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Trial · NCT04251351

Registered outcomes23

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

ListOutcomeTime frameDescription
PrimaryAcute kidney injury (AKI) or death among patients enrolled without AKI (Composite outcome)during first 7 days of enrolmentComposite outcome of development of AKI (defined as creatinine ≥26.5 µmol/L or ≥1.5x baseline), or death at any timepoint
PrimaryAcute kidney injury (AKI) progression or death among patients enrolled with AKI (Composite outcome)during first 7 days of enrolmentComposite outcome of worsening of AKI (defined as creatinine ≥2x baseline, or ≥3x baseline, or initiation of RRT or eGFR \<35 ml/min/ 1.73 m2) or death at any timepoint.
SecondaryNumber of patients with serious adverse eventsAST/ALT/total bilirubin during the first 5 days from enrolment; mortality assessed Day 0 to 7.Number of patients with serious adverse events (mortality and/or hepatotoxicity, as defined by Hy's Law).
SecondaryProportion of patients who develop Major Adverse Kidney Events (MAKE) composite90 daysMajor Adverse Kidney Events (MAKE) composite, defined as ≥ 1 efficacy renal endpoints: (i) death, (ii) need for renal replacement therapy, (iii)≥ 50% reduction in eGFR from baseline to 90 days.
SecondaryFever clearance time6-hourly temperature assessments during first 7 days from enrolmentTime taken for aural temperature: (i) to fall \< 37.5°C (FCT-A), and (ii) to fall \< 37.5°C and remain there for \>24 h (FCT-B)
SecondaryComa recovery6-hourly GCS/BCS assessments during first 7 days from enrolmentTime until Glasgow Coma Score (GCS) return to 15 (or Blantyre Coma Score (BCS) return to 5 in preverbal children)
SecondaryLongitudinal change in renal functionDuring the first 7 days from enrolmentAs measured by creatinine concentration (umol/L)
SecondaryLongitudinal change in markers of hemolysisduring the first 3 days from enrolmentAs measured by cell-free haemoglobin (ug/mL), haemopexin (ug/mL), haptoglobin (ug/mL), haem (uM), F2-isoprostane (pg/mL) and isofurans (pg/mL) concentrations
SecondaryLongitudinal change of endothelial activationduring the first 3 days from enrolmentAs measured by concentrations of angiopoietin-Tie2 pathway markers (i.e. Ang-1, Ang-2, sTie2, sTie1)
SecondaryLongitudinal change of immune activationduring the first 3 days from enrolmentAs measured by soluble triggering receptor expressed on myeloid cells concentration (sTREM-1; pg/mL)
SecondaryLongitudinal change of AKI biomarkerduring the first 3 days from enrolmentAs measured by cystatin-C concentration (Cys-C; ug/mL)
SecondaryParasite (parasites/ul) clearance12-hourly parasitemia assessments during first 7 days from enrolmentas measured by time until two consecutive negative smears (hours), and by rate using the parasite clearance estimator to determine slope half-life (hours) from 12-hourly parasite counts.
SecondaryExploratory analysis with sexDuring first 7 days from enrolment
Primary efficacy analyses will be analysed using a logistic regression model to obtain odds ratios, comparing the odds of a combined endpoint of kidney function deterioration or death between treatment groups. A multivariable model including an interaction term (sex and treatment) will be assessed in the primary analyses to explore potential differences between males and females.
SecondaryPharmacokinetic propertiesduring the first 24 hours from enrolmentPopulation pharmacokinetic model (relative bioavailability, mean transit absorption time (hours), apparent oral elimination clearance (L/hours), apparent volume of distribution (L)
SecondaryPharmacokinetic propertiesduring the first 24 hours from enrolmentPeak plasma concentration (Cmax; mg/L)
SecondaryPharmacokinetic propertiesduring the first 24 hours from enrolmentTime to peak plasma concentration (Tmax; hours)
SecondaryPharmacokinetic propertiesduring the first 24 hours from enrolmentTerminal elimination (t1/2; hours)
SecondaryPharmacokinetic propertiesduring the first 24 hours from enrolmentArea under the plasma drug concentration-time curve (AUC0-24; mg×h×L-1)
SecondaryPharmacodynamic relationshipsduring first 7 days from enrolmentPharmacodynamic effects on creatinine concentration (mol/L)
SecondaryPharmacodynamic relationshipsduring first 7 days from enrolmentPharmacodynamic effects on liver toxicity, as measured by AST and ALT (U/L)

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license 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.

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