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Iodixanol vs. Iomeprol to Prevent Contrast-Induced Nephropathy After Coronary Intervention (CONTRAST)

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ClinicalTrials.gov Identifier: NCT00390585
Recruitment Status : Completed
First Posted : October 20, 2006
Last Update Posted : March 15, 2010
Sponsor:
Information provided by:
Deutsches Herzzentrum Muenchen

Brief Summary:
The purpose of this study is to demonstrate that Iodixanol 320 is associated with a lower incidence of contrast-induced nephropathy (CIN) when compared with hyperosmolar contrast medium Iomeprol 350 in patients with impaired renal function undergoing percutaneous coronary interventions (PCI).

Condition or disease Intervention/treatment Phase
Renal Insufficiency, Chronic Angioplasty, Transluminal, Percutaneous Coronary Coronary Arteriosclerosis Drug: Iodixanol 320 Drug: Iomeprol 350 Phase 4

Detailed Description:

Iodixanol, an iso-osmolar, dimeric, non-ionic contrast agent has been shown to reduce the risk of developing CIN in patients with elevated serum creatinine concentrations compared to low-osmolar contrast agents. However, no information is available about a potential protective effect of Iodixanol in patients with impaired renal function on CIN when used during PCI. Due to the high volume of contrast exposition, patients with impaired renal function are at increased risk for the development of CIN compared to patients with normal excretory renal function.

The purpose of the investigation is to determine the changes of renal function in patients with impaired renal function receiving Iodixanol 320 or Iomeprol 350 for percutaneous coronary intervention.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 324 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Prospective, Randomized, Comparative Study to Evaluate the Effect of Iodixanol 320 Compared to Iomeprol 350 on Contrast Medium Induced Nephropathy in Patients With Impaired Renal Function Undergoing PCI
Study Start Date : July 2006
Actual Primary Completion Date : January 2008
Actual Study Completion Date : December 2008

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Kidney Diseases
Drug Information available for: Iodixanol
U.S. FDA Resources

Arm Intervention/treatment
Experimental: A
Iodixanol 320
Drug: Iodixanol 320
Iodixanol 320 is used as contrast media while coronary intervention.
Other Name: VISIPAQUE (TM)
Active Comparator: B
Iomeprol 350
Drug: Iomeprol 350
Iomeprol 350 is used as contrast media while coronary intervention.
Other Name: Imeron



Primary Outcome Measures :
  1. Contrast-induced nephropathy after percutaneous coronary intervention during primary hospitalization [ Time Frame: primary hospitalization ]

Secondary Outcome Measures :
  1. Duration of primary hospitalization [ Time Frame: Duration of primary hospitalization ]
  2. Incidence of severe acute kidney failure [ Time Frame: severe acute kidney failure ]
  3. Contrast-induced nephropathy six months after PCI [ Time Frame: 6 months ]
  4. Mortality and myocardial infarction at 6 and 12 months [ Time Frame: 6 and 12 months ]


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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • chronic renal failure
  • Informed, written consent

Exclusion Criteria:

  • Cardiogenic shock
  • Dialysis
  • kidney transplantation
  • Concurrent intake of nephrotoxic medication
  • Planned or proceeded parenteral (i.v. or i.a.) administration of iodine-containing contrast medium at least 7 days before/after catheterization.
  • Contra-indications for the use of Iodixanol (e.g. allergies)
  • Women who are known to be pregnant, who are of childbearing potential and test positive for pregnancy, who have given birth within the last 90 days, who are breastfeeding
  • Patient's inability to fully cooperate with the study protocol.
  • Previous enrollment in this trial

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00390585


Locations
Germany
1. Medizinische Klinik, Klinikum rechts der Isar
Muenchen, Germany, 81675
Deutsches Herzzentrum Muenchen
Munich, Germany, 80636
Sponsors and Collaborators
Deutsches Herzzentrum Muenchen
Investigators
Study Chair: Albert Schoemig, MD Deutsches Herzzentrum Muenchen
Principal Investigator: Rainer Wessely, MD Deutsches Herzzentrum Muenchen

Publications of Results:
Other Publications:
Responsible Party: Prof. A. Schömig, Deutsches Herzzentrum Munich
ClinicalTrials.gov Identifier: NCT00390585     History of Changes
Other Study ID Numbers: GE IDE No. E00605
First Posted: October 20, 2006    Key Record Dates
Last Update Posted: March 15, 2010
Last Verified: February 2008

Keywords provided by Deutsches Herzzentrum Muenchen:
Renal Insufficiency
Angioplasty, Transluminal, Percutaneous Coronary
Contrast media

Additional relevant MeSH terms:
Renal Insufficiency
Arteriosclerosis
Renal Insufficiency, Chronic
Coronary Artery Disease
Myocardial Ischemia
Kidney Diseases
Urologic Diseases
Arterial Occlusive Diseases
Vascular Diseases
Cardiovascular Diseases
Coronary Disease
Heart Diseases