Dapaglifozin to Avoid Acute Kindey Injury (AKI) to Chronic Kidney Disease (CKD) Transition: DAKI-CKD Study

Last updated: March 4, 2024
Sponsor: Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Overall Status: Active - Recruiting

Phase

2/3

Condition

Renal Failure

Kidney Disease

Kidney Failure

Treatment

Dapagliflozin

Clinical Study ID

NCT05713851
4301
  • Ages 18-75
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

Justification: Studies in recent years have shown that suffering an episode of acute kidney injury (AKI) is an independent risk factor for developing chronic kidney disease (CKD), which is associated with cardiovascular complications, increases medical care costs, and decreases survival. These AKI to ERC transition cases add to the growing number of CKD cases already being seen globally. It is for them that in recent years therapeutic strategies have been sought to reduce or stop this process of transition from AKI to CKD.

Objective: To evaluate the efficacy and safety of the use of dapagliflozin plus standard medical treatment (TMS), compared with only TMS for 21 days, in hospitalized patients with a diagnosis of severe AKI (KDIGO 3) in reducing the incidence of CKD to 18 months of follow-up.

Design: Randomized, single center, open study. 100 hospitalized patients with a diagnosis of AKI KDIGO 3, without previous CKD, will be randomized to receive 10 mg of dapagliflozin every 24 h for 21 days + TMS or only TMS. During their follow-up, baseline blood and urine samples will be taken and at 3, 6, 12 and 18 months. At 18 months, the development of CKD will be assessed using the KDIGO clinical criteria and with the determination of urinary biomarkers (Serpina A3, HSP72, KIM 1 and NGAL).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Adults (aged >18 years) with AKI 3 diagnosis for less than 24 h (KDIGO classification,creatinine level or urine output criteria), hospitalized in general admission floorand/or intensive care unit. AKI diagnosis must be compatible with the diagnosis ofacute tubular necrosis in a context of ischemic or toxic aggression.

Exclusion

Exclusion Criteria:

  • CKD Stage 3b (KDIGO) or more, renal transplant, urinary tract obstruction, thromboticmicroangiopathy, acute glomerulopathy, cardiac arrest without awakening, oncologicaldiagnosis with a life expectancy of less than 5 years, use of norephinephrine >0.30mcg/kg/min for 6 h or more, use of two vasopressors, PaO2/FiO2 ratio <150, Type 1 DM,fasting for more than 48 h, previous inclusion in other study, pregnant orbreastfeeding woman.

Study Design

Total Participants: 100
Treatment Group(s): 1
Primary Treatment: Dapagliflozin
Phase: 2/3
Study Start date:
January 01, 2023
Estimated Completion Date:
January 01, 2025

Study Description

It is planned to randomize 100 patients, 50 for each arm of the study. The randomization will be 1: 1 based on an open access computer program.

Group 1: Dapagliflozin 10 mg, will be administered orally or by nasogastric tube every 24 h for 21 days.

Group 2: Standard of care strategy, patients will receive the usual treatment for their pathology according to the judgment of their treating physician and the Institutional practices, without receiving any of the interventional drugs.

Eligibility: Adults (aged >18 years) with AKI 3 diagnosis for less than 24 h (KDIGO classification, creatinine level or urine output criteria), hospitalized in general admission floor and/or intensive care unit. AKI diagnosis must be compatible with the diagnosis of acute tubular necrosis in a context of ischemic or toxic aggression.

Connect with a study center

  • Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

    Mexico City, 14080
    Mexico

    Active - Recruiting

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