Dye-Free lung scan may shield kidneys, study hopes
NCT ID NCT03116139
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether using a VQ scan (which doesn't use kidney-harming dye) instead of a CT scan can prevent acute kidney injury in emergency patients being checked for lung clots. About 253 adults at risk for kidney problems were enrolled. The trial was terminated early, so results are limited.
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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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253 people
The number who actually took part.
- Started
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Jul 2017
- Finished
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Mar 2024
- 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 years and older
- 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.
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. CTPA ordered by the treating provider to evaluate PE. 3. Pre-test probability of PE ≤20% (defined using the PE Pretest Consult Score) 4. For Randomization to CTPA or VQ imaging: Pre-imaging CIN risk ≥25% (CINRisk Score ≥2 points) • A lower-risk subset of 100 patients (CINRisk Score \<2) will be enrolled and followed. These patients will complete the CTPA as ordered by their provider (not randomized). Data from this lower-risk subset, along with high-risk patients randomized to CTPA will be used will be used to validate the CINRisk Score, alone and in combination with NGAL and eGFRCYS (Study Aims 1 and 3). Exclusion Criteria: 1. History of pulmonary surgery or pulmonary infiltrate, mass or effusion on chest radiograph. 2. Clinical instability preventing randomization to CTPA or VQ imaging. 3. Pregnancy or ≤48 hours post-partum 4. Subject unavailability for reasonable follow-up including biological sample collection, serum creatinine measurement, and interview, such as an insecure residence, planned travel or absence, personal or professional obligations, incarceration, and/or other reason preventing follow-up, identified at enrollment. 5. Active renal replacement therapy (hemodialysis or peritoneal dialysis) within 30-days of enrollment or previous physician-directed plans to initiate dialysis within 30-days of the index visit. 6. Prior renal transplant or planned within 30-days of enrollment. 7. Intravascular contrast administration within 14 days prior to enrollment or planned within 7 days of enrollment.
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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
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Baylor, Scott & White Health
Dallas, Texas, 75246, United States
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Corewell Health
Royal Oak, Michigan, 48073, United States
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Indiana University Health
Indianapolis, Indiana, 46202, United States
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Intermountain Healthcare
Murray, Utah, 84107, United States
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University of Utah
Salt Lake City, Utah, 84132, United States
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Other studies related to the condition(s) this trial covers.
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