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MESNA for Prevention of Acute Deterioration of Renal Function Following Contrast Agent Application

Information source: University of Ulm
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Chronic Renal Insufficiency; Serum Creatinine Concentration; Contrast Media Exposition

Intervention: sodium 2-mercaptoethane sulfonate (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: University of Ulm

Official(s) and/or principal investigator(s):
Frieder Keller, M.D., Principal Investigator, Affiliation: Division of Nephrology, University Hospital Ulm
Frieder Keller, M.D., Principal Investigator, Affiliation: Division of Nephrology, University Hospital of Ulm

Summary

The purpose of this study is to determine wether Mesna could prevent contrast-induced nephropathy

Clinical Details

Official title: MESNA Zur Prophylaxe Der Kontrastmittel-Induzierten Nephropathie

Study design: Prevention, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study

Primary outcome: Contrast-agent associated nephrotoxicity was defined as an increase in serum creatinine concentration >0.5 mg/dl (44 umol/l) of the baseline value 48 h after administration of the contrast media.

Secondary outcome: Need for dialysis after the administration of contrast media.

Detailed description: Contrast-induced nephropathy remains a common complication of radiographic precedures. Pretreatment with Mesna (Sodium 2-mercaptoethane sulfonate) in combination with sodium chloride is more protective than sodium chloride alone in animal models of acute renal failure.

The aim of this study is therefore to determine laboratory and clinical benefit of MESNA, as an adjunct to saline hydration, in patients with known renal impairment receiving contrast media.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- stable chronic renal insufficiency

- serum creatinine concentration > 1,5 mg/dl

Exclusion Criteria:

- Dialyzed patients

- patients with acute renal failure

- received iodinated contrast media within 7 days before study entry

- known allery to Mesna, pregnancy, and administration of dopamine, mannitol or

N-acetylcysteine

Locations and Contacts

Division of Nephrology, University of Ulm, Ulm 89081, Germany
Additional Information

Starting date: October 2002
Ending date: December 2004
Last updated: September 14, 2005

Page last updated: June 20, 2008

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