Clinical trial Recruiting at 1 site Phase 2 Interventional Ages Any age to 18

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.

More Acute Kidney Injury trials

Quick facts

PhasePhase 2
Study typeInterventional
AgesAny age to 18 Years
SexAll
Enrollment30 (estimated)
SponsorChildren's Hospital Medical Center, Cincinnati
Academic / other
Locations1 site (Cincinnati, Ohio)
StatusRecruiting
StartedJuly 8, 2026
Main results expectedNovember 2027
Study endsDecember 31, 2027
Registry record updatedJuly 24, 2026
Trial IDNCT07212595 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.