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Trial · NCT02444988

Isotonic Solutions and Major Adverse Renal Events Trial in the Medical Intensive Care Unit

NCT02444988, Not applicable, Completed, Vanderbilt University; results first posted 2019-11-25

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. Isotonic Solutions and Major Adverse Renal Events Trial in the Medical Intensive Care Unit. Trials, record NCT02444988. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02444988

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Isotonic Solutions and Major Adverse Renal Events Trial in the Medical Intensive Care Unit
NCT number
NCT02444988
Status
Completed
Phases
Not applicable
Enrollment
5,381 participants, actual
Lead sponsor
Vanderbilt University
Conditions
Critical Illness, Acute Kidney Injury
Interventions
0.9% Saline, Physiologically-balanced isotonic crystalloid
First posted
2015-05-15
Last updated
2019-12-16
Results first posted
2019-11-25

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMajor Adverse Kidney Event Within 30 Days30 days after enrollment censored at hospital discharge
The primary outcome was the proportion of patients who met one or more criteria for a major adverse kidney event within 30 days - the composite of death, new receipt of renal-replacement therapy, or persistent renal dysfunction (defined as a final inpatient creatinine value ≥200% of the baseline value) - all censored at hospital discharge or 30 days after enrollment, whichever came first.
Secondary30-day In-hospital Mortality30 days after enrollment censored at hospital dischargeDeath before hospital discharge, censored at 30 days after enrollment

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMajor Adverse Kidney Event Within 30 Days30 days after enrollment censored at hospital dischargeOf the 15,802 patient enrolled in the SMART trial, 5381 were admitted to the medical ICU, 2646 in the saline group and 2735 in the balanced crystalloid group.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY30-day In-hospital Mortality30 days after enrollment censored at hospital dischargeParticipantsCOUNT_OF_PARTICIPANTS

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Major Adverse Kidney Event Within 30 Days0.9% Sodium Chloride (Saline)659Participants
Major Adverse Kidney Event Within 30 DaysBalanced Crystalloid615Participants
30-day In-hospital Mortality0.9% Sodium Chloride (Saline)467Participants
30-day In-hospital MortalityBalanced Crystalloid418Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED0.9% Sodium Chloride (Saline)2,646
Overall StudySTARTEDBalanced Crystalloid2,735
Overall StudyCOMPLETED0.9% Sodium Chloride (Saline)2,646
Overall StudyCOMPLETEDBalanced Crystalloid2,735
Overall StudyNOT COMPLETED0.9% Sodium Chloride (Saline)0
Overall StudyNOT COMPLETEDBalanced Crystalloid0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality0.9% Sodium Chloride (Saline)4672,646
Total, all-cause mortalityBalanced Crystalloid4182,735
Total, other adverse events0.9% Sodium Chloride (Saline)02,646
Total, other adverse eventsBalanced Crystalloid02,735
Total, serious adverse events0.9% Sodium Chloride (Saline)02,646
Total, serious adverse eventsBalanced Crystalloid02,735

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
20950434BACKGROUNDPubMed
21705897BACKGROUNDPubMed
23073953BACKGROUNDPubMed
28302179DERIVEDPubMed
29485925DERIVEDPubMed
31454263DERIVEDPubMed
33196806DERIVEDPubMed
33546622DERIVEDPubMed
35443809DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
0.9% Sodium Chloride (Saline) vs Balanced Crystalloid: Major Adverse Kidney Event Within 30 DaysTrial comparisons
0.9% Sodium Chloride (Saline) vs Balanced Crystalloid: deaths from any causeTrial comparisons
0.9% Sodium Chloride (Saline) vs Balanced Crystalloid: 30-day In-hospital MortalityTrial comparisons
0.9% Sodium Chloride (Saline) vs Balanced Crystalloid: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02444988

GET https://conductscience.org/api/trials/v1/NCT02444988/registered