New test may spot kidney trouble early after heart surgery
NCT ID NCT07418242
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 1 time
Summary
This study is looking for new markers in blood and urine that could predict kidney injury after heart surgery in high-risk patients. Researchers will follow about 1,500 adults undergoing open-heart surgery and check for kidney problems within a week. The goal is to find better ways to identify who is at risk, so doctors can act sooner.
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 could help doctors identify patients at high risk for kidney injury after heart surgery earlier, potentially leading to better preventive care.
- What could go wrong
- This is an observational study, not testing a new treatment. The biomarkers may not prove accurate enough to change clinical practice, and results may not apply to all 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.
- Participants
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319 people
The number who actually took part.
- Started
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Feb 2026
- Finished
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Aug 2026
- 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.
Who is studied
All high-risk AKI patients who underwent cardiac surgery at Zhongshan Hospital Affiliated to Fudan University.CSA-AKI is the second most common cause of AKI in the intensive care setting (after sepsis) and is independently associated with increased morbidity and mortality. The incidence of cardiac surgery-associated AKI (CSA-AKI) varies from 5% to 42%.
- Ages
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18 to 90 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.
Adult patients were included in the study if they were scheduled for elective open chest cavity cardiac surgeries, with or without the use of cardiopulmonary bypass (CPB). Inclusion criteria required that patients undergoing surgery with CPB must have at least one AKI risk factor, whereas those undergoing surgery without CPB needed to have at least two AKI risk factors. The AKI risk factors were as follows: * age \>70 years; * 30 \< estimated glomerular filtration rate (eGFR) \<60 mL·min-1·1.73 m-2; * diabetes mellitus, proteinuria; * a history of congestive heart failure within the previous year; * a left ventricular ejection fraction of 40% or lower; * prior cardiac surgery; * combined coronary artery bypass/valve procedure; * urgent procedure; * preoperative intra-aortic balloon pump. Exclusion criteria: * pre-existing chronic kidney disease (preoperative estimated glomerular filtration rate \[eGFR\] \< 30 mL/min/1.73 m2); * previous RRT before cardiac surgery; * present AKI at screening; * a history of kidney transplant or other kidney diseases; * known pregnancy; * multiple operation during the hospital stay; * being in a moribund state (with an anticipated likelihood of death within 48 hours).
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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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Zhongshan hospital
Shanghai, Shanghai Municipality, 200032, China
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Zhongshan hospital, Fudan university
Shanghai, Shanghai Municipality, 200030, China
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