Midodrine is Effective in Management of Intradialytic Hypotension Among Critically-ill Patients With Acute Kidney Injury
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
| ClinicalTrials.gov Identifier: NCT03431194 |
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Recruitment Status :
Completed
First Posted : February 13, 2018
Last Update Posted : February 13, 2018
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Sponsor:
Benha University
Collaborator:
New Jeddah Clinic Hospital
Information provided by (Responsible Party):
Mahmoud Hamada imam, Benha University
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Brief Summary:
The aim of this randomized trial was to assess the efficacy of oral midodrine tablets for the management of intradialytic hypotension among critically ill patients with acute kidney injury.
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Acute Kidney Injury | Drug: midodrine | Not Applicable |
In This open -label study, patients in ICU with acute kidney injury are randomized to either midodrine tablets or placebo. the number of intradialytic episodes and both systolic and diastolic blood pressure between both groups are compared. Mortality and adverse effects are monitored and compared as well.
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 80 participants |
| Allocation: | Randomized |
| Intervention Model: | Single Group Assignment |
| Masking: | None (Open Label) |
| Primary Purpose: | Treatment |
| Official Title: | Midodrine is Effective in Management of Intradialytic Hypotension Among Critically-ill Patients With Acute Kidney Injury |
| Actual Study Start Date : | October 1, 2016 |
| Actual Primary Completion Date : | February 19, 2017 |
| Actual Study Completion Date : | April 6, 2017 |
Resource links provided by the National Library of Medicine
MedlinePlus related topics:
Low Blood Pressure
| Arm | Intervention/treatment |
|---|---|
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Active Comparator: midodrine group
Patients will receive midodrine tablets
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Drug: midodrine
oral midodrine tablets 5 mg |
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Placebo Comparator: placebo group
Patients receive sugary oral tablets therapy
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Drug: midodrine
oral midodrine tablets 5 mg |
Primary Outcome Measures :
- Number of hypotensive episodes [ Time Frame: 30 days from start of hemodialysis ]Number of hypotensive episodes
Secondary Outcome Measures :
- mean systolic blood pressure [ Time Frame: 30 days from start of hemodialysis ]compare mean systolic blood pressure between the two arms
- mean diastolic blood pressure [ Time Frame: 30 days from start of hemodialysis ]compare mean diastolic blood pressure between the two arms
- Mortality in each arm [ Time Frame: 30 days from start of hemodialysis ]Number of dead patients in each arm
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| Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- ICU patients
- acute kidney injury
- age above 18 years
- documented hypotension during dialysis
Exclusion Criteria:
- packed red blood cells transfusion
- intravenous inotropes
- alteration of blood pressure medications
No Contacts or Locations Provided
| Responsible Party: | Mahmoud Hamada imam, Lecturer of Internal Medicine, Benha University |
| ClinicalTrials.gov Identifier: | NCT03431194 |
| Other Study ID Numbers: |
BN-14716 |
| First Posted: | February 13, 2018 Key Record Dates |
| Last Update Posted: | February 13, 2018 |
| Last Verified: | February 2018 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
| Studies a U.S. FDA-regulated Drug Product: | No |
| Studies a U.S. FDA-regulated Device Product: | No |
Keywords provided by Mahmoud Hamada imam, Benha University:
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Acute Kidney Injury midodrine intensive care unit |
Additional relevant MeSH terms:
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Acute Kidney Injury Hypotension Wounds and Injuries Renal Insufficiency Kidney Diseases Urologic Diseases Vascular Diseases Cardiovascular Diseases Midodrine Sympathomimetics |
Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Vasoconstrictor Agents Adrenergic alpha-1 Receptor Agonists Adrenergic alpha-Agonists Adrenergic Agonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action |

