion Criteria: - Age ? 18 years, < 75 years; - Patients who planned renal angiography (hypertension ?renal failure?atherosclerosis); - Patients with normal renal function or CKD stage 1-5(Patients diagnosed with CKD as defined in the KDIGO Clinical Practice Guidelines for the Evaluation and Management of Chronic Kidney Disease 2012 Edition); - Patients themselves or authorized families to sign informed consent voluntarily. Exclusion Criteria: - Patients who were allergic to iodine contrast agent or had allergic history or allergic constitution to iron and dextran; - Patients who can't accept magnetic resonance examination because of psychological ( such as Claustrophobia ) or physical reasons ( such as metal retention in the body ); - Malignancies or other comorbid conditions with life expectancy less than 1 year; - Pregnant or lactating women; - Hearing impaired persons; - Cardiac function grade III-IV; - Patients who were taking other iron agents orally or intravenously; - Patients with hemosiderin deposition or hemochromatosis; - Patients with acute coronary syndromes; - Any other patients that researcher deems it's unsuitable to be admitted. |
Country | Name | City | State |
---|---|---|---|
China | First Affiliated Hospital of Nanjing Medical University | Nanjing | Jiangsu |
Lead Sponsor | Collaborator |
---|---|
The First Affiliated Hospital with Nanjing Medical University | Chia Tai Tianqing Pharmaceutical Group Co., Ltd. |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | the degree of renal artery stenosis | Degree of renal artery stenosis assessed by Magnetic Resonance Imaging and renal angiography | baseline and after intervention | |
Primary | quantitative cortical T2* value | the quantitative T2* value of the renal cortex will be measured bilaterally at the upper and lower poles by drawing six equal-sized, non-overlapping operator-dependent regions of interest (ROI) to calculate average quantitative T2* values. | baseline and after intervention | |
Primary | change of hemoglobin level | hemoglobin examination of patients before and after examination to evaluate anemia. | baseline,72 hours,30 days,3 months | |
Primary | serum creatinine | serum creatinine examination of patients before and after examination to evaluate kidney function. | baseline,72 hours,30 days,3 months | |
Primary | Urine routine | Urine routine examination of patients before and after examination to evaluate kidney function. | baseline,72 hours,30 days,3 months | |
Primary | 24-hour urine biochemistry | 24-hour urine biochemistry examination of patients before and after examination to evaluate kidney function. | baseline,72 hours,30 days,3 months | |
Primary | Retinol binding protein | Retinol binding protein examination of patients before and after examination to evaluate kidney function. | baseline,72 hours,30 days,3 months | |
Primary | Neutrophil gelatinase-associated lipocalin | Neutrophil gelatinase-associated lipocalin examination of patients before and after examination to evaluate kidney function. | baseline,72 hours,30 days,3 months | |
Primary | Serum iron | Determination of serum iron before and after MRA to evaluate the changes of iron content in peripheral blood. | baseline,72 hours,30 days,3 months | |
Primary | Ferritin | Determination of serum ferritin before and after MRA to evaluate the changes of iron content in peripheral blood. | baseline,72 hours,30 days,3 months | |
Primary | Transferrin | Determination of serum transferrin before and after MRA to evaluate the changes of iron content in peripheral blood. | baseline,72 hours,30 days,3 months | |
Primary | serum cystatin C | Determination of serum cystatin C before and after examination to evaluate the changes of renal function. | baseline,72 hours,30 days,3 months |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT06386172 -
Electronic Decision-support System to Improve Detection and Care of Patients With Chronic Kidney Disease in Stockholm
|
N/A | |
Recruiting |
NCT04910867 -
APOL1 Genetic Testing Program for Living Donors
|
N/A | |
Completed |
NCT03434145 -
Changes of Ocular Structures After Hemodialysis in Patients With Chronic Kidney Diseases
|
N/A | |
Recruiting |
NCT04984226 -
Sodium Bicarbonate and Mitochondrial Energetics in Persons With CKD
|
Phase 2 | |
Active, not recruiting |
NCT05887817 -
Effects of Finerenone on Vascular Stiffness and Cardiorenal Biomarkers in T2D and CKD (FIVE-STAR)
|
Phase 4 | |
Recruiting |
NCT05318196 -
Molecular Prediction of Development, Progression or Complications of Kidney, Immune or Transplantation-related Diseases
|
||
Terminated |
NCT05022329 -
COVID-19 Vaccine Boosters in Patients With CKD
|
Phase 2/Phase 3 | |
Not yet recruiting |
NCT04925661 -
HEC53856 Phase Ib Study in Patients With Non-dialysis Renal Anemia
|
Phase 1 | |
Recruiting |
NCT04961164 -
Resistant Starch Prebiotic Effects in Chronic Kidney Disease
|
N/A | |
Completed |
NCT05015647 -
Low Protein Diet in CKD Patients at Risk of Malnutrition
|
N/A | |
Completed |
NCT03426787 -
Helping Empower Liver and Kidney Patients
|
N/A | |
Recruiting |
NCT06094231 -
Treating Patients With Renal Impairment and Altered Glucose MetAbolism With TherapeutIc Carbohydrate Restriction and Sglt2-Inhibiton - a Pilot Study
|
N/A | |
Completed |
NCT04363554 -
The Kidneys Ability to Concentrate and Dilute Urine in Patients With Autosomal Dominant Polycystic Kidney Disease
|
N/A | |
Recruiting |
NCT04831021 -
Pre- or Per-dialytic Physical Exercise : a Cardioprotective Role?
|
N/A | |
Terminated |
NCT04877847 -
Multi-Center Trial Utilizing Low Frequency Ultrasound in the Prevention of Post-Contrast Acute Kidney Injury
|
N/A | |
Recruiting |
NCT04422652 -
Combination of Novel Therapies for CKD Comorbid Depression
|
Phase 2 | |
Completed |
NCT05055362 -
Effect a Honey, Spice-blended Baked Good Has on Salivary Inflammation Markers in Adults: a Pilot Study
|
N/A | |
Not yet recruiting |
NCT06330480 -
Check@Home: General Population Screening for Early Detection of Atrial Fibrillation and Chronic Kidney Disease
|
N/A | |
Recruiting |
NCT03176862 -
Left Ventricular Fibrosis in Chronic Kidney Disease
|
N/A | |
Terminated |
NCT02539680 -
Intestinal Phosphate Transporter Expression in CKD Patients
|
N/A |