NCT03921099

Brief Summary

A Randomized controlled trial aiming to investigate whether ascorbic acid has a role in preventing vancomycin induced nephrotoxicity or not in critically ill patients.

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
40

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jan 2019

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

Study Start

First participant enrolled

January 17, 2019

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

April 16, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 19, 2019

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2020

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2020

Completed
Last Updated

January 10, 2020

Status Verified

January 1, 2020

Enrollment Period

1.5 years

First QC Date

April 16, 2019

Last Update Submit

January 8, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Incidence of nephrotoxicty

    Incidence of nephrotoxicty will be described according to RIFLE criteria

    one week

Secondary Outcomes (1)

  • 28 days Mortality

    one month

Study Arms (2)

Vancomycin only

NO INTERVENTION

Vancomycin 15-20mg/kg intravenous every 8-12 hours.

Vancomycin +Ascorbic acid

EXPERIMENTAL

Vancomycin 15-20mg/kg intravenous every 8-12 hours. Ascorbic acid 1gm every 12 hours orally just before vancomycin by half an hour for seven days.

Drug: Ascorbic Acid

Interventions

ascorbic acid is an antioxidant that is expected to prevent nephrotoxicty induced by Vancomycin.

Also known as: Vitamin C
Vancomycin +Ascorbic acid

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults who are critically ill and with MRSA infection suspection.

You may not qualify if:

  • Pregnancy or breast feeding.
  • Known allergy to either vancomycin or ascorbic acid.
  • Base line serum creatinine ≥2mg/dl.
  • Patients receiving other nephrotoxic drug (e.g., aminoglycosides, amphotericin B, cisplatin or calcinurine inhibitors).
  • Anticepated administration of contrast medium within 7 days.
  • Patients suffering from some underlying diseases (e.g., cancer, HIV infection, systemic lupus erythematoses,or urinary tract stones).
  • Unlikelyhood of receiving the study medications for at least 72 hours

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cairo university hospitals

Cairo, 11562, Egypt

RECRUITING

Related Publications (1)

  • Hesham El-Sherazy N, Samir Bazan N, Mahmoud Shaheen S, A Sabri N. Impact of ascorbic acid in reducing the incidence of vancomycin associated nephrotoxicity in critically ill patients: A preliminary randomized controlled trial. F1000Res. 2021 Sep 16;10:929. doi: 10.12688/f1000research.55619.1. eCollection 2021.

MeSH Terms

Conditions

Acute Kidney Injury

Interventions

Ascorbic Acid

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Sugar AcidsAcids, AcyclicCarboxylic AcidsOrganic ChemicalsHydroxy AcidsCarbohydrates

Study Officials

  • Nagwa A Sabry, PhD

    Ain Shams University

    STUDY DIRECTOR
  • Sara M Shaheen, PhD

    Ain Shams University

    STUDY DIRECTOR

Central Study Contacts

Nouran H Elsherazy, Bachelor

CONTACT

Naglaa S Bazan, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
clinical pharmacist at the critical care medicine unit- Cairo university hospitals

Study Record Dates

First Submitted

April 16, 2019

First Posted

April 19, 2019

Study Start

January 17, 2019

Primary Completion

July 1, 2020

Study Completion

September 1, 2020

Last Updated

January 10, 2020

Record last verified: 2020-01

Locations