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The Effect of Loop Diuretics on Severity and Outcome of Acute Kidney Injury

This study is currently recruiting participants.
See Contacts and Locations
Verified January 2017 by University of Chicago
Information provided by (Responsible Party):
University of Chicago Identifier:
First received: January 10, 2011
Last updated: January 12, 2017
Last verified: January 2017
The primary objective is to safely determine if the investigators can identify the severity of Acute Kidney Injury (AKI) early in the course of the disease. Once enrolled the investigators will draw blood and urine for novel and standard biomarkers. The investigators are attempting to determine if these biomarkers can forecast the course of AKI (need for dialysis, death and renal recovery). The investigators seek to determine how well physicians caring for those with AKI can predict the clinical course compared to these novel biomarkers of AKI and if there is an association between clinical course and 3 year patient outcomes.

Condition Intervention
Acute Kidney Failure Drug: Furosemide

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: The Effect of Loop Diuretics on Severity and Outcome of Acute Kidney Injury

Resource links provided by NLM:

Further study details as provided by University of Chicago:

Primary Outcome Measures:
  • Non-renal recovery [ Time Frame: 14 days or discharge ]
    need for RRT or persistant elevation of serum creatinine above pre-AKI baseline

Estimated Enrollment: 200
Study Start Date: December 2010
Estimated Study Completion Date: December 2018
Estimated Primary Completion Date: December 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Lasix
Pt to get dose of furosemide after meeting entry criteria - dose dependent on previous exposure to diuretics
Drug: Furosemide
dose: 1 mg / kg (iv) if the patient is furosemide naive or 1.5 mg/kg (iv) if the patient is not furosemide naive
Other Name: Laisx

Detailed Description:
AKI is a very common disease in the setting of critical illness and carries an extremely high morbidity and mortality rate (over 50%). Currently there are no FDA approved therapuetic agents for the treatment of AKI. There is limited prospective evidence to guide nephrologists in terms of which patients will progress to more severe AKI in the setting of early AKI. Similarly, there is no evidence to guide nephrologists in terms of which patients will completely recover their renal function after AKI. Thus we need to know very early in the course of AKI which patients will progress and go on to require RRT. Additonally we will investigating the long term patient outcomes, 2-3 years after the index AKI admission.

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

Inclusion Criteria:

  1. 18 yrs or older
  2. increase in serum creatinine of 0.3 mg/dl within 48 hours or an increase of greater than or equal to 150% from baselinie or sustained oliguria (UOP < 0.5 cc/kg/hr for 6 hours with the last 48hours)
  3. written informed consent
  4. patients with an indwelling bladder catheter

Exclusion Criteria:

  1. Voluntary refusal
  2. Patients with advanced chronic kideny disease - as defined by a baseline GFR < 30 ml/min (MDRD)
  3. history of renal transplant
  4. Pregnant patients
  5. Allegery / Sensitivity to Loop diuretics (furosemide)
  6. Pre-renal AKI

    • defined by a FENa of < 1% and no urinary casts
    • under-resuscitatedas per the treating clinical team
    • active bleed
  7. Post renal AKI

    • evidence of hydro-ureter
    • clincal scenario wherein obstruction is considered a likely possibility
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01275729

Contact: Jay L Koyner, MD 773-702-4842

United States, California
University of California-San Francisco Recruiting
San Francisco, California, United States, 94143
Contact: Kathleen D Liu, MD    415-502-7998   
United States, District of Columbia
George Washington University Not yet recruiting
Washington, District of Columbia, United States, 20037
Contact: Lakhmir Chawla, MD    301-806-7282      
United States, Illinois
University of Chicago Recruiting
Chicago, Illinois, United States, 60637
Contact: Jay L Koyner, MD    773-702-4842   
United States, Maryland
Johns Hopkins Medicine Recruiting
Baltimore, Maryland, United States, 21205
Contact: Blaithin McMahon, MD, PhD    410-955-5268      
Contact: Morgan Grams, MD    443-287-1827   
Sponsors and Collaborators
University of Chicago
Principal Investigator: Jay L Koyner, MD University of Chicago
  More Information

Responsible Party: University of Chicago Identifier: NCT01275729     History of Changes
Other Study ID Numbers: 10-503-B
Study First Received: January 10, 2011
Last Updated: January 12, 2017

Keywords provided by University of Chicago:
Renal Replacement Therapy
Renal Insufficiency
Therapeutic Uses
Physiological Effects of Drugs
Biological Markers

Additional relevant MeSH terms:
Acute Kidney Injury
Renal Insufficiency
Kidney Diseases
Urologic Diseases
Sodium Potassium Chloride Symporter Inhibitors
Natriuretic Agents
Physiological Effects of Drugs
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action processed this record on August 18, 2017