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Trial registered on ANZCTR
Registration number
ACTRN12625000081415
Ethics application status
Approved
Date submitted
31/12/2024
Date registered
24/01/2025
Date last updated
24/01/2025
Date data sharing statement initially provided
24/01/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
Preoperative kidney assessment to predict long-term renal function after kidney removal surgery
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Scientific title
Preoperative Kidney Functional Reserve assessment in patients undergoing nephrectomy as a predictor of long-term renal outcomes (PREDICT Study)
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Secondary ID [1]
313621
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None
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Universal Trial Number (UTN)
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Trial acronym
PREDICT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
chronic kidney disease
336174
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kidney donation
336176
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nephrectomy
336175
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kidney auto-transplantation
336178
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kidney cancer
336177
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Condition category
Condition code
Renal and Urogenital
332717
332717
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0
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Kidney disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
No intervention.
Exposure is the need of total or partial unilateral nephrectomy surgery due to kidney donation, removal of kidney cancer or kidney auto-transplantation.
- what is involved for patients in this study: Recruited patients will have blood and urine samples collected before and after kidney surgery, for kidney biomarkers measurement. Pre and postoperative assessments include an oral protein shake to allow for evaluation of the kidney functional reserve before the surgery, 1 month after the surgery and 3 months after the surgery. Clinical data will be collected from medical records and from the patients.
- what is being observed in participants: postoperative change of kidney function within 1 year after the surgery, change in kidney functional reserve at 1 and 3 months after the surgery, change in albuminuria 1 year after the surgery.
- the anticipated time required to complete each assessment is: preoperative kidney functional reserve test for participants who agree to do it: 6 hours, each time, for 3 times: before the surgery, 1 month after the surgery and 3 months after the surgery.
- the overall duration of observation: from time of enrollment for 1 year.
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Intervention code [1]
330214
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Diagnosis / Prognosis
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Intervention code [2]
330215
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Early Detection / Screening
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Comparator / control treatment
No control - it is an observational study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Percentage of change of estimated glomerular filtration rate (eGFR) by CKD-EPI 2021 formula
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Assessment method [1]
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Blood test assessing plasma creatinine before and after the surgery. Then eGFR is determined by using a formula (CKD-EPI 2021 formula). The percentage of change of eGFR will be defined as: [(preoperative eGFR - postoperative eGFR at 1 year)/preoperative eGFR] x 100
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Timepoint [1]
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1 year after the kidney surgery (percentage of change of eGFR at 1 year when compared to baseline before surgery)
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Secondary outcome [1]
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change in kidney functional reserve
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Assessment method [1]
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a composite of serial creatinine clearances, serial estimated glomerular filtration rates by cystatin C and proenkephalin-A and kidney functional reserve based on those three
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Timepoint [1]
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1 month and 3 months after surgery
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Secondary outcome [2]
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change in albuminuria level
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Assessment method [2]
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albumin/creatinine ratio in spot urine samples
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Timepoint [2]
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Before the surgery and at 1 year after the surgery.
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Eligibility
Key inclusion criteria
Adult patients undergoing total or partial unilateral nephrectomy due to kidney donation, kidney cancer removal or kidney auto-transplantation.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. History of malabsorption or chronic inflammatory bowel disease or short bowel syndrome (precluding preoperative assessment using a protein load)
2. History of pancreatic insufficiency (precluding preoperative assessment using a protein load)
3. History of kidney transplantation
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Preoperative Kidney Functional Reserve test and loss of kidney functional reserve will be used as independent variables in a model to predict long-term loss of kidney function and albuminuria within one year after the surgery, using mixed models.
Pre and postoperative kidney functional reserve tests will be compared by mixed models to verify for loss of kidney reserve after the surgery.
The number of patients is the number of consenting patients undergoing nephrectomy at the Prince of Wales Hospital for the 2 years of the study.
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
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Actual
23/09/2022
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Date of last participant enrolment
Anticipated
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Actual
24/09/2024
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Date of last data collection
Anticipated
18/11/2025
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Actual
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Sample size
Target
63
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Accrual to date
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Final
18
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Prince of Wales Hospital - Randwick
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Recruitment hospital [2]
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Prince of Wales Private Hospital - Randwick
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Recruitment postcode(s) [1]
43556
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2031 - Randwick
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Lewis Foundation
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Address [1]
318089
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Country [1]
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Australia
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Funding source category [2]
318090
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Charities/Societies/Foundations
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Name [2]
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FAPESP (São Paulo Research Foundation)
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Address [2]
318090
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Country [2]
318090
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Brazil
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Funding source category [3]
318088
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Charities/Societies/Foundations
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Name [3]
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Prince of Wales Foundation
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Address [3]
318088
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Country [3]
318088
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Australia
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Primary sponsor type
Individual
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Name
Professor Zoltan Endre, Nephrology Department at Prince of Wales Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
320445
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None
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Name [1]
320445
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Address [1]
320445
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Country [1]
320445
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316736
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South Eastern Sydney Local Health District HREC
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Ethics committee address [1]
316736
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https://www.seslhd.health.nsw.gov.au/services-clinics/directory/research-home/ethics
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
316736
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06/09/2021
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Approval date [1]
316736
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07/12/2021
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Ethics approval number [1]
316736
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2021/ETH11453
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Summary
Brief summary
In this prospective observational study, adult participants undergoing total or partial unilateral nephrectomy are assessed preoperatively and postoperatively (1 and 3 months after the surgery) by a kidney functional reserve (KFR) test .Preoperative KFR and postoperative loss of KFR will be assessed as predictors of long-term kidney function and damage as assessed by serum creatinine and albuminuria within 1 year after the surgery. The hypothesis is that a lower preoperative kidney functional reserve and/or a bigger loss of kidney reserve after the surgery will identify people at higher risk of developing worsening kidney function at long-term (i.e.: 1 after the surgery).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Zoltan Endre
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Address
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Prince of Wales Hospital, level 3 - High street, Randwick, NSW, 2031
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Country
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Australia
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Phone
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+61 408 616 776
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Zoltan Endre
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Address
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Prince of Wales Hospital, level 3 - High street, Randwick, NSW, 2031
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Country
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Australia
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Phone
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+61 408 616 776
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Fax
138843
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Email
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[email protected]
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Contact person for scientific queries
Name
138844
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Zoltan Endre
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Address
138844
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Prince of Wales Hospital, level 3 - High street, Randwick, NSW, 2031
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Country
138844
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Australia
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Phone
138844
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+61 408 616 776
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Fax
138844
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Email
138844
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
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Scientific community accessing international repositories.
Conditions for requesting access:
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-
What individual participant data might be shared?
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All de-identified data
What types of analyses could be done with individual participant data?
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Any
When can requests for individual participant data be made (start and end dates)?
From:
After study publication, no end limit.
To:
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Where can requests to access individual participant data be made, or data be obtained directly?
•
International repository (https://oaaustralasia.org/institution/csiro/)
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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