Early Postoperative L-arginine and Acute Kidney Injury After Cardiac Surgery

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorXijing Hospital

About this trial

Acute kidney injury (AKI) is common after cardiac surgery, yet effective protective strategies remain limited. L-arginine is the substrate for endogenous nitric oxide (NO) synthesis and may improve renal perfusion and endothelial function. investigators emulated a target trial to evaluate whether early perioperative L-arginine was associated with a lower risk of AKI after cardiac surgery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

congenital heart disease,

surgery requiring deep hypothermic circulatory arrest,

a preoperative baseline estimated glomerular filtration rate (eGFR) below 30 mL/min/1.73 m²,

AKI already present prior to ICU admission

Trial population

adults admitted to the ICU after CPB-assisted cardiac surgery

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

  • L-arginine

    Drug

    Initiation of L-arginine within 3 postoperative days

Treatment groups

5,000 Participants
are divided into 2 treatment groups
Group A: L-arginine1 intervention
Group B: No L-arginine0 interventions

Trial outcomes

Primary outcomes

1

Acute kidney injury

defined by KDIGO criteria

Time frame
within 7 postoperative days

Secondary outcomes

1

7-day mortality.

7-day mortality.

Time frame
7 day

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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