Can a gas protect your kidneys during heart surgery?
NCT ID NCT06622291
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether giving nitric oxide gas during and after surgery could lower the risk of acute kidney injury in people undergoing emergency repair of a torn aorta. 106 adults were randomly assigned to receive nitric oxide or a placebo. The main goal was to see how many developed kidney problems within 48 hours after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Nitric oxide gas
- What this could lead to
- If it works, this could offer a simple way to protect kidney function during high-risk heart surgery.
- What could go wrong
- This is a small, single-center trial. The results may not apply to all patients, and nitric oxide can have side effects like methemoglobinemia.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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106 people
The number who actually took part.
- Started
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Nov 2024
- Finished
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Feb 2026
- 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.
- Ages
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18 to 75 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.
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. Provide written informed consent; 2. Participants must be over 18 years of age; 3. Participants should meet the diagnostic and treatment guidelines for thoracic aortic diseases jointly issued by ACC/AHA in 2022, have received clinical and radiological diagnosis of acute type A aortic dissection, and undergone surgical thoracotomy within two weeks after symptom onset. Exclusion Criteria: 1. Missing baseline value or missing postoperative serum creatinine value (Scr); 2. Preoperative eGFR less than 30ml/min/1.73m2 or receive renal replacement therapy; 3. History of kidney disease, including glomerular diseases: acute glomerulonephritis, rapidly progressive glomerulonephritis, chronic glomerulonephritis, nephrotic syndrome, etc., secondary nephropathy: lupus nephritis, diabetic nephropathy, interstitial nephritis, renal tubular disease, chronic renal failure, renal replacement therapy, etc.; 4. Previous renal tumor, kidney transplantation, and other related surgery; 5. Patients with single kidney; 6. History of malignant tumor or received radiotherapy and chemotherapy; 7. Severe skeletal muscle disease and autoimmune disease; 8. Preoperative dissection rupture or hemodynamic instability (systolic blood pressure \<90mmHg); 9. Life expectancy less than 90 days; 10. Pregnant and lactating women, patients with mental disorders; 11. With intravascular or extravascular hemolytic disease; 12. Have participated in other clinical trials.
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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
-
Beijing Anzhen Hospital
Beijing, Beijing Municipality, China
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Other studies related to the condition(s) this trial covers.
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