This trial is active, not recruiting.

Conditions acute decompensated heart failure, acute kidney injury
Sponsor Alere San Diego
Collaborator Abbott Diagnostics Division
Start date December 2010
End date October 2013
Trial size 800 participants
Trial identifier NCT01291836, DDDP-09EE-081


AKINESIS is a clinical study to assess the utility of blood and urine NGAL tests in predicting worsening kidney function in patients who present with acute heart failure (AHF) and who are treated with diuretics. It is believed that rising NGAL levels in the blood and/or urine can predict acute kidney injury. It is also believed that patients who are admitted to the hospital with high NGAL levels in the blood/urine will have poorer outcomes.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Observational model cohort
Time perspective prospective

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Subjects must be at least 18 years of age. - Subjects must present to the hospital with one or more signs or symptoms of acute heart failure (AHF). Signs and symptoms include shortness of breath from walking, rales or crackles, galloping heart rhythm, jugular venous distension, trouble breathing at rest or when lying down, waking breathless at night, using more than 2 pillows to sleep, tiring easily, swelling of feet, ankles or legs, frequent coughing, a cough that produces mucous or blood-tinged sputum, or a dry cough when lying flat. - Subjects must receive IV diuretics, or there must be an intent to treat with IV diuretics. - Subjects must be willing and able to comply with all aspects of the protocol. - Subjects must provide signed informed consent. Exclusion Criteria: - Subjects that present with symptoms consistent with acute coronary syndromes (AMI or UA) as the chief cause of the current episode of AHF. - Subjects already on dialysis prior to enrollment or if dialysis initiation is already planned during the current hospital visit. - Subjects that have had any major organ transplant (heart, lung, kidney, or liver). - Subjects that have participated in a drug treatment study within the past 30 days or if they have already been enrolled as a subject in this study. - Women who verbally report being pregnant at the time of screening and anyone belonging to a vulnerable population that is deemed inappropriate for inclusion into the study by the IRB/EC.

Additional Information

Official title Acute Kidney Injury Neutrophil Gelatinase-Associated Lipocalin (N-GAL) Evaluation of Symptomatic Heart Failure Study (AKINESIS)
Principal investigator Alan Maisel, MD
Trial information was received from ClinicalTrials.gov and was last updated in June 2014.
Information provided to ClinicalTrials.gov by Alere San Diego.