AKI, defined as a 50% rise in serum Creatinine over baseline or a 0.3 mg/dL rise within 48 hours, will be first detected by a rise in Urinary NGAL
| Group | Value | 95% CI |
|---|---|---|
| Any AKI | 3 | |
| No AKI | 6 | |
| Any AKI | 24 | |
| No AKI | 80 |
Last reviewed · How we verify
Assessment of Urinary NGAL to Predict AKI in Children Receiving Multiple Nephrotoxic Medications
trial in Acute Kidney Injury in 134 participants. Completed in 30 June 2019.
| Lead sponsor | Children's Hospital Medical Center, Cincinnati |
|---|---|
| Status | Completed |
| Study type | OBSERVATIONAL |
| Enrollment | 134 |
| Start date | 23 April 2018 |
| Primary completion | 31 May 2019 |
| Estimated completion | 30 June 2019 |
| Sites | 2 locations across United States |
Children's Hospital Medical Center, Cincinnati
Eligibility, any sex, with Acute Kidney Injury or Nephrotoxicity. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
AKI, defined as a 50% rise in serum Creatinine over baseline or a 0.3 mg/dL rise within 48 hours, will be first detected by a rise in Urinary NGAL
| Group | Value | 95% CI |
|---|---|---|
| Any AKI | 3 | |
| No AKI | 6 | |
| Any AKI | 24 | |
| No AKI | 80 |
A POC urinary NGAL will be determined from a colorimetric assay that determines risk of AKI, which will later be compared to NGAL values from the clinical assay
| Group | Value | 95% CI |
|---|---|---|
| NGAL >= 150 ng/mL | 10 | |
| NGAL<150 ng/mL | 16 | |
| NGAL >= 150 ng/mL | 41 | |
| NGAL<150 ng/mL | 46 |
Nephrotoxic medication (NTMx) exposure is one of the most commonly cited causes of acute kidney injury (AKI) in hospitalized children, and is the primary cause of AKI in 16% of cases. Through initial work at Cincinnati Children's Medical Center, NTMx exposure was found to be potentially modifiable and the associated AKI is an avoidable adverse safety event. Currently, only serum Creatinine monitoring is available to monitor for NTMx-associated AKI. The hypotheses of this NINJA NGAL study are that (1) urine NGAL is highly sensitive to detect NTMx-associated AKI, and (2) Bedside test of urine from high risk NTMx-exposed patients are adequate and reliable compared to urine NGAL measured from the clinical platform.
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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