Standard Dose Continuous Renal Replacement Therapy (CRRT) Versus Low-Dose CRRT ( KETZEREI )

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversität Münster

About this trial

Acute kidney injury (AKI) is a well-recognized complication in critically ill patients, which often leads to the necessity of mechanical kidney support (CRRT).

In current therapeutic regimes, CRRT is used to strictly prevent azotaemia. Thus recent clinical observations, as well as data from animal testing suggest a link between controlled azotaemia and faster renal recovery in AKI patients.

The aim of the study is to improve renal recovery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients (age ≥18 years)

Critically ill patients with AKI + in need of CRRT

Written informed consent

Disqualifiers

Chronic dialysis dependency

Chronic kidney disease with estimated glomerular filtration rate (eGFR) <30 ml/min/1.73m²

severe liver cirrhosis (Child-pugh C)

severe acidosis (pH < 7,20 at study enrolment)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Effluent dose of CRRT

    Other intervention

    The effluent dose of the CRRT will be performed according to study group for 7 days or up to the end of CRRT, whatever occurs first.

Treatment groups

165 Participants
are divided into 2 treatment groups
Group A: Intervention GroupExperimental treatment 1 intervention
Group B: Control GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of days alive and free from CRRT

Time frame
Between Randomization and day 28

Secondary outcomes

1

Number of Adverse Events (rooted in uraemia, i.e. throwing up, seizures, uremic coma etc.)

Time frame
Between randomization and day 28
2

Number of days with renal replacement therapy

Time frame
Between randomization and day 28
3

Length of Intensive Care Unit (ICU) stay

Time frame
Between randomization and day 28
4

Length of Hospital stay

Time frame
Between randomization and day 28

Other outcomes

Sponsors and contacts

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