Parathyroid Hormone Kinetics During CRRT

NCT03873675 — Completed, 30 participants, Uniwersytecki Szpital Kliniczny w Opolu

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Trends in Parathyroid Hormone Plasma Concentration in Multi-organ Failure Critically Ill Patients Undergoing Regional Citrate Anticoagulation Continuous Renal Replacement Therapies - Prospective Observational Study.

RegistryNCT03873675
StatusCompleted
Study typeObservational
Enrollment30 (Actual)
SponsorUniwersytecki Szpital Kliniczny w Opolu (Other)
ConditionsCritical Illness, Multi Organ Failure, Renal Failure, Circulatory Failure, Respiratory Failure
Interventionsparathyroid hormone (Diagnostic test)
Datesstart 2019-05-06, primary completion 2020-10-01, completion 2020-11-01, first posted 2019-03-13, last updated 2022-01-14
Locations3 sites in Poland

Related Papers Related Patents Related Grants Related Experts
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-Summary

The objective of this study is to assess the parathyroid hormone serum concentrations and kinetics in critically ill patients admitted to the intensive care unit due to multi-organ failure and undergoing citrate anticoagulation continuous renal replacement therapy.

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+Arms and interventions

ArmTypeInterventionsDescription
Study groupDiagnostic Test: parathyroid hormoneMulti-organ failure with acute kidney injury critically ill patients admitted to the intensive care unit undergoing regional citrate anticoagulation continuous renal replacement therapy by means of continuous veno-venous hemodiafiltration (CVVHDF). Multi-organ failure is defined as a respiratory, circulatory and renal failure.
  • parathyroid hormone (Diagnostic test): 10-20ml blood samples taken from the arterial catheter every 12 hours to obtain parathyroid hormone serum concentration. 6-8 samples per patient

+Outcome measures

Primary outcomes

  • The change in parathyroid hormone serum concentration during regional citrate anticoagulation continuous renal replacement therapy (CRRT) in the acute phase of critical illness. [96 hours]: The first parathyroid hormone serum level will be measured before the start of CRRT (the zero point) Next measurements will be performed every 12 hours. Minimal number of measurements - 6, maximal - 8 per patient.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Acute respiratory failure
* Acute circulatory failure
* acute kidney injury treated with regional citrate anticoagulation continuous renal replacement therapy by means of continuous veno-venous hemodiafiltration (CVVHDF
* continuous renal replacement therapy started no later than 48 hours after admission
* SOFA score 5 or more

Exclusion Criteria:

* age less than 18 years
* acute liver failure
* hypercalcemia at admission (total calcium plasma level > 10.6 mg/dL; total ionized calcium plasma level > 1.35 mmol/L
* parathyroid glands disease
* end stage renal disease
* therapeutic plasma exchange
* extracorporeal membrane oxygenation
* unfavorable outcome (death) predicted within 72 hours (as assessed by investigator)
* lack of relatives consent

+Locations (3)

FacilityCityCountryStatus
Department of Endocrinology, Diabetology and Isotope Therapy, Wroclaw Medical University, Poland.Wroclaw, Lower Silesian VoivodeshipPoland
Department of Endocrinology, Szpital Wojewodzki w OpoluOpole, Silesian VoivodeshipPoland
Department of Anesthesiology and Intensive Care, Uniwersytecki Szpital Kliniczny w OpoluOpole, Silesian VoivodeshipPoland

+Publications

  • Results publication: Czarnik A, Gawda R, Piwoda M, Marszalski M, Molsa M, Pietka M, Bolanowski M, Czarnik T. Parathyroid hormone serum concentration kinetic profile in critically ill patients undergoing continuous renal replacement therapies: a prospective observational study. Endokrynol Pol. 2021;72(4):329-335. doi: 10.5603/EP.a2021.0034. Epub 2021 May 19. PMID 34010434