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Trial · NCT04558359

Renin and Renal Biomarker Response to Angiotensin II

NCT04558359, Phase 4, Completed, Alexander Flannery; results first posted 2024-09-04

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Renin and Renal Biomarker Response to Angiotensin II. Trials, record NCT04558359. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04558359

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Trial

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

Title
Renin and Renal Biomarker Response to Angiotensin II
NCT number
NCT04558359
Status
Completed
Phases
Phase 4
Enrollment
30 participants, actual
Lead sponsor
Alexander Flannery
Conditions
Septic Shock, Acute Kidney Injury
Interventions
Standard of Care, Angiotensin II
First posted
2020-09-22
Last updated
2024-09-04
Results first posted
2024-09-04

Source ClinicalTrials.gov

Registered outcomes8

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

ListOutcomeTime frameDescription
PrimaryChange in Plasma Renin LevelsUntil shock resolution, up to 14 days (at baseline, 3 hours, 24 hours, and shock resolution, up to 14 days)Plasma renin levels will be measured from blood collected at baseline, 24 hours, and at shock resolution. Additionally, a 3-hour measurement will be included in the angiotensin II arm.
SecondaryChange in Plasma Cystatin CUntil shock resolution, up to 14 days (at baseline, 3 hours, 24 hours, and shock resolution, up to 14 days)Cystatin C will be measured from blood collected at baseline, 24 hours, and at shock resolution.
SecondaryDays to Discontinuation of CatecholaminesUntil shock resolution, up to 14 daysDays from enrollment to discontinuation of catecholamines
SecondaryICU Length of StayFrom enrollment to ICU discharge, up to 28 days following enrollmentNumber of days in the intensive care unit (ICU).
SecondaryNumber of Participants With In-hospital MortalityUp to 3 months following enrollmentAssessment of all-cause mortality within hospital admission
SecondaryRenal Replacement Therapy-free DaysWithin 28 days of enrollmentDays free of renal replacement therapy from enrollment up to day 28
SecondaryNumber of Participants Experiencing Prespecified Safety OutcomesUp to 72 hours following shock resolution, no longer than 17 days from enrollmentIncidence of venous thromboembolism, arrhythmia, extremity hypoperfusion, delirium, new ischemic event, new infection
SecondaryChange in Plasma Neutrophil Gelatinase-associated Lipocalin (NGAL)Until shock resolution, up to 14 days (at baseline, 3 hours, 24 hours, and shock resolution, up to 14 days)NGAL will be measured from blood collected at baseline, 24 hours, and at shock resolution.

Outcomes8

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Plasma Renin LevelsUntil shock resolution, up to 14 days (at baseline, 3 hours, 24 hours, and shock resolution, up to 14 days)Number analyzed in one or more rows may be different from overall number due to participant death which would preclude subsequent measurements. 3-hour sample was only done in the angiotensin II arm.pg/mLMEDIAN
SECONDARYChange in Plasma Cystatin CUntil shock resolution, up to 14 days (at baseline, 3 hours, 24 hours, and shock resolution, up to 14 days)Number analyzed in one or more rows may be different from overall number due to participant death which would preclude subsequent measurements. 3-hour sample was done only in the angiotensin II arm.ng/mLMEDIAN
SECONDARYDays to Discontinuation of CatecholaminesUntil shock resolution, up to 14 daysdaysMEDIAN
SECONDARYICU Length of StayFrom enrollment to ICU discharge, up to 28 days following enrollmentdaysMEDIAN
SECONDARYNumber of Participants With In-hospital MortalityUp to 3 months following enrollmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYRenal Replacement Therapy-free DaysWithin 28 days of enrollmentdaysMEDIAN
SECONDARYNumber of Participants Experiencing Prespecified Safety OutcomesUp to 72 hours following shock resolution, no longer than 17 days from enrollmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange in Plasma Neutrophil Gelatinase-associated Lipocalin (NGAL)Until shock resolution, up to 14 days (at baseline, 3 hours, 24 hours, and shock resolution, up to 14 days)Number analyzed in one or more rows may be different from overall number due to participant death which would preclude subsequent measurements. 3-hour sample was only done in the angiotensin II arm.ng/mLMEDIAN

Results by group25

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

OutcomeGroupCategoryValueSpreadUnits
Change in Plasma Renin LevelsStandard of Care CohortBaseline Minus 24-Hour Sample-15Inter-Quartile Range -291 to 38pg/mL
Change in Plasma Renin LevelsAngiotensin II CohortBaseline Minus 24-Hour Sample69Inter-Quartile Range 1 to 352pg/mL
Change in Plasma Renin LevelsStandard of Care CohortBaseline Minus Shock Resolution-6Inter-Quartile Range -101 to 372pg/mL
Change in Plasma Renin LevelsAngiotensin II CohortBaseline Minus Shock Resolution26Inter-Quartile Range 13 to 340pg/mL
Change in Plasma Renin LevelsAngiotensin II CohortBaseline Minus 3-Hour41Inter-Quartile Range 1 to 292pg/mL
Change in Plasma Cystatin CStandard of Care CohortBaseline Minus 24-Hour-254Inter-Quartile Range -731 to 932ng/mL
Change in Plasma Cystatin CAngiotensin II CohortBaseline Minus 24-Hour-143Inter-Quartile Range -762 to 121ng/mL
Change in Plasma Cystatin CStandard of Care CohortBaseline Minus Shock Resolution99Inter-Quartile Range -920 to 815ng/mL
Change in Plasma Cystatin CAngiotensin II CohortBaseline Minus Shock Resolution-124Inter-Quartile Range -524 to 644ng/mL
Change in Plasma Cystatin CAngiotensin II CohortBaseline Minus 3-Hour-196Inter-Quartile Range -527 to 329ng/mL

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDStandard of Care Cohort10
Overall StudySTARTEDAngiotensin II Cohort18
Overall StudyCOMPLETEDStandard of Care Cohort10
Overall StudyCOMPLETEDAngiotensin II Cohort18
Overall StudyNOT COMPLETEDStandard of Care Cohort0
Overall StudyNOT COMPLETEDAngiotensin II Cohort0

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 mortalityStandard of Care Cohort910
Total, all-cause mortalityAngiotensin II Cohort918
Total, other adverse eventsStandard of Care Cohort010
Total, other adverse eventsAngiotensin II Cohort018
Total, serious adverse eventsStandard of Care Cohort010
Total, serious adverse eventsAngiotensin II Cohort018

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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
Angiotensin II Cohort vs Standard of Care Cohort: Number of Participants With In-hospital MortalityTrial comparisons
Angiotensin II Cohort vs Standard of Care Cohort: deaths from any causeTrial comparisons
Angiotensin II Cohort vs Standard of Care Cohort: Number of Participants Experiencing Prespecified Safety OutcomesTrial comparisons
Angiotensin II Cohort vs Standard of Care Cohort: 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.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

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.

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/NCT04558359

GET https://conductscience.org/api/trials/v1/NCT04558359/results?page=2