Acute Kidney Injury Neutrophil Gelatinase-Associated Lipocalin Evaluation of Symptomatic Heart Failure Study

Completed

Conditions studied: Acute Decompensated Heart Failure, Acute Kidney Injury

In brief

AKINESIS is a clinical study to assess the utility of blood and urine NGAL tests in predicting worsening kidney function in patients who present with acute heart failure (AHF) and who are treated with diuretics. It is believed that rising NGAL levels in the blood and/or urine can predict acute kidney injury. It is also believed that patients who are admitted to the hospital with high NGAL levels in the blood/urine will have poorer outcomes.

Key facts

Study ID

NCT01291836

Run by

Alere San Diego

People needed

930

Starts

2010-12-01

Expected to finish

2015-06-01

Last updated by the study team

2024-01-03

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Subjects must be at least 18 years of age.
• Subjects must present to the hospital with one or more signs or symptoms of acute heart failure (AHF). Signs and symptoms include shortness of breath from walking, rales or crackles, galloping heart rhythm, jugular venous distension, trouble breathing at rest or when lying down, waking breathless at night, using more than 2 pillows to sleep, tiring easily, swelling of feet, ankles or legs, frequent coughing, a cough that produces mucous or blood-tinged sputum, or a dry cough when lying flat.
• Subjects must receive IV diuretics, or there must be an intent to treat with IV diuretics.
• Subjects must be willing and able to comply with all aspects of the protocol.
• Subjects must provide signed informed consent.

You may not qualify if…

• Subjects that present with symptoms consistent with acute coronary syndromes (AMI or UA) as the chief cause of the current episode of AHF.
• Subjects already on dialysis prior to enrollment or if dialysis initiation is already planned during the current hospital visit.
• Subjects that have had any major organ transplant (heart, lung, kidney, or liver).
• Subjects that have participated in a drug treatment study within the past 30 days or if they have already been enrolled as a subject in this study.
• Women who verbally report being pregnant at the time of screening and anyone belonging to a vulnerable population that is deemed inappropriate for inclusion into the study by the IRB/EC.

Where it is running

• University of California San Diego Medical Center — San Diego, California, United States
• San Diego Veterans Administration Hospital — San Diego, California, United States
• Kansas University Medical Center — Kansas City, Kansas, United States
• Henry Ford Health System — Detroit, Michigan, United States
• New York Methodist Hospital — Brooklyn, New York, United States
• Virginia Commonweath University Medical Center — Richmond, Virginia, United States
• Athens University Hospital Attikon — Athens, Greece
• University Hospital Dublin — Dublin, Ireland
• Clinica Mediterranea — Naples, Italy
• Monasterio Foundation for Medical Research and Public Health — Pisa, Italy
• University of Groningen Medical Center — Groningen, GZ Groningen, Netherlands
• Hospital Clínico Universitario Valencia — Valencia, Spain
• Universitätsspital Basel — Basel, Petersgraben, Switzerland

Full record on ClinicalTrials.gov

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