A randomized, placebo-controlled, double-blind clinical trial of effect of allopurinol or febuxostat to prevent contrast induced acute kidney injury (CI-AKI)
Eligible patients (patients with glomerular filtration rate \< 60 ml/min or high riks patients based on Mehran score) that will be undergoing cardiac catheterization/intervention randomly assigned to receive allopurinol 300 mg or febuxostat 80 mg 12 hours before and 12 after 1 exposure of radiocontrast and IV hydration (normal saline 1 ml/kg/hr 12 pre and post radiocontrast exposure) or placebo and hydration. Exclusion criteria: patients under treatment with allopurinol or febuxostat in the previous seven days, known allergy to allopurinol or febuxostat, patients on renal replacement therapy
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
558
Eligible patients will receive allopurinol 300 mg before and after coronary intervention
Eligible patients will receive febuxostat 80 mg before and after coronary intervention
Eligible patients will receive before and after coronary intervention
Instituto Nacional de Cardiologia Ignacio Chavez
Mexico City, México City, Mexico
Prevention of contrast induced acute kidney injury
Increase in serum creatinine by ≥ 0.3 mg/dl within 48 hours
Time frame: 48 hours
Renal replacement therapy requirement
Initiation of renal replacement therapy
Time frame: 7 days
Length of hospitalization
Length of hospitalization
Time frame: 3 days to 90 days
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