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NCT03384173: nNIRS-AKI

NIRS Monitoring to Detect AKI in Preterm Infants

Completed Results posted Last updated 29 November 2022
What this trial tests

trial testing Near Infrared Spectroscopy in Acute Kidney Injury in 35 participants. Completed in 31 December 2019.

Timeline
25 April 2018
Primary endpoint
31 December 2019
31 December 2019

Quick facts

Lead sponsorUniversity of Wisconsin, Madison
StatusCompleted
Study typeOBSERVATIONAL
Enrollment35
Start date25 April 2018
Primary completion31 December 2019
Estimated completion31 December 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Wisconsin, Madison

Who can join

Adults 1 Minute to 7 Days, any sex, with Acute Kidney Injury or Premature Infant. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Renal NIRS Tissue Oxygenation Differential Primary · Up to 1 week

Comparison of Renal saturation (Rsat) in neonates with AKI to those without AKI. RSO2 will be recorded until 7 days of age. Median RSO2 for 1 week and median for individual days 2-7 will be calculated. The INVOS 5100 C (Somanetics, Troy, MI, USA) four channel NIRS monitors will be used to measure renal regional oxygenation (RrSO2) values for all neonates.

1 week Median RSO2
GroupValue95% CI
No Acute Kidney Injury (AKI)6058.4 – 62
Acute Kidney Injury (AKI)32.427.9 – 47.1
Day 2 RrSO2
GroupValue95% CI
No Acute Kidney Injury (AKI)62.559 – 65.7
Acute Kidney Injury (AKI)44.439.4 – 46.6
Day 3 RrSO2
GroupValue95% CI
No Acute Kidney Injury (AKI)60.459.3 – 61.7
Acute Kidney Injury (AKI)30.828 – 33
Day 4 RrSO2
GroupValue95% CI
No Acute Kidney Injury (AKI)59.157 – 59.9
Acute Kidney Injury (AKI)29.927 – 31.7
Day 5 RrSO2
GroupValue95% CI
No Acute Kidney Injury (AKI)59.758.4 – 61.1
Acute Kidney Injury (AKI)29.225.7 – 36.9
Day 6 RrSO2
GroupValue95% CI
No Acute Kidney Injury (AKI)6059 – 61.3
Acute Kidney Injury (AKI)2420.9 – 27.8
Day 7 RrSO2
GroupValue95% CI
No Acute Kidney Injury (AKI)60.357.8 – 66.9
Acute Kidney Injury (AKI)55.339 – 58.7
Correlation of Renal NIRS Values to Serum Creatinine Secondary · Days 1-7 of age

At each time a serum creatinine was collected, the RrSO2 value was recorded.

GroupValue95% CI
Infants With Serum Creatinine Values0.810.67 – 0.93
Correlation of Renal NIRS Values to Urine Output Secondary · Days 1-7 of age

In patients with urine output recorded, it was compared to RrSO2 values

GroupValue95% CI
Neonates With Urine Output Recorded32.3 – 4.5
Baseline Renal NIRS Values Before Caffeine Secondary · Baseline (6 hours prior to caffeine dose)

these are the average renal NIRS values over 6 hours prior to a dose of caffeine broken down by percentage

Baseline <20% (12 caffeine doses)
GroupValue95% CI
Baseline Renal NIRS Values Before Caffeine15.2415.01 – 16.86
Baseline 20-29.99% (16 caffeine doses)
GroupValue95% CI
Baseline Renal NIRS Values Before Caffeine26.9322.25 – 28.83
Baseline 30-39.99% (18 caffeine doses)
GroupValue95% CI
Baseline Renal NIRS Values Before Caffeine36.1134.13 – 38.8
Baseline 40-49.99% (13 caffeine doses)
GroupValue95% CI
Baseline Renal NIRS Values Before Caffeine48.6143.65 – 49.4
Baseline 50-59.99% (21 caffeine doses)
GroupValue95% CI
Baseline Renal NIRS Values Before Caffeine54.4151.78 – 57.33
Baseline >60% (76 caffeine doses)
GroupValue95% CI
Baseline Renal NIRS Values Before Caffeine73.0866.82 – 80.49
Renal NIRS Values 1 Hour After Caffeine Secondary · At 1 hour after caffeine dose

Renal NIRS values one hour after caffeine broken down by baseline average.

Doses with baseline <20% (12 caffeine doses)
GroupValue95% CI
NIRS Monitoring16.0915.1 – 17.45
Doses with baseline 20-29.99% (16 caffeine doses)
GroupValue95% CI
NIRS Monitoring32.8326.38 – 38.6
Doses with baseline 30-39.99% (18 caffeine doses)
GroupValue95% CI
NIRS Monitoring44.1834.65 – 51.26
Doses with baseline 40-49.99% (13 caffeine doses)
GroupValue95% CI
NIRS Monitoring49.2345.71 – 55.01
Doses with baseline 50-59.99% (21 caffeine doses)
GroupValue95% CI
NIRS Monitoring54.3151.51 – 60.61
Doses with baseline >60% (76 caffeine doses)
GroupValue95% CI
NIRS Monitoring70.5563.44 – 77.55
Renal NIRS Values 2 Hours After Caffeine Secondary · At 2 hours after caffeine dose

Renal NIRS values 2 hours after caffeine broken down by baseline average

Doses with baseline <20% (12 caffeine doses)
GroupValue95% CI
NIRS Monitoring16.1515.11 – 21.61
Doses with baseline 20-29.99% (16 caffeine doses)
GroupValue95% CI
NIRS Monitoring40.6632.83 – 47.75
Doses with baseline 30-39.99% (18 caffeine doses)
GroupValue95% CI
NIRS Monitoring39.0626.85 – 49.9
Doses with baseline 40-49.99% (13 caffeine doses)
GroupValue95% CI
NIRS Monitoring49.9643.6 – 56.03
Doses with baseline 50-59.99% (21 caffeine doses)
GroupValue95% CI
NIRS Monitoring55.8149.06 – 63.2
Doses with baseline >60% (76 caffeine doses)
GroupValue95% CI
NIRS Monitoring68.5162.63 – 78.68
Renal NIRS Values 3 Hours After Caffeine Secondary · At 3 hours after caffeine dose

Renal NIRS values 3 hours after caffeine broken down by baseline average

Doses with baseline <20% (12 caffeine doses)
GroupValue95% CI
NIRS Monitoring17.316.09 – 30.97
Doses with baseline 20-29.99% (16 caffeine doses)
GroupValue95% CI
NIRS Monitoring36.1233.25 – 41.48
Doses with baseline 30-39.99% (18 caffeine doses)
GroupValue95% CI
NIRS Monitoring40.430.55 – 51.71
Doses with baseline 40-49.99% (13 caffeine doses)
GroupValue95% CI
NIRS Monitoring50.647.21 – 54.98
Doses with baseline 50-59.99% (21 caffeine doses)
GroupValue95% CI
NIRS Monitoring58.0553.22 – 63.53
Doses with baseline >60% (76 caffeine doses)
GroupValue95% CI
NIRS Monitoring66.5561.92 – 74.7
Renal NIRS Values 4 Hours After Caffeine Secondary · At 4 hours after caffeine dose

Renal NIRS values 4 hours after caffeine broken down by baseline average

Doses with baseline <20% (12 caffeine doses)
GroupValue95% CI
NIRS Monitoring16.9815.01 – 22.93
Doses with baseline 20-29.99% (16 caffeine doses)
GroupValue95% CI
NIRS Monitoring39.6433.55 – 48.35
Doses with baseline 30-39.99% (18 caffeine doses)
GroupValue95% CI
NIRS Monitoring42.7129.96 – 54.29
Doses with baseline 40-49.99% (13 caffeine doses)
GroupValue95% CI
NIRS Monitoring48.4745.52 – 53.01
Doses with baseline 50-59.99% (21 caffeine doses)
GroupValue95% CI
NIRS Monitoring57.7852.05 – 64.33
Doses with baseline >60% (76 caffeine doses)
GroupValue95% CI
NIRS Monitoring71.1962.12 – 79.68
Renal NIRS Values 6 Hours After Caffeine Secondary · At 6 hours after caffeine dose

Renal NIRS values 6 hours after caffeine broken down by baseline average

Doses with baseline <20% (12 caffeine doses)
GroupValue95% CI
NIRS Monitoring15.415.03 – 23.82
Doses with baseline 20-29.99% (16 caffeine doses)
GroupValue95% CI
NIRS Monitoring35.1824.22 – 43.08
Doses with baseline 30-39.99% (18 caffeine doses)
GroupValue95% CI
NIRS Monitoring40.6233.47 – 51.59
Doses with baseline 40-49.99% (13 caffeine doses)
GroupValue95% CI
NIRS Monitoring49.9744.94 – 57.21
Doses with baseline 50-59.99% (21 caffeine doses)
GroupValue95% CI
NIRS Monitoring55.843.07 – 65.74
Doses with baseline >60% (76 caffeine doses)
GroupValue95% CI
NIRS Monitoring70.0962.65 – 79.39

Sponsor's own description

This study will examine the relationship of oxygen levels, using Near-infrared spectroscopy (NIRS) monitoring, and kidney injury in infants born prematurely. NIRS is a skin sensor which detects the amount of oxygen going to different organs, most often used to monitor the brain and kidney.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing