Massive VA trial tests cheap ways to protect kidneys during heart procedures

NCT ID NCT01467466

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This large study tested whether giving sodium bicarbonate (a type of fluid) or N-acetylcysteine (a supplement) before and after angiography could prevent serious kidney problems, including death or need for dialysis. Over 5,000 high-risk patients with kidney disease took part. The goal was to find a simple, affordable way to protect patients during these common heart procedures.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

sodium bicarbonate and N-acetylcysteine

What this could lead to

If successful, this could establish a simple, low-cost way to prevent kidney damage and other serious complications after angiography in people with existing kidney disease.

What could go wrong

This trial is already completed, so results are known. The interventions may not prove better than standard care, and the study focused on a specific high-risk group, so findings may not apply to everyone.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

Get updates

Get notified about this study

Sign up to get updates when this study changes or when new studies for CORONARY ARTERY DISEASE are added.

Our safety recommendation!

By submitting, you agree to our Terms of use

Conditions

The condition(s) this trial relates to.

chronic kidney disease coronary artery disorder impaired renal function disease kidney disorder acute kidney injury prevention target

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Atlanta VA Medical and Rehab Center, Decatur, GA

    Decatur, Georgia, 30033, United States

  • Auckland City Hospital

    Auckland, Auckland, 1142, New Zealand

  • Austin Health

    Heidelberg, Victoria, 3084, Australia

  • Bay Pines VA Healthcare System, Pay Pines, FL

    Bay Pines, Florida, 33708, United States

  • Canberra Hospital

    Canberra, Australian Capital Territory, 2606, Australia

  • Central Arkansas VHS John L. McClellan Memorial Veterans Hospital, Little Rock, AR

    Little Rock, Arkansas, 72205-5484, United States

  • Charlie Norwood VA Medical Center, Augusta, GA

    Augusta, Georgia, 30904, United States

  • Cincinnati VA Medical Center, Cincinnati, OH

    Cincinnati, Ohio, 45220, United States

  • Concord Hospital

    Concord, New South Wales, 2139, Australia

  • Dayton VA Medical Center, Dayton, OH

    Dayton, Ohio, 45428, United States

  • Durham VA Medical Center, Durham, NC

    Durham, North Carolina, 27705, United States

  • Flinders Medical Centre

    Bedford Park, South Australia, 5042, Australia

  • Fremantle Hospital

    Fremantle, Western Australia, 6160, Australia

  • Gosford Hospital

    Gosford, New South Wales, 2250, Australia

  • Hospital Serdang

    Sepang, Selangor, 43300, Malaysia

  • Hunter Holmes McGuire VA Medical Center, Richmond, VA

    Richmond, Virginia, 23249, United States

  • Jesse Brown VA Medical Center, Chicago, IL

    Chicago, Illinois, 60612, United States

  • Kansas City VA Medical Center, Kansas City, MO

    Kansas City, Missouri, 64128, United States

  • Liverpool Hospital

    Liverpool, New South Wales, 2170, Australia

  • Louis Stokes VA Medical Center, Cleveland, OH

    Cleveland, Ohio, 44106, United States

  • Manhattan Campus of the VA NY Harbor Healthcare System, New York, NY

    New York, New York, 10010, United States

  • Memphis VA Medical Center, Memphis, TN

    Memphis, Tennessee, 38104, United States

  • Michael E. DeBakey VA Medical Center, Houston, TX

    Houston, Texas, 77030, United States

  • Minneapolis VA Health Care System, Minneapolis, MN

    Minneapolis, Minnesota, 55417, United States

  • Nepean Hospital

    Kingswood, New South Wales, 2747, Australia

  • New Mexico VA Health Care System, Albuquerque, NM

    Albuquerque, New Mexico, 87108-5153, United States

  • North Florida/South Georgia Veterans Health System, Gainesville, FL

    Gainesville, Florida, 32608, United States

  • Northern Health

    Epping, Victoria, 3076, Australia

  • Oklahoma City VA Medical Center, Oklahoma City, OK

    Oklahoma City, Oklahoma, 73104, United States

  • Penang Hospital

    George Town, Pulau Pinang, 10990, Malaysia

  • Portland VA Medical Center, Portland, OR

    Portland, Oregon, 97201, United States

  • Ralph H. Johnson VA Medical Center, Charleston, SC

    Charleston, South Carolina, 29401-5799, United States

  • Richard L. Roudebush VA Medical Center, Indianapolis, IN

    Indianapolis, Indiana, 46202-2884, United States

  • Royal North Shore Hospital

    St Leonards, New South Wales, 2065, Australia

  • Royal Perth Hospital

    Perth, Western Australia, 6000, Australia

  • Salem VA Medical Center, Salem, VA

    Salem, Virginia, 24153, United States

  • San Francisco VA Medical Center, San Francisco, CA

    San Francisco, California, 94121, United States

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009, Australia

  • South Texas Health Care System, San Antonio, TX

    San Antonio, Texas, 78229, United States

  • Southern Arizona VA Health Care System, Tucson

    Tucson, Arizona, 85723, United States

  • St. George Hospital

    Kogarah, New South Wales, 2217, Australia

  • St. Louis VA Medical Center John Cochran Division, St. Louis, MO

    St Louis, Missouri, 63106, United States

  • Taranaki Base Hospital

    Westown, New Plymouth, 4310, New Zealand

  • University of Malaya Medical Center

    Kuala Lumpur, Kuala Lumpur, 50603, Malaysia

  • VA Ann Arbor Healthcare System, Ann Arbor, MI

    Ann Arbor, Michigan, 48113, United States

  • VA Boston Healthcare System West Roxbury Campus, West Roxbury, MA

    West Roxbury, Massachusetts, 02132, United States

  • VA Greater Los Angeles Healthcare System, West Los Angeles, CA

    West Los Angeles, California, 90073, United States

  • VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX

    Dallas, Texas, 75216, United States

  • VA Palo Alto Health Care System, Palo Alto, CA

    Palo Alto, California, 94304-1290, United States

  • VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA

    Pittsburgh, Pennsylvania, 15240, United States

  • VA Puget Sound Health Care System Seattle Division, Seattle, WA

    Seattle, Washington, 98108, United States

  • VA Salt Lake City Health Care System, Salt Lake City, UT

    Salt Lake City, Utah, 84148, United States

  • VA Western New York Healthcare System, Buffalo, NY

    Buffalo, New York, 14215, United States

  • Wellington Hospital

    Newtown, Wellington Region, 1142, New Zealand