Pause or continue? study tests ACE inhibitor timing to prevent kidney damage
NCT ID NCT07184918
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study looked at whether continuing or temporarily stopping the blood pressure medicine Ramipril (an ACE inhibitor) before coronary angiography affects the risk of kidney injury from the contrast dye. 44 adults were randomly assigned to either keep taking their usual dose or stop it 48 hours before and restart 72 hours after the procedure. Researchers measured kidney function and injury markers to see which approach is safer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ramipril (an ACE inhibitor)
- What this could lead to
- If it works, this could help doctors decide whether to pause ACE inhibitors before angiography to protect kidneys.
- What could go wrong
- This is a small, completed study with only 44 people, so results may not apply to everyone. It does not test a new treatment, just compares two approaches.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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44 people
The number who actually took part.
- Started
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Feb 2024
- Finished
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Jun 2025
- Lead sponsor
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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.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults (≥18 years) scheduled for elective coronary angiography * Currently on ACE inhibitor (Ramipril) * Serum creatinine ≤1.5 mg/dL Exclusion Criteria: * STEMI within last 2 weeks * NYHA Class IV heart failure * CrCl \<50 mL/min * Serum potassium \>5.0 mEq/L * Recent contrast exposure * Pregnancy or breastfeeding * Cardiogenic shock or sepsis * Severe uncontrolled hypertension
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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.
Contacts and locations
Locations
-
Faculty of Pharmacy Tanta university
Tanta, Gharbia Governorate, 31527, Egypt
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