Sodium Bicarbonate for Critically Ill Patients With Metabolic Acidosis and Acute Kidney Injury

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversität Münster

About this trial

The study investigates whether sodium bicarbonate is able to reduce the occurrence of major adverse kidney events on day 90 (MAKE90) in critically ill patients with metabolic acidosis and acute kidney injury (AKI). While its efficacy in this context has been suggested in a subgroup analysis of the BICAR-ICU trial it has not been confirmed in a double-blinded randomized controlled trial to date.

Eligibility criteria

Qualifiers

Adult ≥ 18 years

Critically ill patients (requiring treatment on an ICU or IMC)

Arterial pH ≤7.25

PaCO2 < 6.5kPa (<49 mmHg)

Disqualifiers

Pregnant or breastfeeding patients

Respiratory acidosis (acute or chronic) [dynamic, and if corrected, patient may be reconsidered for the trial]

Patients on KRT, or KRT immediately indicated and treating clinician(s) unwilling to defer

Deemed unsuitable for KRT

Trial design

Treatments tested in this trial

  • Sodium Bicarbonate 8.4% Solution for Injection
  • Balanced crystalloid solution

Treatment groups

660 Participants
are divided into 2 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

Universität Münster

Lead sponsor

German Research Foundation

Collaborator