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Can computer alerts help doctors avoid kidney damage from drugs?
NCT ID NCT06264752
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether a computer system that alerts pharmacists about patients at risk for drug-related kidney injury can help doctors make safer medication decisions. The trial involved 698 hospitalized adults across eight hospitals. Pharmacists reviewed alerts and made recommendations to doctors, such as adjusting or stopping certain medications. The goal was to see if this approach reduces serious kidney complications.
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 successful, this approach could reduce kidney damage and complications from medications in hospitalized patients.
- What could go wrong
- This is a completed study testing a decision-support system, not a new drug. Results may not apply to all hospitals or patients.
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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698 people
The number who actually took part.
- Started
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Feb 2024
- Finished
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Jul 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 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: Physician-subject Inclusion * Physicians employed at UPMC hospital systems * Attending physicians of record who care for patients across multiple units outside ICU/ED * Physician cares for 1 or more patient receiving a system alert identifying high-risk for AKI Patient-subject Inclusion * System alert identifying risk for AKI * Patient has attending physician who is participating in the randomized clusters * After initial patient inclusion, an individual patient will not be eligible for re-inclusion until after 90 days. Re-inclusion will only be allowed if a separate hospital admission/encounter occurs and only starting on day 91 Exclusion Criteria: Physician-subject Exclusion * Physicians of record who only care for ICU or ED patients * Physicians who primarily provide care for transplant (heart, kidney, liver, etc.) patients * Physicians who primarily provide consult services only (dermatology, rehabilitation, etc.) Patient-subject Exclusion • Patients with end stage renal disease on admission, baseline eGFR \<15, comfort measures only, or died before the intervention could be delivered
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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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UPMC Altoona
Altoona, Pennsylvania, 16601, United States
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UPMC Horizon
Farrell, Pennsylvania, 16121, United States
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UPMC Jameson
New Castle, Pennsylvania, 16105, United States
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UPMC Magee
Pittsburgh, Pennsylvania, 15213, United States
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UPMC McKeesport
McKeesport, Pennsylvania, 15132, United States
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UPMC Presbyterian/Montefiore
Pittsburgh, Pennsylvania, 15213, United States
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UPMC Shadyside
Pittsburgh, Pennsylvania, 15232, United States
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UPMC Williamsport
Williamsport, Pennsylvania, 17701, United States
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