Amino acid infusion after heart surgery to protect kids’ kidneys
Official title: Biomarker and Renal Angina Validation to Assess Heart-Kidney Outcomes After Amino Acid Therapy
Run by Children's Hospital Medical Center, Cincinnati · NCT07212595 · Data updated 2026-11-12
This study tests whether giving an amino acid infusion during and after pediatric heart surgery can lower the chance of acute kidney injury and reduce time on a ventilator, compared with a placebo.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | Any age to 18 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Children's Hospital Medical Center, Cincinnati Academic / other |
| Locations | 1 site (Cincinnati, Ohio) |
| Status | Recruiting |
| Started | July 8, 2026 |
| Main results expected | November 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT07212595 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children ≤18 years at high risk of AKI after cardiac surgery, with weight ≥5 kg and no major exclusion criteria.
✕Probably not a fit
Patients with preexisting kidney disease, metabolic disorders affecting amino acids, liver enzyme abnormalities, or requiring TPN early post-operatively may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In BRAVE-HEART, children up to 18 years old undergoing cardiac surgery are randomized to receive either an amino acid infusion or a placebo for up to 72 hours in the operating room and ICU. The trial compares how often acute kidney injury occurs and how many days patients need ventilator support between the two groups. Treatments include amino acid infusions and lactated Ringer’s solution as a control. The study aims to identify whether amino acids can protect kidney function and improve recovery after surgery in a high-risk pediatric population.
Why it matters
Potential benefit: If successful, amino acid therapy could reduce kidney injury risk and shorten ventilator dependence after pediatric heart surgery.
How similar studies have gone: Prior research in adults and pediatric settings suggests potential kidney-protective effects of amino acids, but results are not yet definitive in this specific context.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Expected to be at high risk of developing acute kidney injury after cardiac surgery based on Age, The Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STAT) score, and anticipated cardiopulmonary bypass time * Age less than or equal to 18 years * Weight greater than or equal to 5 kilograms Exclusion Criteria: * Preoperative extracorporeal organ support * History of chronic kidney disease * Known or suspected inborn errors of amino acid metabolism * Known hypersensitivity to amino acids * Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT) \> 3 times the upper limit of normal for age/gender * Preterm infants less than 6 months of age who were born at less than 36 weeks gestational age * Anuria at the time of randomization * Expected use of total parental nutrition (TPN) within the first 72 hours post-operatively
Where it's running
-
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting
Study contacts
- Principal investigator: Stuart Goldstein, MD — Children's Hospital Medical Center, Cincinnati
- Study coordinator: Kelli Krallman, RN, BSN, MS
- Email: kelli.krallman@cchmc.org
- Phone: 513-636-4837
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Pulse Wave vs Saline Bolus EIT to measure lung perfusion in ARDS
This study tests whether pulse wave EIT or saline bolus EIT can best show lung blood flow in ARDS patients on mechanical ventilation.
-
Remote Ischemic Preconditioning at Different Times After Heart Valve Surgery
This study tests whether applying brief, controlled blood-flow restrictions to a limb at different times after heart valve surgery can help protect organs and reduce complications like kidney injury.
-
Computed inspiratory muscle pressure to monitor inspiratory effort during pressure-targeted assist/control ventilation
This study tests a noninvasive computed pressure method (cPmus) to see if it matches the traditional esophageal pressure method for measuring inspiratory effort in adults on pressure-targeted ventilation with spontaneous breathing.
-
Noninvasive estimate of inspiratory effort to monitor pressure support ventilation
This study tests whether a noninvasive computed inspiratory muscle pressure (cPmus) can match the traditional esophageal pressure method for adults on pressure support ventilation.
-
Driving pressure-guided individualized PEEP vs standard PEEP during upper abdominal surgery
In this randomized trial, adults at higher risk of breathing problems after upper abdominal surgery will try a personalized PEEP level based on the lowest driving pressure and compare it to a fixed PEEP of 5 cmH2O to see if it lowers postoperative lung complications.
-
Inspiratory Effort and Dyspnea During Assisted Mechanical Ventilation in Critically Ill Adults
This study tests how different patient breathing efforts relate to breathlessness in adults on assisted mechanical ventilation.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.