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Trial · NCT05094154

Effect of Antibiotic Choice On ReNal Outcomes (ACORN)

NCT05094154, Phase 4, Completed, Vanderbilt University Medical Center; results first posted 2023-12-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Effect of Antibiotic Choice On ReNal Outcomes (ACORN). Trials, record NCT05094154. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05094154

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Trial

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

Title
Effect of Antibiotic Choice On ReNal Outcomes (ACORN)
NCT number
NCT05094154
Status
Completed
Phases
Phase 4
Enrollment
2,634 participants, actual
Lead sponsor
Vanderbilt University Medical Center
Conditions
Sepsis, AKI, Neurotoxicity
Interventions
anti-pseudomonal cephalosporin, anti-pseudomonal penicillin
First posted
2021-10-26
Last updated
2023-12-22
Results first posted
2023-12-22

Source ClinicalTrials.gov

Registered outcomes4

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

ListOutcomeTime frameDescription
PrimaryAcute Kidney Injury (AKI) Ordinal Scale14 days post-enrollment
Acute Kidney Injury Score between randomization and day 14. The acute kidney injury score is an ordinal outcome containing the stages of AKI as defined by Kidney Disease: Improving Global Outcomes (KDIGO) creatinine criteria, new renal replacement therapy (RRT), and death: 0 = No AKI 1. = Stage 1 AKI (Creatinine increase by 1.5-1.9 times baseline OR increase by \>= 0.3 mg/dL) 2. = Stage 2 AKI (Creatinine increase by 2.0-2.9 times baseline) 3. = Stage 3 AKI (Creatinine increase by \>= 3.0 times baseline OR increase to \>= 4.0 mg/dL OR New RRT) 4. = Death
SecondaryMajor Adverse Kidney Events Within 14 Days (MAKE14)14 days post-enrollmentComposite outcome of death within 14 days, new renal replacement therapy within 14 days, or stage 2 or higher AKI at day 14
SecondaryDelirium and Coma-Free Days to Day 1414 days post-enrollmentThe number of days alive and free of coma and delirium in the 14 days after enrollment
OtherPost-Emergency Department Disposition14 days post-enrollmentPatient disposition (ex. floor unit or intensive care unit) at day 14 post-enrollment from the emergency department.

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAcute Kidney Injury (AKI) Ordinal Scale14 days post-enrollmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMajor Adverse Kidney Events Within 14 Days (MAKE14)14 days post-enrollmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDelirium and Coma-Free Days to Day 1414 days post-enrollmentdaysMEDIAN
OTHER_PRE_SPECIFIEDPost-Emergency Department Disposition14 days post-enrollmentparticipantsNUMBER

Results by group20

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

OutcomeGroupCategoryValueSpreadUnits
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Cephalosporin0 = Survived without AKI910Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Penicillin0 = Survived without AKI952Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Cephalosporin1 = Survived with Stage 1 AKI86Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Penicillin1 = Survived with Stage 1 AKI100Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Cephalosporin2 = Survived with Stage 2 AKI41Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Penicillin2 = Survived with Stage 2 AKI70Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Cephalosporin3 = Survived with Stage 3 AKI85Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Penicillin3 = Survived with Stage 3 AKI97Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Cephalosporin4 = Died92Participants
Acute Kidney Injury (AKI) Ordinal ScaleAnti-pseudomonal Penicillin4 = Died78Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAnti-pseudomonal Cephalosporin1,277
Overall StudySTARTEDAnti-pseudomonal Penicillin1,357
Overall StudyCOMPLETEDAnti-pseudomonal Cephalosporin1,214
Overall StudyCOMPLETEDAnti-pseudomonal Penicillin1,297
Overall StudyNOT COMPLETEDAnti-pseudomonal Cephalosporin63
Overall StudyNOT COMPLETEDAnti-pseudomonal Penicillin60

Adverse events2

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBlood product related allergyImmune system disordersAnti-pseudomonal Cephalosporin01,2140
otherBlood product related allergyImmune system disordersAnti-pseudomonal Penicillin11,2971

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAnti-pseudomonal Cephalosporin1041,214
Total, all-cause mortalityAnti-pseudomonal Penicillin1061,297
Total, other adverse eventsAnti-pseudomonal Cephalosporin01,214
Total, other adverse eventsAnti-pseudomonal Penicillin11,297
Total, serious adverse eventsAnti-pseudomonal Cephalosporin01,214
Total, serious adverse eventsAnti-pseudomonal Penicillin01,297

Papers26

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
14982986BACKGROUNDPubMed
16106006BACKGROUNDPubMed
19602973BACKGROUNDPubMed
25946168BACKGROUNDPubMed
26102002BACKGROUNDPubMed
26162677BACKGROUNDPubMed
26952639BACKGROUNDPubMed
27661757BACKGROUNDPubMed
27940946BACKGROUNDPubMed
28101605BACKGROUNDPubMed

1 to 10 of 26

See all 26 papers

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 comparisons3

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

ComparisonSource
Anti-pseudomonal Cephalosporin vs Anti-pseudomonal Penicillin: Major Adverse Kidney Events Within 14 Days (MAKE14)Trial comparisons
Anti-pseudomonal Cephalosporin vs Anti-pseudomonal Penicillin: deaths from any causeTrial comparisons
Anti-pseudomonal Cephalosporin vs Anti-pseudomonal Penicillin: 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/NCT05094154

GET https://conductscience.org/api/trials/v1/NCT05094154/papers?page=2