NCT04582747

Brief Summary

To validate Urinary Biomarkers for the prediction of AKI in major abdominal surgery patients

Trial Health

87
On Track

Trial Health Score

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

Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2018

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 3, 2018

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

September 18, 2019

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 3, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 3, 2020

Completed
7 months until next milestone

First Posted

Study publicly available on registry

October 12, 2020

Completed
Last Updated

October 12, 2020

Status Verified

October 1, 2020

Enrollment Period

1.7 years

First QC Date

September 18, 2019

Last Update Submit

October 5, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • The diagnostic performance (expressed as the 'Area under the receiver-operator curve') of Urinary Biomarkers for the rapid prediction of Acute Kidney Injury in Major Abdominal Surgery patients.

    Conventional renal function measurement - assessing blood creatinine - often does not identify Acute Kidney Injury until 48 hours has passed from the time of insult. It is hypothesised that the studied urinary biomarkers may be able to identify patients who develop AKI 4 hours post-operatively.

    The study aims to assess the diagnostic performance of the biomarkers to predict the development of AKI within 3 days of the surgical procedure. Renal function will be assessed daily within this time frame.

Study Arms (1)

Major abdominal Surgery patients

Major Abdominal Surgery Patients

Diagnostic Test: Urinary Biomarkers (NGAL, DKK-3, IGFBP-7/TIMP-2, KIM-1)

Interventions

Validation of Urinary biomarker tests for the rapid prediction of AKI. No intervention is being proposed as part of the study. Concentrations of Urinary biomarkers will be obtained post operatively. These concentrations will be assessed to ascertain their predictive ability for the development of Acute Kidney Injury post-operatively.

Major abdominal Surgery patients

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

All patients undergoing major elective general surgery, and major abdominal gynaecological surgery will be included

You may qualify if:

  • Patients aged over 18 undergoing major Hepatobiliary, Oesophagogastric, Colorectal or abdominal Gynaecological Surgery at the Royal Surrey County Hospital. Patients undergoing Liver Transplant Surgery at King's College Hospital
  • Be able to provide informed consent

You may not qualify if:

  • Patients requiring renal replacement therapy prior to the study
  • Patients with pre-operative AKI
  • Patients without baseline creatinine measurements
  • Day case surgery
  • Patients unable to consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Royal Surrey County Hospital

Guildford, Surrey, GU2 7XX, United Kingdom

Location

Biospecimen

Retention: SAMPLES WITHOUT DNA

Urine samples from post-operative abdominal surgery patients

MeSH Terms

Conditions

Acute Kidney Injury

Condition Hierarchy (Ancestors)

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

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 18, 2019

First Posted

October 12, 2020

Study Start

July 3, 2018

Primary Completion

March 3, 2020

Study Completion

March 3, 2020

Last Updated

October 12, 2020

Record last verified: 2020-10

Data Sharing

IPD Sharing
Will not share

Participants are anonymised in the study. Demographic and clinical data will be provided as part of the study write up

Locations