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Does prophylactic N-AcetylCysteine decrease incidence of contrast nephropathy in patients undergoing peripheral angiography?
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN35882618
Date ISRCTN assigned02/08/2007
Local reference number(s)NACP 1
Public titleDoes prophylactic N-AcetylCysteine decrease incidence of contrast nephropathy in patients undergoing peripheral angiography?
Scientific title
AcronymNAC as a Nephroprotective agent in Peripheral Angiography
Disease/condition/study domainContrast induced nephropathy
Study hypothesisTo investigate the role of N-acetylcysteine as a nephroprotective agent in patients undergoing peripheral angiography.
Design/methodologyProspective randomised controlled trial
Research ethics reviewEthics approval received from the Cambridge Research Ethics Committee on the 24th November 2006 (ref: 06/QI0108/352).
Countries of trialUnited Kingdom
Participants - inclusion criteriaAny patient undergoing peripheral angiography in the Cambridge Vascular Unit, Addenbrooke¿s Hospital, Cambridge who consents to participation.
Participants - exclusion criteria1. Any patient undergoing peripheral angiography in Cambridge Vascular Unit
2. Any patient that does not consent to participation in the study
3. Any patient under the age of 18 years
4. Any patient with established renal failure on renal replacement therapy (dialysis)
Patient information material
Anticipated start date01/05/2007
Anticipated end date01/05/2008
Status of trialOngoing
Target number of participantsInitially 40 patients in pilot study
InterventionsTreatment group:
Patients will be given 600 mg twice daily N-acetylcysteine the day before the angiogram, and 600 mg twice on the day of the angiogram with intravenous fluids. Samples of urine and blood will be collected before the angiogram and first, second and third day post angiography.

Control group:
Patients will only get intravenous hydration as per normal protocol and will have samples taken like the treatment arm patients.
Primary outcome measure(s)Primarily we are looking for a reduction in the elevation in Albumin/Creatinine ratio and also of other markers of renal damage in urine (retinol binding protein), using the samples collected before the angiogram and first, second and third day post angiography.
Secondary outcome measure(s)A reduction in the mortality and morbidity related to renal failure that may result secondary to contrast solution used in angiography; this 30-day mortality morbidity reduction will be measured on follow up in clinic normally four to six weeks post angiography.
Sources of fundingAddenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust (UK)
Sponsor nameCambridge University Hospital NHS Trust (UK)
Sponsor detailsResearch & Development Department
Addenbrooke¿s Hospital
Cambridge
United Kingdom
CB2 2QQ
Sponsor websitehttp://www.addenbrookes.org.uk/
Contact nameMr Jonathan Boyle
Contact detailsBox 201
Cambridge Vascular Unit
Department of General Surgery
Addenbrooke¿s Hospital
Hills Road
Cambridge
United Kingdom
CB2 2QQ
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN35882618
Date last extracted from ISRCTN register17/04/2008
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