A simple vein pressure reading may warn of kidney failure days earlier
NCT ID NCT07722325
First seen Jul 23, 2026 · Last updated Jul 24, 2026 · Updated 1 time
Summary
Acute kidney injury is a common and dangerous complication in intensive care, but current tests often detect it too late. This observational study tests whether a pressure gradient in the veins — the difference between the driving force for blood return and the central vein pressure — can predict kidney injury earlier. Researchers will measure this gradient in 180 ICU patients who are at risk but have not yet developed kidney injury, and track whether it correlates with later kidney damage.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If the venous return pressure gradient proves reliable, it could give doctors a simple, earlier way to predict acute kidney injury in ICU patients.
- What could go wrong
- This is an observational study, not a treatment trial, so it cannot show cause and effect. The measurement method is specialized and may not be widely available.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
About 180 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Jul 2026
An estimate. Start dates often move.
- Expected to finish
-
May 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult ICU patients (age ≥18 years) at risk for acute kidney injury, with central venous and radial arterial catheters in place for hemodynamic monitoring, no AKI at ICU admission per KDIGO criteria, and complete data available for calculation of venous return pressure gradient (Pmsf-CVP) within 48 hours of admission.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥18 years 2. Admitted to the intensive care unit (ICU) within 48 hours 3. Central venous catheter in place for continuous central venous pressure (CVP) monitoring 4. Radial artery catheter in place for hemodynamic monitoring including mean systemic filling pressure (Pmsf) 5. No acute kidney injury (AKI) at ICU admission according to KDIGO criteria Exclusion Criteria: 1. Maintenance hemodialysis or continuous renal replacement therapy (CRRT) prior to ICU admission 2. Previous kidney transplantation 3. Pregnancy 4. Extracorporeal membrane oxygenation (ECMO) support at ICU admission 5. Incomplete core hemodynamic data precluding calculation of venous return pressure gradient (Pmsf-CVP) or AKI assessment
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for AKI - acute kidney injury are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Minute-by-Minute urine tracking may sharpen fluid care after heart surgery
- Smarter magnesium testing could shield Children's hearts and kidneys after surgery
- New drug aims to shield kidneys during heart surgery
- Timing of kidney dialysis in ICU: could earlier start save days?
- Kidney check: do current AKI tests really work in the ICU?
- Can a heart drug shield kidneys during bypass surgery?