Can a simple gas during heart surgery protect your kidneys?
NCT ID NCT07544147
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving inhaled nitric oxide during heart surgery can prevent acute kidney injury (AKI) in high-risk patients. AKI is a common and serious complication after heart surgery with no approved prevention. The trial will include 330 adults undergoing elective heart surgery with a heart-lung machine. Participants will receive either nitric oxide gas or a placebo through their breathing circuit during surgery, and kidney function will be monitored for 90 days after.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Inhaled nitric oxide
- What this could lead to
- If it works, this could provide a simple, drug-free way to prevent kidney damage after heart surgery, reducing hospital stays and long-term complications.
- What could go wrong
- This is an early-stage trial with no prior proof of effectiveness. The treatment is only given during surgery, and results may not apply to all patients or surgeries.
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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About 330 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- 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.
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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: * Age ≥18 years * Scheduled for elective cardiac surgery with cardiopulmonary bypass, including valve surgery and/or coronary artery bypass grafting (CABG) * Mayo Clinic renal risk score ≥2 Exclusion Criteria: * Emergency surgery * Cardiac or major vascular surgery requiring deep hypothermic circulatory arrest * Use of potentially nephrotoxic drugs (e.g., radiocontrast agents, aminoglycosides, amphotericin) within 24 hours before surgery * Preoperative heart failure or low cardiac output syndrome requiring life support devices (ECMO, Impella or other left ventricular assist devices, mechanical ventilation), or left ventricular ejection fraction \<30%, or other equivalent severe cardiac dysfunction * Receipt of inhaled nitric oxide or inhaled prostacyclin within 7 days before randomization * End-stage renal disease with eGFR \<15 mL/min, or currently receiving renal replacement therapy, or prior kidney transplantation * Hemophilia A or B * Other end-stage chronic disease with estimated life expectancy \<1 year (as assessed by the attending physician) * Pregnancy * Active endocarditis or other active infection
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality, 200032, China
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Other studies related to the condition(s) this trial covers.
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