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A Safety Comparison of Iopromide and Iodixanol in Renal Impaired Patients (DIRECT)

C

Chinese PLA General Hospital (301 Hospital)

Status and phase

Completed
Phase 4

Conditions

Kidney Failure, Chronic

Treatments

Drug: Iopromide (Ultravist)
Drug: Iodixanol (Visipaque)

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The investigators intend to find out which contrast agent has less kidney toxicity in renal impaired patients undergoing cardiac angiography or percutaneous coronary intervention (PCI).

Full description

In the diagnosis and treatment of coronary heart disease, patients should undergo cardiac angiography or percutaneous coronary intervention (PCI). In those procedures, the investigators should use the contrast media, and it may cause kidney toxicity especially in the patients with chronic renal insufficiency.

Enrollment

592 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • 18 years old or older
  • Plan to undergo Cardiac Catheterization
  • Signed ICF
  • eGFR: 30~59 mL/min/1.73m2

Exclusion criteria

  • Pregnancy
  • Under dialysis
  • Conditions interfering with Cardiac Catheterization
  • Participation in other trials
  • Allergic to X-ray contrast media
  • Administration of any investigational drug within the previous 30 days
  • Intra-arterial or intravenous administration of iodinated contrast medium from 7 days before to 72 hours after the administration of study drug
  • Left ventricular ejection fraction (LVEF) less than 30% by ultrasound examination
  • Intake of any nephrotoxic medications 24 hours before or after the administration of study drug

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

592 participants in 2 patient groups

Iopromide
Experimental group
Description:
Drug: Ultravist 370 mgl/ml, injection of intra-artery during cardiac interventional operation
Treatment:
Drug: Iopromide (Ultravist)
Iodixanol
Active Comparator group
Description:
Drug: Visipaque 320 mgl/ml, injection of intra-artery
Treatment:
Drug: Iodixanol (Visipaque)

Trial contacts and locations

19

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Data sourced from clinicaltrials.gov

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