Acute Kidney Injury
Conditions
Keywords
Acute Kidney Injury, Contrast-Induced Nephropathy, Labile Iron, Iron Chelation, Deferiprone
Brief summary
This trial will evaluate whether treatment with CRMD001 (unique formulations of the iron chelator, Deferiprone) will reduce morbidity and mortality in subjects with Chronic Kidney Disease (CKD) and additional risk factors. Adult subjects with moderate to severe CKD who are undergoing diagnostic or interventional coronary angiography will be randomized to either placebo or CRMD001 and followed for 90 days. Subjects will receive 8 days of randomized therapy starting 1-3 hours prior to angiography. The primary endpoint of the trial will be the difference in a composite of specified renal and cardiovascular clinical events occurring through Day 90.
Interventions
3 tablets (treatment arm assigned in double-blind, randomized manner) will be given every 12 hours for a total of 8 days, beginning 1-3 hours prior to angiography
3 tablets (treatment arm assigned in double-blind, randomized manner) will be given every 12 hours for a total of 8 days, beginning 1-3 hours prior to angiography
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18 or older 2. eGFR between 15 ml/min/1.73 m2 and \< 60 ml/min/1.73 m2 3. Presence of at least one additional risk factor: * Diabetes Mellitus type 1 or 2 * Age ≥ 75 years * Left Ventricular Ejection Fraction ≤ 40%
Exclusion criteria
1. End-Stage Renal Disease 2. Primary PCI for STEMI 3. Currently receiving mechanical ventilation 4. Known active liver disease or liver failure 5. Evidence of hemodynamic instability, such as a requirement for pressor agents 6. Exposure to contrast media within prior 10 days 7. Currently receiving fenoldopam, dopamine, theophylline, aminophylline, mannitol, or Ascorbic acid (\> 2 g/day) 8. Absolute neutrophil count \< 1500
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A composite of renal and cardiovascular clinical events occurring through Day 90 | Day 90 following index cardiac catheterization |