NCT03170739

Brief Summary

Acute kidney injury (AKI) is associated with complications that may lead to multiorgan dysfunction and potentially to multi-organ failure after major surgery. Dexmedetomidine is a highly selective alpha(2)-adreno receptor agonist widely used during anesthesia. In animals, dexmedetomidine has shown protective effects in AKI after surgery. Dopamine (DA) is an organic chemical of the catecholamine and phenethylamine families that has been widely used to increased renal blood flow and urine output during surgery. However, the clinical effects of dexmedetomidine and dopamine on renal function are still controversial. The aim of this study is to investigate whether dexmedetomidine and dopamine have positive effects on renal function after selective major surgery.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
180

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Jun 2017

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 17, 2017

Completed
14 days until next milestone

First Posted

Study publicly available on registry

May 31, 2017

Completed
6 days until next milestone

Study Start

First participant enrolled

June 6, 2017

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2019

Completed
Last Updated

June 12, 2018

Status Verified

June 1, 2018

Enrollment Period

2.3 years

First QC Date

May 17, 2017

Last Update Submit

June 9, 2018

Conditions

Keywords

dexmedetomidinedopaminesurgery

Outcome Measures

Primary Outcomes (3)

  • Postoperative renal function

    Serum Cr and Cys-c

    Change from baseline to the 5th day after surgery

  • Mortality

    30 days

  • Postoperative complications

    2 weeks

Study Arms (4)

Dexmedetomidine

EXPERIMENTAL

Dexmedetomidine 0.5ug/kg iv follow by 0.2ug/kg/h ivpump at the beginning of surgery.

Drug: Dexmedetomidine

Dopamine

EXPERIMENTAL

Dopamine 3ug/kg/min ivpump at the beginning of surgery.

Drug: Dopamine

Dexmedetomidine+dopamine

EXPERIMENTAL

Dexmedetomidine 0.5ug/kg iv follow by 0.2ug/kg/h ivpump, combined with dopamine 3ug/kg/min ivpump at the beginning of surgery.

Drug: DexmedetomidineDrug: Dopamine

Control group

NO INTERVENTION

No intervention

Interventions

Dexmedetomidine given during surgery.

DexmedetomidineDexmedetomidine+dopamine

Dopamine given during surgery.

Dexmedetomidine+dopamineDopamine

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients undergoing selective major surgery

You may not qualify if:

  • Patients undergoing urologic surgery or neurosurgery
  • Patients with preoperative renal disorder

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

First Affiliated Hospital, Sun Yat-sen University

Guangzhou, China

RECRUITING

Related Publications (1)

  • Ji F, Li Z, Young JN, Yeranossian A, Liu H. Post-bypass dexmedetomidine use and postoperative acute kidney injury in patients undergoing cardiac surgery with cardiopulmonary bypass. PLoS One. 2013 Oct 10;8(10):e77446. doi: 10.1371/journal.pone.0077446. eCollection 2013.

    PMID: 24130886BACKGROUND

MeSH Terms

Interventions

DexmedetomidineDopamine

Intervention Hierarchy (Ancestors)

ImidazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsBiogenic MonoaminesBiogenic AminesAminesOrganic ChemicalsCatecholaminesCatecholsPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbons

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Clinical Professor of Department of Anesthesiology

Study Record Dates

First Submitted

May 17, 2017

First Posted

May 31, 2017

Study Start

June 6, 2017

Primary Completion

October 1, 2019

Study Completion

December 1, 2019

Last Updated

June 12, 2018

Record last verified: 2018-06

Locations