Title
Contrast-inDuced nephRotoxicity as Assessed by the KIdney Load-to-DAmage RElationship
Contrast-inDuced nephRotoxicity as Assessed by the Cystatin-modified KIdney Load-to-DAmage RElationship
Phase
Early Phase 1Lead Sponsor
Azienda Sanitaria Locale 9, GrossetoStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Contrast Induced Acute Kidney InjuryIntervention/Treatment
iobitridol iodixanol ...Study Participants
150We previously demonstrated that the slope of the relationship plotting individual iodine loads against contrast-induced serum creatinine changes ( the load-to-damage relationship, LDR) characterizes the intrinsic nephrotoxicity of the contrast. Aim of the present study is to compare, through the assessment of the LDR slope, the intrinsic nephrotoxicity of two different contrast media using serum cystatin-C changes as the LDR dependent variable.
We previously demonstrated that the slope of the relationship plotting individual iodine loads against contrast-induced serum creatinine changes ( the load-to-damage relationship, LDR) characterizes the intrinsic nephrotoxicity of the contrast and it may allow for reliable comparative evaluations among small sized study groups randomized to different contrast media. The aim of the present study is to compare, through the assessment of the LDR slope, the intrinsic nephrotoxicity of two different contrast media using serum cystatin-C changes as the LDR dependent variable.
Patients randomized to coronary angiography/angioplasty with Iodixanol 320
Patients randomized to coronary angiography/angioplasty with Iobitridol 350
Inclusion Criteria: Patients candidate to coronary angiography and/or angioplasty and Baseline creatinine clearance < 60 ml/min Exclusion Criteria: Patients with STEMI Patients with shock Known allergy to contrast media Prior contrast administration within 1 month Current use of nonsteroidal anti-inflammatory drugs