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This trial was performed to examine the efficacy of oral L-arginine for preventing CI-AKI in chronic kidney disease (CKD) patients.
Contrast-induced acute kidney injury (CI-AKI) is a common complication in hospitalized patients. Nitric oxide-signal transduction plays an important role in prevention of CI-AKI. L-Arginine is an amino acid involved in ammonia detoxification, and is well known as a precursor to nitric oxide, a key component of endothelial-derived relaxing factor.
This is a prospective randomized, double blind, placebo controlled trial among CKD stage 3-4 patients undergoing computer tomography. Eligible patients were randomly assigned to two groups: (1) arginine 3 g/day or 6 capsules per day, and (2) placebo 6 capsules per day for 3 days before contrast media injection. Serum cystatin C, serum creatinine and estimated GFR was measured at baseline and 48 hours after procedure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arginine | Experimental | Participants need to take arginine 3 g/day orally for 3 days before CT with contrast media injection |
|
| Placebo | Placebo Comparator | Participants need to take placebo (corn powder) 3 g/day orally for 3 days before CT with contrast media injection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| L-arginine | Dietary Supplement | Comparison of the efficacy of L-arginine 3 grams for days versus placebo in contrast induced AKI prevention |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Contrast-induced acute kidney injury (CI-AKI) | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse effects | 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Nephrology, Phramongkutklao Hospital | Recruiting | Rachatevee | Bangkok | 10400 | Thailand |
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| ID | Term |
|---|---|
| D001120 | Arginine |
| ID | Term |
|---|---|
| D024361 | Amino Acids, Basic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000599 | Amino Acids, Diamino |
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| Placebo | Dietary Supplement |
|
| D000601 | Amino Acids, Essential |